Outcomes of Medical Emergencies on Commercial Airline Flights
This study describes 11,920 in-flight medical emergencies on the basis of consultations from five major airlines to a physician-directed communications center. In nearly half the emergencies, physicians on board provided assistance, and in 7.3%, the aircraft was diverted. Commercial airlines serve a...
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Veröffentlicht in: | The New England journal of medicine 2013-05, Vol.368 (22), p.2075-2083 |
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creator | Peterson, Drew C Martin-Gill, Christian Guyette, Francis X Tobias, Adam Z McCarthy, Catherine E Harrington, Scott T Delbridge, Theodore R Yealy, Donald M |
description | This study describes 11,920 in-flight medical emergencies on the basis of consultations from five major airlines to a physician-directed communications center. In nearly half the emergencies, physicians on board provided assistance, and in 7.3%, the aircraft was diverted.
Commercial airlines serve approximately 2.75 billion passengers worldwide annually. When in-flight medical emergencies occur, access to care is limited. Physicians and other medical professionals are often called on to assist when traveling, despite limited training or experience with these situations.
1
Airlines partner with health care institutions to deliver real-time medical advice from an emergency call center to airline personnel, in an effort to improve the quality of care provided to passengers.
There is limited information on the incidence and characteristics of in-flight medical emergencies.
2
Although previous studies of these events have characterized the incidence, categories of symptoms, rates of aircraft . . . |
doi_str_mv | 10.1056/NEJMoa1212052 |
format | Article |
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Commercial airlines serve approximately 2.75 billion passengers worldwide annually. When in-flight medical emergencies occur, access to care is limited. Physicians and other medical professionals are often called on to assist when traveling, despite limited training or experience with these situations.
1
Airlines partner with health care institutions to deliver real-time medical advice from an emergency call center to airline personnel, in an effort to improve the quality of care provided to passengers.
There is limited information on the incidence and characteristics of in-flight medical emergencies.
2
Although previous studies of these events have characterized the incidence, categories of symptoms, rates of aircraft . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa1212052</identifier><identifier>PMID: 23718164</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Aerospace Medicine - statistics & numerical data ; Air travel ; Aircraft ; Airlines ; Aviation ; Biological and medical sciences ; Clinical outcomes ; Consciousness ; Emergencies - classification ; Emergencies - epidemiology ; Emergency services ; Emergency Treatment - methods ; Emergency Treatment - statistics & numerical data ; Female ; Flight ; Gastrointestinal Diseases - epidemiology ; Gastrointestinal Diseases - therapy ; General aspects ; Health care access ; Humans ; Male ; Medical personnel ; Medical sciences ; Nausea ; Passengers ; Patients ; Physicians ; Respiratory Tract Diseases - epidemiology ; Respiratory Tract Diseases - therapy ; Syncope ; Syncope - epidemiology ; Syncope - therapy ; Travel ; Treatment Outcome ; Variables ; Vomiting</subject><ispartof>The New England journal of medicine, 2013-05, Vol.368 (22), p.2075-2083</ispartof><rights>Copyright © 2013 Massachusetts Medical Society. All rights reserved.</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2013 Massachusetts Medical Society. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-8a9bcf3c90c923553baf922eb585830332799a66178f92fd654c819fb804c1c33</citedby><cites>FETCH-LOGICAL-c475t-8a9bcf3c90c923553baf922eb585830332799a66178f92fd654c819fb804c1c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa1212052$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMoa1212052$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>230,314,776,780,881,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27334476$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23718164$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peterson, Drew C</creatorcontrib><creatorcontrib>Martin-Gill, Christian</creatorcontrib><creatorcontrib>Guyette, Francis X</creatorcontrib><creatorcontrib>Tobias, Adam Z</creatorcontrib><creatorcontrib>McCarthy, Catherine E</creatorcontrib><creatorcontrib>Harrington, Scott T</creatorcontrib><creatorcontrib>Delbridge, Theodore R</creatorcontrib><creatorcontrib>Yealy, Donald M</creatorcontrib><title>Outcomes of Medical Emergencies on Commercial Airline Flights</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>This study describes 11,920 in-flight medical emergencies on the basis of consultations from five major airlines to a physician-directed communications center. In nearly half the emergencies, physicians on board provided assistance, and in 7.3%, the aircraft was diverted.
Commercial airlines serve approximately 2.75 billion passengers worldwide annually. When in-flight medical emergencies occur, access to care is limited. Physicians and other medical professionals are often called on to assist when traveling, despite limited training or experience with these situations.
1
Airlines partner with health care institutions to deliver real-time medical advice from an emergency call center to airline personnel, in an effort to improve the quality of care provided to passengers.
There is limited information on the incidence and characteristics of in-flight medical emergencies.
2
Although previous studies of these events have characterized the incidence, categories of symptoms, rates of aircraft . . .</description><subject>Aerospace Medicine - statistics & numerical data</subject><subject>Air travel</subject><subject>Aircraft</subject><subject>Airlines</subject><subject>Aviation</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Consciousness</subject><subject>Emergencies - classification</subject><subject>Emergencies - epidemiology</subject><subject>Emergency services</subject><subject>Emergency Treatment - methods</subject><subject>Emergency Treatment - statistics & numerical data</subject><subject>Female</subject><subject>Flight</subject><subject>Gastrointestinal Diseases - epidemiology</subject><subject>Gastrointestinal Diseases - therapy</subject><subject>General aspects</subject><subject>Health care access</subject><subject>Humans</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Nausea</subject><subject>Passengers</subject><subject>Patients</subject><subject>Physicians</subject><subject>Respiratory Tract Diseases - epidemiology</subject><subject>Respiratory Tract Diseases - therapy</subject><subject>Syncope</subject><subject>Syncope - epidemiology</subject><subject>Syncope - therapy</subject><subject>Travel</subject><subject>Treatment Outcome</subject><subject>Variables</subject><subject>Vomiting</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kUlLBDEQhYMoOi5Hr9IggpfWrJ3koCDDuOFy0XNIZ9Jjhk5Hk27Bf2_UcQVzKXj18VJVD4BtBA8QZNXhzeTyOmiEEYYML4ERYoSUlMJqGYwgxKKkXJI1sJ7SHOaHqFwFa5hwJFBFR-DoduhN8DYVoSmu7dQZ3RYTb-PMdsa9yV0xDj4LxuXOiYut62xx2rrZQ582wUqj22S3FnUD3J9O7sbn5dXt2cX45Ko0lLO-FFrWpiFGQiMxYYzUupEY25oJJggkBHMpdVUhLrLeTCtGjUCyqQWkBhlCNsDxh-_jUHs7Nbbro27VY3RexxcVtFO_O517ULPwrAinUDKZDfYXBjE8DTb1yrtkbNvqzoYhKUQYp5JiKTK6-wedhyF2eb13CmJavVPlB2ViSCna5msYBNVbMOpXMJnf-bnBF_2ZRAb2FoBOOYMm6nz_9M1xQijl1TfnfVKdnft_PnwFH5OfqQ</recordid><startdate>20130530</startdate><enddate>20130530</enddate><creator>Peterson, Drew C</creator><creator>Martin-Gill, Christian</creator><creator>Guyette, Francis X</creator><creator>Tobias, Adam Z</creator><creator>McCarthy, Catherine E</creator><creator>Harrington, Scott T</creator><creator>Delbridge, Theodore R</creator><creator>Yealy, Donald M</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><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>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130530</creationdate><title>Outcomes of Medical Emergencies on Commercial Airline Flights</title><author>Peterson, Drew C ; Martin-Gill, Christian ; Guyette, Francis X ; Tobias, Adam Z ; McCarthy, Catherine E ; Harrington, Scott T ; Delbridge, Theodore R ; Yealy, Donald M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-8a9bcf3c90c923553baf922eb585830332799a66178f92fd654c819fb804c1c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aerospace Medicine - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peterson, Drew C</au><au>Martin-Gill, Christian</au><au>Guyette, Francis X</au><au>Tobias, Adam Z</au><au>McCarthy, Catherine E</au><au>Harrington, Scott T</au><au>Delbridge, Theodore R</au><au>Yealy, Donald M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Medical Emergencies on Commercial Airline Flights</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2013-05-30</date><risdate>2013</risdate><volume>368</volume><issue>22</issue><spage>2075</spage><epage>2083</epage><pages>2075-2083</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>This study describes 11,920 in-flight medical emergencies on the basis of consultations from five major airlines to a physician-directed communications center. In nearly half the emergencies, physicians on board provided assistance, and in 7.3%, the aircraft was diverted.
Commercial airlines serve approximately 2.75 billion passengers worldwide annually. When in-flight medical emergencies occur, access to care is limited. Physicians and other medical professionals are often called on to assist when traveling, despite limited training or experience with these situations.
1
Airlines partner with health care institutions to deliver real-time medical advice from an emergency call center to airline personnel, in an effort to improve the quality of care provided to passengers.
There is limited information on the incidence and characteristics of in-flight medical emergencies.
2
Although previous studies of these events have characterized the incidence, categories of symptoms, rates of aircraft . . .</abstract><cop>Waltham, MA</cop><pub>Massachusetts Medical Society</pub><pmid>23718164</pmid><doi>10.1056/NEJMoa1212052</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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issn | 0028-4793 1533-4406 |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
subjects | Aerospace Medicine - statistics & numerical data Air travel Aircraft Airlines Aviation Biological and medical sciences Clinical outcomes Consciousness Emergencies - classification Emergencies - epidemiology Emergency services Emergency Treatment - methods Emergency Treatment - statistics & numerical data Female Flight Gastrointestinal Diseases - epidemiology Gastrointestinal Diseases - therapy General aspects Health care access Humans Male Medical personnel Medical sciences Nausea Passengers Patients Physicians Respiratory Tract Diseases - epidemiology Respiratory Tract Diseases - therapy Syncope Syncope - epidemiology Syncope - therapy Travel Treatment Outcome Variables Vomiting |
title | Outcomes of Medical Emergencies on Commercial Airline Flights |
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