Always On EM - Mayo Clinic Emergency Medicine Chapter 42 - Yes, I can help - Feeling empowered to help with in-flight emergencies
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Apr 1, 2025 Discover expert insights into handling in-flight medical emergencies, from the effects of altitude on oxygen and pressure to the available resources. Hear real-life experiences and legal and ethical dilemmas faced by medical professionals mid-air. Learn about critical interventions for respiratory distress, seizures, and allergic reactions, emphasizing calmness and creative problem-solving. By the end, feel empowered and ready to assist confidently in any airborne medical situation!
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Frequency and Duty to Respond
- In-flight medical emergencies occur about once every 600 flights, affecting between 25 to 125 per million passengers.
- Emergency physicians should feel empowered to respond as they hold an ethical imperative and legal protections exist, especially in the U.S.
Legal Protections and Documentation
- Avoid providing medical aid if impaired or intoxicated to maintain legal protections under the Aviation Medical Assistance Act.
- Always document the care you provide during an in-flight emergency just like any medical encounter.
Utilizing Onboard Resources
- Immediately request medical kits from the crew and, if possible, multiple kits to have all supplies on hand.
- Crowdsource equipment or medications from passengers if needed, such as glucometers or bronchodilators.
