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Inflight Emergencies During Eurasian Flights
Background This study evaluated the incidence and status of urgent medical conditions, the attitudes of health professionals who encounter such conditions, the adequacy of medical kits and training of cabin crew in data-received-company aircrafts suggested by Aerospace Medical Association, and the d...
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| Published in: | Journal of travel medicine 2015-11, Vol.22 (6), p.361-367 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c438t-dea7c8171793c81bf08220bde990aba12e79d5e5c3ac54b446bca9727d7495a13 |
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| cites | cdi_FETCH-LOGICAL-c438t-dea7c8171793c81bf08220bde990aba12e79d5e5c3ac54b446bca9727d7495a13 |
| container_end_page | 367 |
| container_issue | 6 |
| container_start_page | 361 |
| container_title | Journal of travel medicine |
| container_volume | 22 |
| creator | Kesapli, Mustafa Akyol, Can Gungor, Faruk Akyol, Angelika Janitzky Guven, Dilek Soydam Kaya, Gokhan |
| description | Background
This study evaluated the incidence and status of urgent medical conditions, the attitudes of health professionals who encounter such conditions, the adequacy of medical kits and training of cabin crew in data-received-company aircrafts suggested by Aerospace Medical Association, and the demographic data of patients.
Methods
Data were collected from medical records of a major flight company from 2011 through 2013. All patients with complete records were included in the study. Numerical variables were defined as median and interquartiles (IQR) for median, while categorical variables were defined as numbers and percentage.
Results
During the study period, 10,100,000 passengers were carried by the company flights, with 1,312 (0.013%) demands for urgent medical support (UMS). The median age of the passengers who requested UMS was 45 years (IQR: 29–62). Females constituted 698 (53.2%) among the patients, and 721 (55%) patients were evaluated by medical professionals found among passengers. The most common nontraumatic complaints resulting in requests for UMS were flight anxiety (311 patients, 23.7%) and dyspnea (145 patients, 11%). The most common traumatic complaint was burns (221 patients, 16.8%) resulting from trauma during flight. A total of 22 (1.67%) emergency landings occurred for which the most frequent reasons were epilepsy (22.7%) and death (18.2%). Deaths during flights were recorded in 13 patients, whose median age was 77 years (IQR: 69–82), which was significantly higher compared to the age of patients requiring UMS (p |
| doi_str_mv | 10.1111/jtm.12230 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1732823295</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1111/jtm.12230</oup_id><sourcerecordid>1727995559</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-dea7c8171793c81bf08220bde990aba12e79d5e5c3ac54b446bca9727d7495a13</originalsourceid><addsrcrecordid>eNqN0btOwzAUBmALgWgpDLwAigQDSKT42HFsj6i0UKkSC8yW4zglVS7FTgbeHvcCA0OFl-Ph03909CN0CXgM4T2sunoMhFB8hIbAsYgFxew4_EGyGKQgA3Tm_QpjTAQhp2hAUoJBUDpE9_OmqMrlRxdNa-uWtjGl9dFT78pmGU17p32pm2i2Jf4cnRS68vZiP0fofTZ9m7zEi9fn-eRxEZuEii7OreZGAAcuaZhZgcNWnOVWSqwzDcRymTPLDNWGJVmSpJnRkhOe80QyDXSEbne5a9d-9tZ3qi69sVWlG9v2XgGn4RBKJPsHJVxKxpgM9PoPXbW9a8IhCgROCHDO-EEVsoClKd5k3e2Uca33zhZq7cpauy8FWG06UaETte0k2Kt9Yp_VNv-VPyUEcLMDbb8-kPMN9xyOwQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1727156609</pqid></control><display><type>article</type><title>Inflight Emergencies During Eurasian Flights</title><source>Oxford Journals Online</source><creator>Kesapli, Mustafa ; Akyol, Can ; Gungor, Faruk ; Akyol, Angelika Janitzky ; Guven, Dilek Soydam ; Kaya, Gokhan</creator><creatorcontrib>Kesapli, Mustafa ; Akyol, Can ; Gungor, Faruk ; Akyol, Angelika Janitzky ; Guven, Dilek Soydam ; Kaya, Gokhan</creatorcontrib><description>Background
This study evaluated the incidence and status of urgent medical conditions, the attitudes of health professionals who encounter such conditions, the adequacy of medical kits and training of cabin crew in data-received-company aircrafts suggested by Aerospace Medical Association, and the demographic data of patients.
Methods
Data were collected from medical records of a major flight company from 2011 through 2013. All patients with complete records were included in the study. Numerical variables were defined as median and interquartiles (IQR) for median, while categorical variables were defined as numbers and percentage.
Results
During the study period, 10,100,000 passengers were carried by the company flights, with 1,312 (0.013%) demands for urgent medical support (UMS). The median age of the passengers who requested UMS was 45 years (IQR: 29–62). Females constituted 698 (53.2%) among the patients, and 721 (55%) patients were evaluated by medical professionals found among passengers. The most common nontraumatic complaints resulting in requests for UMS were flight anxiety (311 patients, 23.7%) and dyspnea (145 patients, 11%). The most common traumatic complaint was burns (221 patients, 16.8%) resulting from trauma during flight. A total of 22 (1.67%) emergency landings occurred for which the most frequent reasons were epilepsy (22.7%) and death (18.2%). Deaths during flights were recorded in 13 patients, whose median age was 77 years (IQR: 69–82), which was significantly higher compared to the age of patients requiring UMS (p < 0.0001). A total of 592 (45%) patients did not require any treatment for UMS. Medical kits and training were found to be sufficient according to the symptomatic treatments.
Conclusion
Most of the urgent cases encountered during flights can be facilitated with basic medical support. “Traumatic emergency procedures inflight medical care” would be useful for additional training. Medical professionals as passengers are significantly involved in encountered emergency situations. Adding automated external defibrillator and pulse oximetry to recommended kits and training can help facilitate staff decisions such as emergency landings and tele-assistance.</description><identifier>ISSN: 1195-1982</identifier><identifier>EISSN: 1708-8305</identifier><identifier>DOI: 10.1111/jtm.12230</identifier><identifier>PMID: 26201833</identifier><language>eng</language><publisher>Oxford, UK: Oxford University Press</publisher><subject>Adult ; Aerospace Medicine - statistics & numerical data ; Aged ; Aged, 80 and over ; Air Travel - statistics & numerical data ; Airlines ; Anxiety - epidemiology ; Burns - epidemiology ; Death, Sudden - epidemiology ; Defibrillators ; Dyspnea - epidemiology ; Emergencies ; Epilepsy - epidemiology ; Female ; First aid ; First Aid - statistics & numerical data ; Flight attendants ; Humans ; Male ; Medical disorders ; Medical personnel ; Middle Aged ; Retrospective Studies ; Safety training ; Travel medicine</subject><ispartof>Journal of travel medicine, 2015-11, Vol.22 (6), p.361-367</ispartof><rights>2015 International Society of Travel Medicine 2015</rights><rights>2015 International Society of Travel Medicine.</rights><rights>2015 International Society of Travel Medicine</rights><rights>Copyright Oxford University Press, UK Nov/Dec 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-dea7c8171793c81bf08220bde990aba12e79d5e5c3ac54b446bca9727d7495a13</citedby><cites>FETCH-LOGICAL-c438t-dea7c8171793c81bf08220bde990aba12e79d5e5c3ac54b446bca9727d7495a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26201833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kesapli, Mustafa</creatorcontrib><creatorcontrib>Akyol, Can</creatorcontrib><creatorcontrib>Gungor, Faruk</creatorcontrib><creatorcontrib>Akyol, Angelika Janitzky</creatorcontrib><creatorcontrib>Guven, Dilek Soydam</creatorcontrib><creatorcontrib>Kaya, Gokhan</creatorcontrib><title>Inflight Emergencies During Eurasian Flights</title><title>Journal of travel medicine</title><addtitle>J Travel Med</addtitle><description>Background
This study evaluated the incidence and status of urgent medical conditions, the attitudes of health professionals who encounter such conditions, the adequacy of medical kits and training of cabin crew in data-received-company aircrafts suggested by Aerospace Medical Association, and the demographic data of patients.
Methods
Data were collected from medical records of a major flight company from 2011 through 2013. All patients with complete records were included in the study. Numerical variables were defined as median and interquartiles (IQR) for median, while categorical variables were defined as numbers and percentage.
Results
During the study period, 10,100,000 passengers were carried by the company flights, with 1,312 (0.013%) demands for urgent medical support (UMS). The median age of the passengers who requested UMS was 45 years (IQR: 29–62). Females constituted 698 (53.2%) among the patients, and 721 (55%) patients were evaluated by medical professionals found among passengers. The most common nontraumatic complaints resulting in requests for UMS were flight anxiety (311 patients, 23.7%) and dyspnea (145 patients, 11%). The most common traumatic complaint was burns (221 patients, 16.8%) resulting from trauma during flight. A total of 22 (1.67%) emergency landings occurred for which the most frequent reasons were epilepsy (22.7%) and death (18.2%). Deaths during flights were recorded in 13 patients, whose median age was 77 years (IQR: 69–82), which was significantly higher compared to the age of patients requiring UMS (p < 0.0001). A total of 592 (45%) patients did not require any treatment for UMS. Medical kits and training were found to be sufficient according to the symptomatic treatments.
Conclusion
Most of the urgent cases encountered during flights can be facilitated with basic medical support. “Traumatic emergency procedures inflight medical care” would be useful for additional training. Medical professionals as passengers are significantly involved in encountered emergency situations. Adding automated external defibrillator and pulse oximetry to recommended kits and training can help facilitate staff decisions such as emergency landings and tele-assistance.</description><subject>Adult</subject><subject>Aerospace Medicine - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Air Travel - statistics & numerical data</subject><subject>Airlines</subject><subject>Anxiety - epidemiology</subject><subject>Burns - epidemiology</subject><subject>Death, Sudden - epidemiology</subject><subject>Defibrillators</subject><subject>Dyspnea - epidemiology</subject><subject>Emergencies</subject><subject>Epilepsy - epidemiology</subject><subject>Female</subject><subject>First aid</subject><subject>First Aid - statistics & numerical data</subject><subject>Flight attendants</subject><subject>Humans</subject><subject>Male</subject><subject>Medical disorders</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Safety training</subject><subject>Travel medicine</subject><issn>1195-1982</issn><issn>1708-8305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqN0btOwzAUBmALgWgpDLwAigQDSKT42HFsj6i0UKkSC8yW4zglVS7FTgbeHvcCA0OFl-Ph03909CN0CXgM4T2sunoMhFB8hIbAsYgFxew4_EGyGKQgA3Tm_QpjTAQhp2hAUoJBUDpE9_OmqMrlRxdNa-uWtjGl9dFT78pmGU17p32pm2i2Jf4cnRS68vZiP0fofTZ9m7zEi9fn-eRxEZuEii7OreZGAAcuaZhZgcNWnOVWSqwzDcRymTPLDNWGJVmSpJnRkhOe80QyDXSEbne5a9d-9tZ3qi69sVWlG9v2XgGn4RBKJPsHJVxKxpgM9PoPXbW9a8IhCgROCHDO-EEVsoClKd5k3e2Uca33zhZq7cpauy8FWG06UaETte0k2Kt9Yp_VNv-VPyUEcLMDbb8-kPMN9xyOwQ</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Kesapli, Mustafa</creator><creator>Akyol, Can</creator><creator>Gungor, Faruk</creator><creator>Akyol, Angelika Janitzky</creator><creator>Guven, Dilek Soydam</creator><creator>Kaya, Gokhan</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>C1K</scope><scope>F1W</scope><scope>H95</scope><scope>H97</scope><scope>L.G</scope></search><sort><creationdate>20151101</creationdate><title>Inflight Emergencies During Eurasian Flights</title><author>Kesapli, Mustafa ; Akyol, Can ; Gungor, Faruk ; Akyol, Angelika Janitzky ; Guven, Dilek Soydam ; Kaya, Gokhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-dea7c8171793c81bf08220bde990aba12e79d5e5c3ac54b446bca9727d7495a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aerospace Medicine - statistics & numerical data</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Air Travel - statistics & numerical data</topic><topic>Airlines</topic><topic>Anxiety - epidemiology</topic><topic>Burns - epidemiology</topic><topic>Death, Sudden - epidemiology</topic><topic>Defibrillators</topic><topic>Dyspnea - epidemiology</topic><topic>Emergencies</topic><topic>Epilepsy - epidemiology</topic><topic>Female</topic><topic>First aid</topic><topic>First Aid - statistics & numerical data</topic><topic>Flight attendants</topic><topic>Humans</topic><topic>Male</topic><topic>Medical disorders</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Safety training</topic><topic>Travel medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kesapli, Mustafa</creatorcontrib><creatorcontrib>Akyol, Can</creatorcontrib><creatorcontrib>Gungor, Faruk</creatorcontrib><creatorcontrib>Akyol, Angelika Janitzky</creatorcontrib><creatorcontrib>Guven, Dilek Soydam</creatorcontrib><creatorcontrib>Kaya, Gokhan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><jtitle>Journal of travel medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kesapli, Mustafa</au><au>Akyol, Can</au><au>Gungor, Faruk</au><au>Akyol, Angelika Janitzky</au><au>Guven, Dilek Soydam</au><au>Kaya, Gokhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inflight Emergencies During Eurasian Flights</atitle><jtitle>Journal of travel medicine</jtitle><addtitle>J Travel Med</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>22</volume><issue>6</issue><spage>361</spage><epage>367</epage><pages>361-367</pages><issn>1195-1982</issn><eissn>1708-8305</eissn><abstract>Background
This study evaluated the incidence and status of urgent medical conditions, the attitudes of health professionals who encounter such conditions, the adequacy of medical kits and training of cabin crew in data-received-company aircrafts suggested by Aerospace Medical Association, and the demographic data of patients.
Methods
Data were collected from medical records of a major flight company from 2011 through 2013. All patients with complete records were included in the study. Numerical variables were defined as median and interquartiles (IQR) for median, while categorical variables were defined as numbers and percentage.
Results
During the study period, 10,100,000 passengers were carried by the company flights, with 1,312 (0.013%) demands for urgent medical support (UMS). The median age of the passengers who requested UMS was 45 years (IQR: 29–62). Females constituted 698 (53.2%) among the patients, and 721 (55%) patients were evaluated by medical professionals found among passengers. The most common nontraumatic complaints resulting in requests for UMS were flight anxiety (311 patients, 23.7%) and dyspnea (145 patients, 11%). The most common traumatic complaint was burns (221 patients, 16.8%) resulting from trauma during flight. A total of 22 (1.67%) emergency landings occurred for which the most frequent reasons were epilepsy (22.7%) and death (18.2%). Deaths during flights were recorded in 13 patients, whose median age was 77 years (IQR: 69–82), which was significantly higher compared to the age of patients requiring UMS (p < 0.0001). A total of 592 (45%) patients did not require any treatment for UMS. Medical kits and training were found to be sufficient according to the symptomatic treatments.
Conclusion
Most of the urgent cases encountered during flights can be facilitated with basic medical support. “Traumatic emergency procedures inflight medical care” would be useful for additional training. Medical professionals as passengers are significantly involved in encountered emergency situations. Adding automated external defibrillator and pulse oximetry to recommended kits and training can help facilitate staff decisions such as emergency landings and tele-assistance.</abstract><cop>Oxford, UK</cop><pub>Oxford University Press</pub><pmid>26201833</pmid><doi>10.1111/jtm.12230</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1195-1982 |
| ispartof | Journal of travel medicine, 2015-11, Vol.22 (6), p.361-367 |
| issn | 1195-1982 1708-8305 |
| language | eng |
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| source | Oxford Journals Online |
| subjects | Adult Aerospace Medicine - statistics & numerical data Aged Aged, 80 and over Air Travel - statistics & numerical data Airlines Anxiety - epidemiology Burns - epidemiology Death, Sudden - epidemiology Defibrillators Dyspnea - epidemiology Emergencies Epilepsy - epidemiology Female First aid First Aid - statistics & numerical data Flight attendants Humans Male Medical disorders Medical personnel Middle Aged Retrospective Studies Safety training Travel medicine |
| title | Inflight Emergencies During Eurasian Flights |
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