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well as familiarization training that instructs aviators to recognize symptoms of hypoxia and execute emergency procedures. This training is critical to help prevent in-flight hypoxia emergencies through recognition of the onset of hypoxic symptoms. Hypoxia training began early in the history of aviation and continues to develop to leverage technological advancements and maximize its efficacy. Familiarization training in the U.S. Air Force and Navy has been standard since the 1940s and involves a controlled hypoxia exposure under instructor supervision. Initially