Review of Issues and Challenges of Practicing Emergency Medicine Above 30,000-Feet Altitude: 2 Anonymized Cases.
Air Med J
; 36(2): 67-70, 2017.
Article
em En
| MEDLINE
| ID: mdl-28336016
ABSTRACT
We present 2 anonymized cases to identify issues and challenges associated with long-haul in-flight medical emergencies. The first case involved a middle-aged man with a history of carditis on a systemic steroid who developed vomiting and rigor. Four physicians, including a pediatric intensivist, responded to the emergency call. In the second case, a pediatric trainee who was the only onboard medical personnel was summoned for help when a middle-aged man developed acute shortness of breath while traveling on a commercial flight. The cases illustrate the challenges and issues on the critical decisions of diagnosis, resuscitation, and whether the flight had to be returned or diverted. An extensive literature search is made to summarize the evidence available for these decisions and challenges. Epidemiology and outcomes associated with these medical emergencies are reviewed. In-flight medical emergencies are not rare. Physicians of all disciplines should be prepared to deal with these emergencies and make sensible decisions when equipment and resources are likely to be limited.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Enjoo devido ao Movimento
/
Transtorno de Pânico
/
Medicina Aeroespacial
/
Medicina de Emergência
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Air Med J
Assunto da revista:
MEDICINA AEROESPACIAL
/
MEDICINA DE EMERGENCIA
Ano de publicação:
2017
Tipo de documento:
Article