Medical emergencies on board commercial airlines: is documentation as expected?

Michael Sand, Stephan Morrosch, Daniel Sand, Peter Altmeyer, Falk G Bechara, Michael Sand, Stephan Morrosch, Daniel Sand, Peter Altmeyer, Falk G Bechara

Abstract

Introduction: The purpose of this study was to perform a descriptive, content-based analysis on the different forms of documentation for in-flight medical emergencies that are currently provided in the emergency medical kits on board commercial airlines.

Methods: Passenger airlines in the World Airline Directory were contacted between March and May 2011. For each participating airline, sample in-flight medical emergency documentation forms were obtained. All items in the sample documentation forms were subjected to a descriptive analysis and compared to a sample "medical incident report" form published by the International Air Transport Association (IATA).

Results: A total of 1,318 airlines were contacted. Ten airlines agreed to participate in the study and provided a copy of their documentation forms. A descriptive analysis revealed a total of 199 different items, which were summarized into five sub-categories: non-medical data (63), signs and symptoms (68), diagnosis (26), treatment (22) and outcome (20).

Conclusions: The data in this study illustrate a large variation in the documentation of in-flight medical emergencies by different airlines. A higher degree of standardization is preferable to increase the data quality in epidemiologic aeromedical research in the future.

References

    1. Medical Guidelines Task Force AMA. Aviat Space Environ Med. 2. Vol. 16. 2003. Medical guidelines for airline travel; p. A1.
    1. European Commission: Eurostat. Your key to European statistics.
    1. Gabel A. Kardiologische Notfälle an Bord von Verkehrsflugzeugen. Notfall + Rettungsmedizin. 2011;16:305–322.
    1. Sand M, Bechara FG, Sand D, Mann B. Surgical and medical emergencies on board European aircraft: a retrospective study of 10189 cases. Crit Care. 2009;16:R3. doi: 10.1186/cc7690.
    1. Ruskin KJ. In-flight medical emergencies: time for a registry? Crit Care. 2009;16:121. doi: 10.1186/cc7715.
    1. International Air Transport Association. Montreal-Geneva. Medical Manual. 3. pp. 66–67. Appendix D.
    1. AIU Airline World Airlines Directory.
    1. Sand M, Gambichler T, Sand D, Thrandorf C, Altmeyer P, Bechara FG. Emergency medical kits on board commercial aircraft: a comparative study. Travel Med Infect Dis. 2010;16:388–394. doi: 10.1016/j.tmaid.2010.10.008.
    1. Sand M, Bechara FG, Sand D, Mann B. In-flight medical emergencies. Lancet. 2009;16:1062–1063.
    1. International Civil Aviation Organisation. Annex 6, Operation of Aircraft Part I, International Commercial Air Transport, Aeroplanes, Chapter 6 Aeroplane Instruments, Equipment and Flight Documents attachment B. First Aid Medical supplies. p. 4.
    1. Gendreau MA, DeJohn CA. Responding to medical events during commercial airline flights. N Engl J Med. 2002;16:1067–1073. doi: 10.1056/NEJMra012774.

Source: PubMed

3
Abonneren