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Medical staff onboard to help during most in-flight emergencies





   

That translated to a rate of about 12 emergencies per "billion revenue passenger kilometers" -- or the rate per paying passenger per billion kilometers traveled. Medical emergencies requiring a flight diversion were much less common, at 46 over five years. Thirty passengers ultimately died, with heart attacks and other cardiac complications accounting for two-thirds of those deaths. The findings, reported in a letter to the Archives of Internal Medicine, point to groups of passengers who seem to be at greatest risk of more serious health problems in the air. Age was one of the key factors in the likelihood of emergencies leading to flight diversion or resulting in death, the study found. Passengers in their 70s and beyond had the highest risks -- not surprisingly, due to their higher rates of chronic diseases. Pregnant women were also at risk, with obstetric complications having the highest rate of flight diversion -- at about 11 percent -- than any other type of medical emergency. It is difficult to say whether these statistics would be similar for other major airlines, senior researcher Dr. Colin A. Graham, of the Chinese University of Hong Kong, told Reuters Health in an email. He noted, though, that "we have no reason to expect that Hong Kong's airlines are substantially different from any other large airlines." A recent study of two European airlines had similar findings as far as the number of medical emergencies, documenting just over 10,000 cases across both airlines over five years. That study also tracked the rates of different types of emergencies, finding that syncope (loss of consciousness) accounted for just over half of the incidents. Gastrointestinal ills were the second-most common cause, at 9 percent, followed by heart problems, at 5 percent. Overall, 3 percent of all emergencies required a flight diversion, with the most frequent causes of diversions being heart attacks, brain hemorrhages and epileptic seizures. Those researchers concluded that while in-flight medical emergencies are "generally rare," they can have significant consequences -- for fellow passengers and flight crew as well. According to Graham's team, it is not possible to change most of the risk factors for flight diversions and death seen in this study. However, the findings do underline the importance of having people with serious medical conditions get pre-flight medical clearance, the researchers say. Other studies, they note, have suggested that two-thirds of in-flight emergencies are related to complications from pre-existing medical problems. "Clearly," Graham said, "if potential passengers have any underlying health conditions, they should declare them to airline medical staff well in advance of flying to obtain pre-flight clearance to fly, and minimize the risk of an in-flight medical emergency." He said that for people older than 70, "special care" should be taken to make sure that any medical conditions they have are stable before they take to the air. According to Graham, people with existing health problems should talk with their own doctors, but it is best for pre-flight screening to be done by the airline's own medical team. "We would recommend that passengers and their doctors consult the airlines' specialist aviation medicine teams at the earliest opportunity if the passenger has any significant underlying medical condition," he said. Air travel usually presents no special risks to women with healthy pregnancies, but all pregnant women are generally advised to talk with their doctors before flying. The second trimester is considered the safest travel window, as the chances of either miscarriage or spontaneous labor are lowest.
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There was a total of 11,920 in-flight medical calls recorded during the study period from Jan. 1, 2008 to Oct. 31, 2010. The number one reason for calls was syncope (fainting) or near-syncope, followed by respiratory symptoms, nausea or vomiting, and cardiac symptoms. Physicians were providing medical assistant in-flight in half of those calls, the study found. Other medical professionals like nurses or emergency medical technicians assisted in 28 percent of the emergencies. Flights were only diverted because of medical emergencies 7.3 percent of the time. Researchers found that in most of the emergencies flight attendants -- who are trained in emergency protocols and have access to an FAA-required emergency medical kit -- were able to treat the patient. Ground-based physician consultants mainly instructed main page the attendants on how to use a specific medications in the kit, and helped the pilot and crew decide whether or not the plane needed to be diverted so the patient could get further treatment. The most commonly-used therapies included oxygen (in 49.9 percent of the cases), intravenous saline solution (5.2 percent) and Aspirin (5.0 percent). Further analysis of nearly 11,000 cases showed that 25.8 percent were transported to a are you looking for an air ambulance service hospital by emergency medical services. Only 8.6 percent were admitted, and 0.3 percent died, either on board the aircraft or upon transport to the hospital. The main reasons for going to the hospital were stroke, respiratory and cardiac symptoms. The authors said that physicians and other medical professionals should train themselves on what resources are available on flights so they can better assist passengers in case of an emergency. Alex Isakov, a physician in the emergency room at Atlanta's Emory University Hospital, told USA Today that he has assisted patients on three international flights. "There was a little cluster of volunteers trying to help," Abella, who was not involved in the case, said. "One guy said, 'I'm a psychiatrist.' Another guy said, 'I'm a dermatologist.' I said, 'I'm an emergency physician,' and they all cleared out of the way." Even though he had medical training and help from airline staff, he often felt that he wasn't completely prepared for an in-flight emergency.
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San Diego, California (PRWEB) January 09, 2014 Aeromedevac is now offering domestic and international air ambulance services for critical and non-critical patients. Aeromedevac is proud to announce that they can now provide air ambulance services to any location in the Air Ambulance Services world. Visit aeromedevac.com to request a quote and read more about the company's services. Aeromedevac offers medical flights in its own air ambulance for patients who need to be transported. The air ambulance has a specially fitted stretcher that is secured to the cabin floor just as passenger seats are secured. The stretcher has a mattress, bed linens, pillows, blankets, and safety restraints. The base of the stretcher holds 7000 liters of oxygen, a vacuum for suction, an air compressor that blends the air with the oxygen in the ventilator, and an electrical inverter for supplying power. All medical electronics on the air ambulance have internal batteries that act as backups. The flight team is full of medical professionals who are registered nurses, physicians, paramedics, and respiratory therapists. The California air ambulance has a cardiac monitor, pacing, and defibrillator, oxygen with monitoring, a ventilator for complete breathing supports, a comprehensive pharmacy, orthopedic and spinal devices for stabilizing and maintaining trauma victims, specialty supplies and equipment for a variety of medical and trauma needs, and radio and cellular communications around the world. Aeromedevac has two air ambulances: the Lear 35 jet and the King Air 100. The Lear 35 has room for an accompanying passenger and the King Air 100 has room for two accompanying passengers, depending on fuel demands, distance, and weather. The Lear 35 jet can go non-stop for 2000 statute miles or the equivalent of about four and a half hours. After this distance, the air ambulance would have to stop for fuel, but this is enough fuel to make most medical flights within the United States, from the US to Canada, and from Mexico to the US and Canada non-stop flights. The Lear 35 travels at over 500 miles an hour. The King Air 100 can fly 1500 statute miles or about 5 hours non-stop. The King Air travels at 250 miles an hour. Customers can visit www.aeromedevac.com to request an all-inclusive quote for continue reading this.. the air ambulance service or for general inquiries. Customers is the USA and Canada can call 800-462-0911. Customers in Mexico can call 001-800-832-5087. Customers outside North America can call +1-619-284-7910. Customers can also request a flight via email by emailing flightrequest(at)aeromedevac(dot)com.
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   Hall of Fame inductees

Based in Scottsdale, Arizona, Angel MedFlight is a company that coordinates domestic and international air medical transportation services, commercial medical escorts and ground ambulance services. Its latest innovation, the Lear 60 offers patients a spacious cabin, a smooth, comfortable flight, and expedited travel time from Bedside-to-Bedside. We are introducing the next generation of air medical transport, says Jeremy Freer, President and CEO of Angel MedFlight. With a focus on patient care and safety, we continually look for opportunities national air ambulance company to improve the air medical transport industry. The Lear 60 further elevates the level of service we can provide our patients. A preferred aircraft among business travelers, the Lear 60 is revered for its performance, comfort and versatility. It climbs quickly to high cruise altitudes where it can fly above the weather. Its 2,700 statute mile range allows for fewer fuel stops, which minimizes travel time and reduces stress on medically fragile patients. Boasting the largest cabin in the Learjet line, the aircraft provides additional room for specialized patient care and medical equipment. Our decision to move to the Lear 60 was motivated by several factors, says Freer. Ultimately, we selected the aircraft because of the advantages it provides our patients. The high-altitude capabilities and extended range allow for smoother flights with fewer stops, which is vital for the critically ill and injured patients we transport. The state-of-the-art avionics on this aircraft illustrate our commitment to safety. The Learjet 60s wide-body design and stand-up cabin allow for maximum comfort during medical flights, which include two pilots, a critical care flight nurse, critical care flight paramedic, the patient, medical equipment, medications, luggage and typically one to two family members flying with the patient. Angel MedFlight is one of the first organizations in North America to utilize a Lear 60 for dedicated air ambulance service. The aircraft is currently performing air medical transport missions both domestically and internationally. Additional Resources:  
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   Lt Cdr Marie Gleeson and captain Lt Cdr Erika Downing at the Navy?s first handover of command from one female captain to another on the LE Aoife in July. Photograph: Irish Defence Forces/Flickr

Photograph: Irish Defence Forces/Flickr First published: Tue, Dec 31, 2013, 12:57   The Defence Forces described 2013 as a busy year for the Air ampes.com/aviation-for-emergen… Corps air ambulance, with over 100 missions undertaken. End-of-year figures released by the Defences Forces today show the air ambulance service completed 103 missions this year, including national and international patient transfers. Among these were a time-critical transfer of a patient in the early hour of St Stephens Day to London for specialist treatment, the Defence Forces said in a statement. Night vision goggles were used by Air Corps helicopter crews to complete 23 night time transfers of patients in the past year. Four of these took place during the Halloween bank holiday weekend. A pilot project to support the HSEs National Ambulance Service in providing aeromedical support to the West saw a large number of call-outs. The emergency aeromedical service answered 527 call-outs in the past year, including one on Christmas day. The service, which  is based in Athlone, sees the Air Corps provide the helicopter and flying personnel while the National Ambulance Service provides medical personnel. The detention of the worlds largest fishing vessel, a ship from The Netherlands, was among 16 made for alleged breaches of fishing law by the Naval service this year. The Navy boarded almost 1,000 vessels in the past year, the figures show. It also warned 25 fishing vessels from Ireland, United Kingdom, Spain, France and Denmark over infringements of regulations. The Navys specialist diving team was involved in 51 operations in the past year, the figures show. Among these were 14 search and rescue operations, many of which lasted several days. The remains of three individuals have been recovered in the process of these searches this year and returned to their loved ones, the Defence Forces said. The rescue of a Norwegian couple stranded on their yacht 220km off the south west coast by the LE Aoife was among the notable events in which the Navy was involved. The Navy also saw the first handover of command from one female captain to another on the LE Aoife in July.
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