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Commercial Airline In-Flight Emergency: Medical Student Response and Review of Medicolegal Issues.
J Emerg Med. 2016 Jan; 50(1):74-8.JE

Abstract

BACKGROUND

As the prevalence of air travel increases, in-flight medical emergencies occur more frequently. A significant percentage of these emergencies occur when there is no certified physician, nurse, or paramedic onboard. During these situations, flight crews might enlist the help of noncertified passengers, such as medical students, dentists, or emergency medical technicians in training. Although Good Samaritan laws exist, many health care providers are unfamiliar with the limited legal protections and resources provided to them after responding to an in-flight emergency.

CASE REPORT

A 78-year-old woman lost consciousness and became pulseless onboard a commercial aircraft. No physician was available. A medical student responded and coordinated care with the flight crew, ground support physician, and other passengers. After receiving a packet (4 g) of sublingual sucrose and 1 L i.v. crystalloid, the patient regained pulses and consciousness. The medical student made the decision not to divert the aircraft based on the patient's initial response to therapy and, 45 min later, the patient had normal vital signs. Upon landing, she was met and taken by paramedics to the nearest emergency department for evaluation of her collapse. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians are the most qualified to assist in-flight emergencies, but they might not be aware of the medicolegal risks involved with in-flight care, the resources available, and the role of the flight crew in liability and decision making. This case, which involved a medical student who was not given explicit protection under Good Samaritan laws, illustrates the authority of the flight crew during these events and highlights areas of uncertainty in the legislation for volunteer medical professionals.

Authors+Show Affiliations

David Grant Medical Center US Air Force, Travis Air Force Base, Fairfield, California.Department of Emergency Medicine, University of California Davis Medical Center, Sacramento, California.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26514306

Citation

Bukowski, Josh H., and John R. Richards. "Commercial Airline In-Flight Emergency: Medical Student Response and Review of Medicolegal Issues." The Journal of Emergency Medicine, vol. 50, no. 1, 2016, pp. 74-8.
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.
Bukowski, J. H., & Richards, J. R. (2016). Commercial Airline In-Flight Emergency: Medical Student Response and Review of Medicolegal Issues. The Journal of Emergency Medicine, 50(1), 74-8. https://doi.org/10.1016/j.jemermed.2015.09.026
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. PubMed PMID: 26514306.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Commercial Airline In-Flight Emergency: Medical Student Response and Review of Medicolegal Issues. AU - Bukowski,Josh H, AU - Richards,John R, Y1 - 2015/10/26/ PY - 2015/07/18/received PY - 2015/09/11/revised PY - 2015/09/17/accepted PY - 2015/10/31/entrez PY - 2015/10/31/pubmed PY - 2016/10/1/medline KW - aeromedical KW - aircraft KW - airline KW - airplane KW - emergency KW - flight KW - medicolegal SP - 74 EP - 8 JF - The Journal of emergency medicine JO - J Emerg Med VL - 50 IS - 1 N2 - BACKGROUND: As the prevalence of air travel increases, in-flight medical emergencies occur more frequently. A significant percentage of these emergencies occur when there is no certified physician, nurse, or paramedic onboard. During these situations, flight crews might enlist the help of noncertified passengers, such as medical students, dentists, or emergency medical technicians in training. Although Good Samaritan laws exist, many health care providers are unfamiliar with the limited legal protections and resources provided to them after responding to an in-flight emergency. CASE REPORT: A 78-year-old woman lost consciousness and became pulseless onboard a commercial aircraft. No physician was available. A medical student responded and coordinated care with the flight crew, ground support physician, and other passengers. After receiving a packet (4 g) of sublingual sucrose and 1 L i.v. crystalloid, the patient regained pulses and consciousness. The medical student made the decision not to divert the aircraft based on the patient's initial response to therapy and, 45 min later, the patient had normal vital signs. Upon landing, she was met and taken by paramedics to the nearest emergency department for evaluation of her collapse. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians are the most qualified to assist in-flight emergencies, but they might not be aware of the medicolegal risks involved with in-flight care, the resources available, and the role of the flight crew in liability and decision making. This case, which involved a medical student who was not given explicit protection under Good Samaritan laws, illustrates the authority of the flight crew during these events and highlights areas of uncertainty in the legislation for volunteer medical professionals. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/26514306/Commercial_Airline_In_Flight_Emergency:_Medical_Student_Response_and_Review_of_Medicolegal_Issues_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(15)01021-5 DB - PRIME DP - Unbound Medicine ER -