Abstract
Medical professionals who travel are not uncommonly called upon to use their skills in the nonclinical environment. Flying in an aircraft, however, may present unique challenges. As one is flying in a cramped metal tube at an altitude of 35,000 ft, medical care is truly a form of austere medicine. This book will familiarize the reader with the role of the volunteering healthcare provider, the available resources about commercial aircraft, liability issues surrounding responding, and an introduction to the types of medical events that may occur.
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References
Latson J. Hired for their looks, promoted for their heroism: the first flight attendants. In: Time magazine. 2015. http://time.com/3847732/first-stewardess-ellen-church/. Accessed 14 Nov 2016.
A 3-month airline experiment turns 50 years old: 13 stops in 20-hour flight. The New York Times; 1980 May 30: B16.
Gazdik M. Vault guide to flight attendant careers. New York: Vault; 2004.
Lockridge P. The transatlantic girls. The Washington Post; 1943 July 25: S10.
Ford E. Flying girls a vital part of air epic: airline stewardesses on D.C. runs are all former nurses. Duties on board plane are exciting and varied. The Washington Post; 1937 July 4: B4.
Stricken in plane, woman of 70 dies. The New York Times; 1945 Sept 14: 17.
Another baby born in plane over atlantic. The Washington Post; 1949 Nov 23: B10.
Tim K. The Flight Attendant Career Guide. River Forest, IL: Planning/Communications Publishing; 1995.
Yenckel JT. Is there a doctor in the plane? The Washington Post; 1995 July 9: E1.
American Medical Association Commission on Emergency Medical Services. Medical aspects of transportation aboard commercial aircraft. AMA commission on emergency medical services. JAMA. 1982;247(7):1007–11.
Department of transportation, federal aviation administration: emergency medical equipment requirement. Fed Regist. 1986;51:1218–1223.
McLellan D. Airlines gear up for medical emergencies. In: Los Angeles Times. 1986. http://articles.latimes.com/1986-06-05/news/vw-9535_1_medical-emergencies/3. Accessed 16 Nov 2016.
Nichol G, Hallstrom AP, Kerber R, et al. American Heart Association report on the second public access defibrillation conference, April 17-19, 1997. Circulation. 1998;97(13):1309–14.
Aviation Medical Assistance Act of 1998, Pub L. No. 105–170. Washington, DC: National Archives and Records Administration, 1998.
United States Federal Aviation Administration. Emergency medical equipment. Final rule. Fed Regist. 2001;66:19028–46.
Goodwin T. In-flight medical emergencies: an overview. BMJ. 2000;321:1338–41.
Aerospace Medical Association. Medical emergencies: managing in-flight medical events. 2016. https://www.asma.org/publications/medical-publications-for-airline-travel/managing-in-flight-medical-events. Accessed 1 Dec 2016.
Peterson DC, Martin-Gill C, Guyette FX, et al. Outcomes of medical emergencies on commercial airline flights. N Engl J Med. 2013;368:2075–83.
Thibeault C, Evans AD. Medical guidelines for air travel: reported in-flight medical events and death. Aerosp Med Hum Perform. 2015;86(6):571.
Delaune EF, Lucas RH, Illig P. In-fl ight medical events and aircraft diversions: one airline’s experience. Aviat Space Environ Med. 2003;74(1):62–8.
Matsumoto K, Goebert D. In-flight psychiatric emergencies. Aviat Space Environ Med. 2001;72:919–23.
Moore BR, Ping JM, Claypool DW. Pediatric emergencies on a US-based commercial airline. Pediatr Emerg Care. 2005;21:725–9.
Airline access to emergency epinephrine act of 2015, S. 1972, 114th Cong. 2015.
Gendreau MA, DeJohn C. Responding to medical events during commercial airline flights. N Engl J Med. 2002;346:1067–73.
Rayman RB, Zanick D, Korsgard T. Resources for inflight medical care. Aviat Space Environ Med. 2004;75(3):278–80.
DeHart RL. Health issues of air travel. Annu Rev Public Health. 2003;24:133–51.
DeCelles KA, Norton MI. Physical and situational inequality on airplanes predicts air rage. Proc Natl Acad Sci U S A. 2016;113(20):5588–91.
Wallace TW, Wong T, O'Bichere A, Ellis BW. Managing in flight emergencies. BMJ. 1995;311(7001):374–6.
Kuczkowski KM. “Code blue” in the air: implications of rendering care during in-flight medical emergencies. Can J Anaesth. 2007;54(5):401–2.
United States Federal Aviation Administration. Advisory circular: emergency medical equipment. AC No. 121-33B; 2006.
National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333(24):1581–7.
Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST-Elevation myocardial infarction: an update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-Elevation myocardial infarction. J Am Coll Cardiol. 2016;67(10):1235–50.
Bukowski JH, Richards JR. Commercial airline in-flight emergency: medical student response and review of medicolegal issues. J Emerg Med. 2016;50(1):74–8.
Hung KK, Cocks RA, Poon WK, et al. Medical volunteers in commercial flight medical diversions. Aviat Space Environ Med. 2013;84(5):491–7.
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Nable, J.V., Brady, W. (2018). Setting the Scene. In: Nable, J., Brady, W. (eds) In-Flight Medical Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-74234-2_1
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DOI: https://doi.org/10.1007/978-3-319-74234-2_1
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