title: Motion sickness in pilot trainees: management to keep them flying.
abstract: BACKGROUND
  Motion sickness is a recurrent problem in pilot schools. Many techniques to overcome motion sickness are used worldwide, mostly including sedative medication and psychotherapy. Motion sickness does not correlate with future pilot skills: it should not be a criterion for selection of candidates. The problem must be controlled from the onset in an objective way. In the Swiss Air Force selection program, time compression does not allow any delay between the selection flights, nor can drugs be used.
  
  
  METHODS
  We created an after-flight motion sickness checklist. We present a descriptive statistic for motion sickness assessed with our checklist in 2 consecutive years of pilot selection and our recommendations for a management policy without drug use and without interference with the selection schedule.
  
  
  RESULTS
  Due to the small number of observations, no statistically significant correlations could be verified. Nevertheless, we had no drop out from selection due to motion sickness.
  
  
  CONCLUSIONS
  The use of the after-flight motion sickness checklist seems to be effective. Further studies with a greater number of observations are required.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital Zurich, Switzerland. thomas.syburra@usz.ch
authors.forename: Thomas
authors.initials: T
authors.lastname: Syburra
authors.forename: Samuel
authors.initials: S
authors.lastname: Huber
authors.forename: Jost
authors.initials: J
authors.lastname: Suter
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D006801:Humans; D008889:Military Personnel; D009041:Motion Sickness / Q000145:classification / Q000517:prevention & control*; D009784:Occupational Diseases / Q000517:prevention & control*; D013557:Switzerland; D014722:Vestibule, Labyrinth / Q000502:physiology