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The Department of Transportation Emergency Medical Equipment Requirements Rule of January 9, 1986, mandated a period of 24 months (August 1986-July 1988) during which all air carriers flying under Federal Aviation regulation, Part 121, would monitor medical emergencies and use of the prescribed medical kits. The reporting airlines were to provide descriptions of how the medical kits were used, by whom, and the outcome of the medical emergency. During the two year monitoring period, a total of 2,322 reports of medical emergencies were documented; these included 33 inflight deaths, with only one of these representing a crew member (secondary to aircraft structural failure and resultant physical trauma). In the 2,293 actual uses of the medical kit, a physician was the provider in over 85% of the cases. The most common presenting symptom was pain, with unconsciousness, impaired breathing, nausea and/or vomiting, and various myocardial diagnoses the most common presenting sign (in descending order of frequency). High frequency recurrent complaints about kit adequacy were not noted during the two year monitoring period; there were scattered references about the poor technical quality of the most frequently employed equipment; the medical kit content might selectively be expanded to include analgesics, anti-arrhythmics, antiementics, and bronchodilators.
The Department of Transportation Emergency Medical Equipment Requirements Rule of January 9, 1986, mandated a period of 24 months (August 1986-July 1988) during which all air carriers flying under Federal Aviation regulation, Part 121, would monitor medical emergencies and use of the prescribed medical kits. The reporting airlines were to provide descriptions of how the medical kits were used, by whom, and the outcome of the medical emergency. During the two year monitoring period, a total of 2,322 reports of medical emergencies were documented; these included 33 inflight deaths, with only one of these representing a crew member (secondary to aircraft structural failure and resultant physical trauma). In the 2,293 actual uses of the medical kit, a physician was the provider in over 85% of the cases. The most common presenting symptom was pain, with unconsciousness, impaired breathing, nausea and/or vomiting, and various myocardial diagnoses the most common presenting sign (in descending order of frequency). High frequency recurrent complaints about kit adequacy were not noted during the two year monitoring period; there were scattered references about the poor technical quality of the most frequently employed equipment; the medical kit content might selectively be expanded to include analgesics, anti-arrhythmics, antiementics, and bronchodilators.
This book is a practical guide for health care professionals encountering medical emergencies during commercial flight. Health care providers should consider responding to emergencies during flight as there are often no other qualified individuals on board. This text covers the most common emergencies encountered during flight, both general medical emergencies and those specifically tied to the effects of flying, including cardiac, respiratory, and neurological issues. Medicolegal issues are considered in depth, for both United States domestic and international flights, as there is potential legal risk involved in giving medical assistance on a flight. Additional chapters are dedicated to pre-flight clearance and the role non-physician healthcare providers can play. In-Flight Medical Emergencies: A Practical Guide to Preparedness and Response is an essential resource for not only physicians but all healthcare professionals who travel regularly.
This book functions as a practical guide for health care professionals encountering medical emergencies during a commercial flight. A second edition to its successful predecessor, this text covers the most common emergencies encountered during flight, both general medical emergencies and those specifically tied to the effects of flying, including cardiac, respiratory, and neurological issues. Medicolegal issues are considered in depth for both United States domestic and international flights, as there is potential legal risk involved in giving medical assistance on a flight. This new edition includes expanded and updated original chapters revised based on available new research material. Additional chapters examine how to handle disruptive passengers experiencing acute behavioral issues during flight, emerging infectious diseases. This issue is particularly relevant due to COVID-19, specifically concerning the anxiety and readjustment challenges of resuming everyday travel. This edition includes a new chapter recounting the history of the handling of in-flight medical events. In-Flight Medical Emergencies, 2nd ed functions as an essential resource for physicians and all healthcare professionals who travel regularly.