Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

The Need for Speed Requires Intense Training

Image of  Military personnel conducts routine ops in US 3rd Fleet. Aviation Boatswain’s Mate (Equipment) 2nd Class Kayla Pettit, from Charlotte, N.C., signals an F/A-18E Super Hornet, assigned to the “Vigilantes” of Strike Fighter Squadron (VFA) 151, as it launches from the flight deck of the aircraft carrier USS Abraham Lincoln (CVN 72) June 21, 2022. Abraham Lincoln Strike Group is conducting routine operations in the U.S. 3rd Fleet in the Pacific Ocean.

This summer's blockbuster movie showcases some amazing feats by military aviators, pushing the envelope beyond 10 Gs and incredible combat maneuvers.

But, initial military aviation training focuses not just on the Gs, but learning to control an aircraft, while also understanding the physiology of acceleration forces on the body.

Being able to maneuver an aircraft while withstanding high levels of gravitational forces, or G-forces, is a key component to training for combat aviation. But mishap prevention and survival, and enhancing and sustaining performance all play a role.

If you've ever been on a rollercoaster, you've felt a minimal amount of the G-forces and the effects the acceleration that aviators experience.

For military aviators, their training requires that they learn how to deal with sometimes severe G-forces and negative G-forces that change rapidly, especially in combat operations. Those G-forces affect all aviators to some degree, whether they fly fixed wings, jets, turboprop aircraft or helicopters.

G-Forces

Military aviators first learn the basics of the flight physiology and its impact on the human cardiovascular system during the lecture portion of their training with aerospace physiology personnel.

Next, these aviators learn how to avoid or overcome what is called G-induced loss of consciousness, also known as GLOC.

"That's when the blood leaves your brain. After about five seconds, you're lights out," said Navy Cmdr. Timothy Welsh, who is the director of the Aviation Survival Training Center, Naval Air Station Pensacola, Florida, part of the Naval Survival Training InstituteNaval Survival Training Institute.

To combat GLOC, military aviators learn the anti-G straining maneuver, which is a series of isometric abdominal and leg muscle contractions that help to keep blood flowing up toward the heart and brain and not downward.

Aviators are also taught breathing techniques that are a primary method of resisting GLOC.

In the Navy, aviators are taught the Hick maneuver. The term alludes to the sounds the pilot makes while saying the word Hick as they breathe in and out.

The Air Force also teaches a respiratory component, which means "every three seconds, we're going to do a rapid half-second exchange of air where we want to move the equal amount of air out and right back in," explained Air Force Maj. Stuart Sauls, who is the acceleration training branch chief in the Air Force Research LaboratoryAir Force Research Laboratory 711th Human Performance Wing at Wright-Patterson Air Force BaseWright-Patterson AFB in Dayton, Ohio.

"We want pilots to do a very calm breath hold because that allows them to control their air and their chest pressure much better," said Sauls.

In the respiratory component, "air exchanges briefly drop pressure around the heart to allow for that blood flow to continue properly, he said. "Then pilots have to get that air right back in and block it back off in the lungs so that we can get pressure back because, if they don't, they can lose consciousness."

Pressure suits are another way for aviators to reduce the amount of blood going into their extremities under G-forces. These are worn on the lower limbs and the abdomen.

Pressure suits also have a "tactile function" as they start to inflate, Welsh explained.

Military personnel exits aircraft centrifuge U.S. Air Force Staff Sgt. Joe Pick, 1st Combat Camera Squadron, exits the centrifuge at the 711th Human Performance Wing, Wright-Patterson Air Force Base, Dayton, Ohio, April 5, 2021.

Training Includes Centrifuges

In the Air Force, undergraduate pilots begin flight training on the T-6 single prop airplane - so they can experience moderate G-forces.

The next step is the T-38 trainer for fighter aircraft. Before pilots can train in that aircraft they go to AFRL in Dayton for tests of exposure to severe G-forces at the only DOD human-rated centrifuge.Wright Patterson News

The centrifuge can produce up to nine Gs, or nine times the normal force of gravity, to measure the student's ability to counteract the effects of G-forces to prevent GLOC.

Jet aviators must be able to sustain sudden changes in pressure and altitude at speeds approaching or exceeding the speed of sound and gravitational forces up to nine times the normal pull (9Gs). If an Air Force student aviator is assigned to F-15s, F-16s, F-22s or F-35s, they go back to Wright-Patterson AFB for more centrifuge training qualification.

Naval aviators get centrifuge testing at Brooks City Base in San Antonio, Texas. That centrifuge can produce more than seven-and-a-half Gs with various onset rates, Welsh said.

Both the Air Force and Navy also have a "low fidelity simulator" that connects an aviator's oxygen mask to a box "that scrubs oxygen out of the air they're breathing, and increases the amount of nitrogen they're breathing. They become hypoxic, meaning they lack of adequate oxygen levels to perform," Welsh explained. The pilots learn emergency procedures to overcome various physiological episodes that could cause incapacitation.

Water Survival Training

The highest risk training done by the Navy is water survival training, Welsh said. That is a whole day of learning how to prevent panic and to stay calm in extreme situations. "The primary objective of our water survival training is water comfort and controlling your fear," Welsh said.

In the water, instructors flip aviators upside down, blindfold them in a dunker while they're in their full gear – flight suits, boots, survival helmets, and a life preserver. The aviators also learn swimming strokes, and how to hold on to reference points.

One of the most difficult training drills is when their life preserver fails to inflate, Welsh said. In that situation, the pilots have to tread water with all their gear on and manually inflate the life preserver.

Nutrition and Exercise to Optimize Performance

The military trainers teach aviators about proper nutrition and exercise to optimize performance.

"Much like maintaining an aircraft, it's maintaining your body," Welsh said.

"If you don't give your body the proper amount of fuel, the right types of fuel, meaning calories, or the right types of food groups," pilots' bodies will not be able to stand up to a barrage of high G-force maneuvers, he said.

Low blood glucose levels can also impact G-force performance, Sauls said. Proper hydration and enough sleep to combat fatigue are also necessary, because human factors are the biggest cause for aviation mishaps, Welsh said.

The Air Force relies on lower body and core strength training. That means "we're going to think heavier weight, lower repetitions. Things like squats, lunges, and deadlifts really build up that base, improve that frame," Sauls said.

"And then from a cardiovascular standpoint, to best mirror the operational environment, we would lean more toward high-intensity interval training, sprint intervals, circuit training, only get a heart rate up for a short period, then rest and repeat."

Some bases are now hiring dietitians and conditioning coaches, Sauls added. The 19th Air Force19th Air Force at Joint Base San Antonio-Randolph, which oversees Air Force pilot training, has created formal instruction on how pilots can improve their diet and exercise.

The Army Aviation Center of ExcellenceArmy Aviation Center of Excellence is the Army Aviation Branch's training and development center, located at Fort Rucker, Alabama.

USAACE trains and develops "agile and adaptive" Army aviators, manages the aviation enterprise, and "integrates aviation capabilities and requirements across the warfighting functions to enable commanders and soldiers on the ground to fight and win in an increasingly complex world."

You also may be interested in...

Fact Sheet
Nov 6, 2023

Warfighter Brain Health After TBI: Guidance for Leaders

.PDF | 895.85 KB

This TBICoE fact sheet, Warfighter Brain Health After TBI: Guidance for Leaders, condenses the basics of recognizing, reporting, and preventing TBI in service members. It updates and supersedes the Line Leader Policy Guidance fact sheet and includes a list of what the DOD has defined as potentially concussive events and outlines leaders’ ...

Article Around MHS
Oct 19, 2023

Lights, Camera, Ultrasound! Uniformed Services University Nursing Students Train Using High-Tech Simulation Theater

The Uniformed Services University students from the family and women’s health nurse practitioner program attended the university’s Wide-Area Virtual Environment at the Simulation Center for the first time in Oct. 2023. (Photo by Tom Balfour, USU)

Military students from the Uniformed Services University conducted immersive medical team training in the university's Wide-Area Virtual Environment. The theater is a a state-of-the-art 3D immersive reality facility that simulates various scenarios, replicating environments from war zones to medical emergencies, to prepare them for real-world medical ...

Article Around MHS
Oct 12, 2023

Airman, Soldiers Graduate from Interservice Physician Assistant Program at Walter Reed

Walter Reed National Military Medical Center physician assistants pose for a group photo in front of Walter Reed's Tower in Bethesda, Maryland, Oct. 6, 2023. The physician assistants came together in recognition of National Physician Assistants Week. (U.S. Navy photo by Mass Communication Specialist 2nd Class Brett Walker)

Although the paths that Air Force Capt. Grace Kim and Army 1st Lts. Demetre Harris and David Owunna took to achieve their shared dream of becoming physician assistants (PAs) differed, all donned their white lab coats as the military’s newest PAs during their graduation from the Interservice Physician Assistant Program (IPAP) on Sept. 29 at Walter Reed.

Article
Oct 3, 2023

Medical Modeling and Simulation Experts Make Military Exercise More Realistic, Effective

Medical Modeling and Simulation Experts Make Military Exercise More Realistic, Effective

The Defense Health Agency’s Defense Medical Modeling & Simulation Office provided subject matter experts to support Exercise Northern Strike 2023, which took place at multiple training areas throughout Michigan, Aug. 12-15, involving more than 7,000 participants from 25 states, one territory, and four international partners.

Article Around MHS
Sep 28, 2023

Nebraska Air National Guard State Surgeon’s Path Leads Him to Professional Boxing’s Highest Pinnacle

Nebraska Air National Guard Col. (Dr.) Mark Shirley takes in a practice at Mick Doyle’s Kickboxing and Fitness Center in Omaha, Nebraska, on Oct. 10, 2022. A member of the Nebraska Air National Guard where he serves as the state surgeon, Shirley is also a doctor of osteopathic medicine and a member of the emergency department staff of the Memorial Community Hospital and Health System in Blair, Nebraska. (Photo: U.S. Air Force National Guard Lt. Col. Kevin Hynes)

Dressed in surgical scrubs, Nebraska Air National Guard Col. Mark Shirley looks like any other medical doctor pulling a 24-hour emergency department shift. Shirley serves as the state air surgeon where he oversees the medical support required to keep the Nebraska Air Guard’s approximately 1,000 airmen ready to support any and every federal or state ...

Article Around MHS
Sep 15, 2023

Health Affairs Secretary Visits San Diego Facilities Discusses Importance of Readiness Quality Health Care

SAN DIEGO (Sept. 14, 2023) Dr. Lester Martinez-Lopez, Assistant Secretary of Defense for Health Affairs, is briefed on Naval Medical Center San Diego's (NMCSD) Bioskills and Simulation Training Center's (BSTC) capabilities by Capt. Cory Gaconnet, BSTC department head. The BSTC offers medical students, nurses, interns, residents and hospital clinical staff the opportunity to train in a virtual patient care environment using simulated patients and sophisticated technology. The center contains overhead cameras that tape the medical team's actions, so leaders can provide feedback after the simulated training. The BSTC plays a key role in maintaining patient safety and ensuring the operational readiness of all hospital staff. The mission of NMCSD is to prepare service members to deploy in support of operational forces, deliver high quality health care services and shape the future of military medicine through education, training and research. NMCSD employs more than 6,000 active-duty military personnel, civilians and contractors in southern California to provide patients with world-class care anytime, anywhere.  (Photo: Marcelo Calero)

The Assistant Secretary of Defense for Health Affairs, Dr. Lester Martinez-Lopez, visited the Defense Health Agency’s San Diego Market from Sept. 13-14, touring research and medical facilities and meeting with staff to discuss the unique challenges facing Southern California’s medical treatment facilities.

Article Around MHS
Aug 28, 2023

Army Reserve-led Mountain Medic Soars to New Heights

U.S. Army Reserve critical care flight paramedics from 5-159th General Support Aviation Battalion, 244th Expeditionary Combat Aviation Brigade, Army Reserve Aviation Command, guide U.S, Air Force Reserve medical personnel from the 302nd Airlift Wing in offloading a casualty from a HH-60 MEDEVAC Black Hawk during exercise Mountain Medic at Fort Carson, Colorado, on Aug. 14, 2023. Mountain Medic is an Army Reserve-led joint, multi-component, multi-domain aeromedical evacuation exercise geared at improving and reenforcing medical evacuation operations in a simulated large-scale combat operations environment. (U.S. Army Reserve Photo by Master Sgt. Joy Dulen)

The third iteration of the fast-paced joint operation known as Mountain Medic 2023 was conducted in August 2023. Against the backdrop of the Rocky Mountains, the exercise aimed at improving and reinforcing medical evacuation operations and skill sets while pushing its medics, pilots, and aircrews nonstop in austere environments set for large-scale ...

Article Around MHS
Aug 23, 2023

MHSRS 2023 Kicks Off with Powerful Message: Medical Readiness for the Future Fight

Team members from the U.S. Army Medical Research and Development Command's Medical Material Development Activity - Broad Spectrum Snakebite Antidote (BSSA) program, receive the Military Health System Research Symposium 2023 Outstanding Research Accomplishment award in team/program management in Kissimmee, Florida on August 14, 2023.  (Photo: Danae Johnson)

Assistant Secretary of Defense for Health Affairs Dr. Lester Martinez-López kicked off the 2023 Military Health System Research Symposium with a keynote speech on the morning of August 14, delivering powerful words to the more than 4,000 people attending the event. Weaving his heartfelt sentiments into an overall call for action, Martinez put the ...

Article Around MHS
Aug 17, 2023

Naval Medical Research & Development Researchers Participate in Undersea Operational Research Panel at MHSRS

Panel presenters for the Undersea Operational Research panel at the 2023 Military Health System Research Symposium

KISSIMMEE, Fla. – Medical researchers from the Naval Medical Research & Development (NMR&D) enterprise specializing in undersea health met for a panel during the 2023 Military Health System Research Symposium (MHRSR) on Aug.15.

Article Around MHS
Aug 10, 2023

U.S. Army Medical Materiel Development Activity Logisticians, Reserve Soldiers, Army Logistics Support Capstone Hospital Conversion Effort in Northern California’s High Desert

U.S. Army Reserve soldiers from across the 807th Medical Command inventory newly fielded medical equipment inside a storage warehouse at Sierra Army Depot, California, on July 19, 2023. Members of the U.S. Army Medical Materiel Development Activity, U.S. Army Medical Materiel Agency, and soldiers with the 807th MCDS began an inventory of medical supplies this week as part of a capstone field hospital conversion mission for eight Army Reserve medical commands belonging to the 801st Combat Support Hospital. (Photo: T. T. Parish/U.S. Army)

The U.S. Army Medical Materiel Development Activity, partnering with the Army Reserve’s 807th Medical Command, reached a milestone in its yearslong efforts to support U.S. Army Reserve medical commands last week, starting the final hospital conversion at the Sierra Army Depot in California.

Skip subpage navigation
Refine your search
Last Updated: July 11, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery