This book functions as a practical guide for health care professionals encountering medical emergencies during a commercial flight.
A second edition to its successful predecessor, this text covers the most common emergencies encountered during flight, both general medical emergencies and those specifically tied to the effects of flying, including cardiac, respiratory, and neurological issues. Medicolegal issues are considered in depth for both United States domestic and international flights, as there is potential legal risk involved in giving medical assistance on a flight.
This new edition includes expanded and updated original chapters revised based on available new research material. Additional chapters examine how to handle disruptive passengers experiencing acute behavioral issues during flight, emerging infectious diseases. This issue is particularly relevant due to COVID-19, specifically concerning the anxiety and readjustment challenges of resuming everyday travel. This edition includes a new chapter recounting the history of the handling of in-flight medical events.
In-Flight Medical Emergencies, 2nd ed functions as an essential resource for physicians and all healthcare professionals who travel regularly.
Table of Content
Setting the Scene. Jose V. Nable and William J. Brady. Chapter provides the reader with an overview of
the goals and objectives of the book.
2. History of Medicine in the Skies. Authors to be announced. Chapter will discuss how in-flight medical
events have historically be handled, and how the dynamic has changed over the years.
3. Pathophysiology of Flight. Geoffrey Ramin. Chapter familiarizes the reader with how the physics of flight
can contribute to the development of acute medical events.
4. Medicolegal Issues Arising from In Flight Medical Emergencies in Commercial Travel. J. Gregory Webb
and E. Kyle Mc New. Chapter focuses on the legal implications of responding to an inflight medical event.
5. International Flight Considerations. Terrance Mulligan. This chapter discusses the nuances of being a
volunteer responder during an international flight (such as legal implications).
6. In-Flight Evaluation and Management of Cardiac Illness. Francois-Xavier Duchateau, Tobias Gauss,
Matthew Beardmore, and Laurent Verner. Cardiac illnesses (from cardiac arrest to acute myocardial
infarction) are reviewed.
7. Respiratory Emergencies. Kami Hu. Pulmonary illnesses (such as acute asthma exacerbation) are
discussed.
8. Neurologic Illness. Sara A. Hefton and Wan-Tsu Cheng. Neurologic diseases (such as acute stroke) are
reviewed.
9. Psychiatric Emergencies. Ryan Spangler. Behavioral emergencies (such as acute psychosis) are discussed.
10. Managing the Disruptive Passenger. Authors to be announced. Chapter will discuss strategies on how to
manage passengers experiencing potentially disruptive and violent behavior.
11. Pediatric Considerations. Kathleen Stephanos. Chapter discusses medical issues specific to children
passengers.
12. Obstetrics and Gynecology Considerations. Sarah H. Sommerkamp, Jason M Franasiak, Sarah Dubbs, and
Priya Kuppasamy. Chapter focuses on OB/GYN issues (such as childbirth).
13. Common Infectious Diseases. Christina Tupe and Tu Nguen. Chapter discusses common infectious
diseases to consider during flight (such as influenza).
14. Novel Emerging Infections. Authors to be announced. Chapter focuses on newly emerging infections that
may impact airline passengers (such as COVID-19, viral hemorrhagic fevers, etc).
15. Other Acute Presentations. Christina Tupe and Barrie Bostick. Chapter discusses other acute conditions
not covered in preceding chapters.
16. Preflight Medical Clearance: Nonurgent travel. William J Brady, Lauren B Brady, Jose V Nable. Chapter
provides guidance on how to clear patients to travel nonurgently via passenger airline.
17. Preflight Therapies to Minimize Medical Risk Associated with Commercial Air Travel. Sara Sutherland
and Robert O’Conner. Chapter discusses mitigation strategies for patients to reduce to risk of the
development of acute medical events during travel.
About the author
Jose V. Nable, MD
Med Star Georgetown University Hospital
Department of Emergency Medicine
Washington, DC 20007
William J. Brady, MD
Department of Emergency Medicine
University of Virginia Health System
Charlottesville, VA 22908
Jose V. Nable, MD, is Associate Professor of Emergency Medicine at Georgetown University School of Medicine and Medical Director at Georgetown Emergency Response Medical Service and an emergency physician with Med Star Health.
William J. Brady, MD, is Professor of Emergency Medicine at the University of Virginia School of Medicine and Operational Medical Director of Albemarle County Fire Rescue. He has worked extensively in travel medicine and related inflight medical events.
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