飞行中的医疗紧急情况:一览
Christian Martin-Gill1, Thomas J Doyle1, Donald M Yealy1
1Department of Emergency Medicine, University of Pittsburgh, and the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
JAMA
|December 22, 2018
概括
飞行中的医疗紧急情况很常见,通常涉及昏迷或胃肠道,呼吸道和心血管问题. 医疗专业人员可以与机组人员和地面支持人员合作帮助乘客.
科学领域:
- 航空医学
- 紧急医疗
- 公共卫生
背景情况:
- 由于资源有限和高度环境,飞行中的医疗紧急情况 (IMEs) 面临着独特的挑战.
- 医疗保健专业人员可能缺乏在航空旅行期间管理医疗事件的经验.
研究的目的:
- 总结飞行医疗紧急情况的发生率,常见原因和管理策略.
- 强调医疗保健专业人员,机组人员和地面支持在处理IME方面的合作作用.
主要方法:
- 分析每次航班和每位乘客的IME估计发生率.
- 在飞行期间报告的常见疾病和症状的审查.
- 检查医疗工具包的内容和对应医疗志愿者的法律保护.
主要成果:
- 在604次飞行中,IMEs大约发生一次,其中昏迷/近昏迷是最常见的原因 (32.7%).
- 胃肠道 (14.8%),呼吸系统 (10.1%) 和心血管系统 (7.0%) 的症状也很常见.
- 飞机转移发生在4.4%的IME,强调需要有效的机载管理.
结论:
- 医疗保健专业人员在管理中发挥着至关重要的作用,
- 有效的管理依赖于评估,与地面支持进行沟通,并遵守既定协议.
- 了解飞行环境的具体挑战对于最佳的患者护理至关重要.
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