{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T18:09:12Z","timestamp":1774462152994,"version":"3.50.1"},"reference-count":5,"publisher":"Aerospace Medical Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>\n<jats:bold>BACKGROUND:<\/jats:bold> Physiological episodes are a top safety concern for aviators across the United States military. While many cases and a variety of causes for physiological episodes have been described, few cases, if any, have been reported of hyperventilation-induced hypocapnia and transient loss of consciousness.<\/jats:p>\n<jats:p>\n<jats:bold>CASE REPORT:<\/jats:bold> Here we describe a case of an aviator who experienced tingling extremities, confusion, and loss of consciousness during a flight. The aviator incorrectly believed he was experiencing hypoxia and continued to take multiple steps to troubleshoot the wrong underlying problem for his symptoms. Evaluation after landing suggested this was instead a stress-induced hyperventilation that resulted in symptomatic hypocapnia.<\/jats:p>\n<jats:p>\n<jats:bold>DISCUSSION:<\/jats:bold> We report this case to add to the body of literature in understanding this phenomenon as well as to provide aviators, physiologists, and flight surgeons with practical suggestions for recognizing hyperventilation-induced hypocapnia and awareness of how to remedy this situation when they recognize it.<\/jats:p>\n<jats:p>\n<jats:bold>Kramer KEP, Anderson EE. <jats:italic>Hyperventilation-induced hypocapnia in an aviator<\/jats:italic>. Aerosp Med Hum Perform. 2022; 93(5):470\u2013471.<\/jats:bold>\n<\/jats:p>","DOI":"10.3357\/amhp.5975.2022","type":"journal-article","created":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T10:41:55Z","timestamp":1652697715000},"page":"470-471","source":"Crossref","is-referenced-by-count":5,"title":["Hyperventilation-Induced Hypocapnia in an Aviator"],"prefix":"10.3357","volume":"93","author":[{"given":"Kathleen E. P.","family":"Kramer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric E.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"key":"B1","series-title":"Etiology of hypocapnia in the aviator: an overview with recommended research. Quick reaction USAFSAM assessments, studies, analysis, evaluation and research (QUASAR).","author":"Dart","year":"2016"},{"issue":"8","key":"B2","series-title":"Aviat Space Environ Med.","first-page":"943","article-title":"Effects of hypocapnia on psychomotor and intellectual performance","volume":"49","author":"Gibson","year":"1978"},{"issue":"7","key":"B3","series-title":"J Appl Physiol.","first-page":"844","article-title":"Hyperventilation, cerebral perfusion, and syncope","volume":"116","author":"Immink","year":"2014"},{"key":"B4","series-title":"J Aviat Med.","first-page":"164","article-title":"The effects of hypocapnia on performance","volume":"17","author":"Rahn","year":"1946"},{"issue":"3","key":"B5","series-title":"Naval Aviation News.","first-page":"25","article-title":"Physiologicalal episodes: understanding the human system","volume":"102","author":"Watters","year":"2020"}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/93\/5\/article-p470.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/93\/5\/article-p470.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/93\/5\/article-p470.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:03:34Z","timestamp":1740096214000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/93\/5\/article-p470.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":5,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3357\/amhp.5975.2022","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"value":"2375-6314","type":"print"},{"value":"2375-6322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}