The provision of medical assistance to passengers during flightsaboard commercial aircraft is a matter of concern to most physicians.1,2,3,4Although close to 2 billion people travel on commercial airlineseach year, there has been little study of medical issues relatedto air travel.1 As the number of air travelers increases andas the population ages, the number of medical events aboardcommercial aircraft will increase. In this article, we reviewthe environmental, clinical, and legal aspects of in-flightmedical care aboard commercial aircraft.
Epidemiologic Features
Incidence and Types of Events
Determining the incidence of in-flight medical events aboardcommercial aircraft is difficult, because there are currently. . . [Full Text of this Article]
Physicians' Participation
Diversions
Environmental and Physiological Factors
Cabin Pressure
Cabin Air Quality
Violence aboard Aircraft
Medical Fitness for Air Travel
General Principles
Oxygen Therapy
Medical Liability
Medical Resources Aboard Commercial Aircraft
Emergency Medical Kit
Automated External Defibrillators
Ground-Based Medical Assistance
General Approach to In-Flight Medical Events
Conclusions
Source Information
From the Department of Emergency Medicine, Lahey Clinic, Burlington, Mass. (M.A.G.); and the Civil Aerospace Medical Institute, Federal Aviation Administration, Oklahoma City (C.D.).
Address reprint requests to Dr. Gendreau at the Department of Emergency Medicine, Lahey Clinic, 41 Mall Rd., Burlington, MA 01805, or at mgndru@massmed.org.
References
Related Letters:
Medical Events during Airline Flights
Noel A. A., Roth W. T., Baevsky R., Rivas H., Schuff-Werner P., Kohlschein P., Steiner M., Ross S. C., Gendreau M., DeJohn C.
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N Engl J Med 2002;
347:535-537, Aug 15, 2002.
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