Managing In-Flight Medical Emergencies
Author: Canadian Medical Association Journal
Published: 2018/02/27 - Updated: 2024/10/21
Publication Type: Informative
Peer-Reviewed: Yes
Topic: Air Ambulance Services - Publications List
Page Content: Synopsis - Introduction - Main
Synopsis: Article reviews policies and procedures and a video helps health care professionals understand what they might encounter during an in-flight medical emergency and what resources are available to help with treatment.
Why it matters: This article provides valuable insights into in-flight medical emergencies, offering a comprehensive overview of the challenges faced by airlines and medical professionals when dealing with health issues at 30,000 feet. It discusses the frequency of such incidents, the most common medical problems encountered, and the resources available on commercial flights to handle emergencies. The piece is particularly useful for travelers, healthcare professionals, and airline staff as it outlines the protocols followed during in-flight medical situations and highlights the importance of preparedness. Additionally, the article offers practical advice for passengers with pre-existing medical conditions, making it an informative read for anyone concerned about health and safety during air travel - Disabled World (DW).
Introduction
A new article in CMAJ (Canadian Medical Association Journal) practical tips for physicians on airplanes who may step in to help in a medical emergency.
Main Item
"Hearing the call go out for a doctor onboard at 36 000 feet can be anxiety-provoking for any physician," says Dr. Alun Ackery, an emergency physician at St. Michael's Hospital and the University of Toronto. "If the health professional offers their expertise, they may have to manage an unfamiliar clinical scenario, in a foreign and limited environment without knowledge of the available resources. This article provides practical tips to inform physicians about what to expect if they are in this situation."
The article reviews the policies and procedures of Canada's two major airlines, Air Canada and WestJet Airlines Ltd. and literally unpacks the medical equipment found onboard these carriers in a video to help health care professionals understand what they might encounter during an in-flight medical emergency and what resources are available to help with treatment.
An estimated 2.75 billion passengers worldwide fly each year on commercial airlines, with 133.4 million fliers in Canada in 2015, a 27% increase over 2009. The increased number of passengers is one reason for an increase in in-flight medical emergencies. Another reason is longer flights, which subject people to stressors, such as lower oxygen humidity levels, for a longer period of time.
There are no standardized methods for identifying in-flight emergencies making it difficult to find reliable incidence rates. Estimates range from one medical emergency per every 604 flights (16 events per one million passengers) to one per 7700 passengers.
The top five causes of medical emergencies are lightheadedness/loss of consciousness (37.4%), respiratory symptoms (12.1%), nausea or vomiting (9.5%), cardiac symptoms (7.7%) and seizures (5.8%).
Physicians are the primary responders in 40% to 50% of in-flight emergencies, nurses and paramedics in 5% to 25% and flight attendants alone in almost half (45%) of incidents.
The authors suggest that in complex medical situations, a team-based approach, assigning clear roles and responsibilities to use the skills of other health care professionals, is valuable.
Flight attendants should be involved as key resources who know the aircraft, emergency procedures and can liaise with the cockpit and ground communications staff for telemedicine support and potential emergency landings.
"The incidence of in-flight medical emergencies continues to rise and it is likely that many physicians will hear a call to attend to a fellow passenger. Knowing what to expect may help physicians be better prepared the next time that fateful call goes out at 36 000 feet," says Dr. Ackery.
Researchers
Researchers from St. Michael's Hospital, the University of Toronto, Air Canada, WestJet Airlines Ltd. and ORNGE Air Ambulance collaborated on the article. Is there a doctor on board? : Practical recommendations for management of in-flight medical emergencies
Attribution/Source(s): This peer reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Canadian Medical Association Journal and published on 2018/02/27, this content may have been edited for style, clarity, or brevity. For further details or clarifications, Canadian Medical Association Journal can be contacted at cmaj.ca NOTE: Disabled World does not provide any warranties or endorsements related to this article.