Page 54 - GALENIKA MEDICAL JOURNAL
P. 54
Knowing the influence of the specific ambient conditions in the plane on physiological processes in the body is of great
importance for determining the absolute and relative contraindications for flying by plane. Doctor-passengers have an
important role in the treatment of IMEs.
This work aims to introduce us to the specific ambient conditions in the aircraft cabin and their influence on the physiology
of the human body, the most common IMEs that occur under the influence of those conditions, the role of the doctor-
passenger as well as the absolute and relative contraindications for flying by plane.
Keywords: in-flight medical emergencies, doctor on board, aircraft medical kit
Literatura 18. Waterhouse J, Reilly T, Atkinson G, Edwards B. Jet lag: trends and coping
strategies. Lancet. 2007 Mar 31;369(9567):1117-29.
19. Jacobson BF, Münster M, Smith A, Burnand KG, Carter A, Abdool-Carrim
1. Borges do Nascimento IJ, Jerončić A, Arantes AJR, Brady WJ, Guimarães AT, et al. The BEST study--a prospective study to compare business class
NS, Antunes NS, et al. The global incidence of in-flight medical versus economy class air travel as a cause of thrombosis. S Afr Med J.
emergencies: A systematic review and meta-analysis of approximately 2003 Jul;93(7):522-8.
1.5 billion airline passengers. Am J Emerg Med. 2021 Oct;48:156-64.
20. Bettes TN, McKenas DK. Medical advice for commercial air travelers. Am
2. Kodama D, Yanagawa B, Chung J, Fryatt K, Ackery AD. "Is there a doctor Fam Physician. 1999 Sep 1;60(3):801-8, 810.
on board?": Practical recommendations for managing in-flight medical
emergencies. CMAJ. 2018 Feb 26;190(8):E217-E222. 21. Sane T, Koivisto VA, Nikkanen P, Pelkonen R. Adjustment of insulin
3. Peterson DC, Martin-Gill C, Guyette FX, Tobias AZ, McCarthy CE, doses of diabetic patients during long distance flights. BMJ. 1990 Sep
1;301(6749):421-2.
Harrington ST, et al. Outcomes of medical emergencies on commercial
airline flights. N Engl J Med. 2013 May 30;368(22):2075-83. 22. Jones DR. Fear of flying-no longer a symptom without a disease. Aviat
Space Environ Med. 2000 Apr;71(4):438-40.
4. Kesapli M, Akyol C, Gungor F, Akyol AJ, Guven DF, Kaya G. Inflight
Emergencies During Eurasian Flights. J Travel Med. 2015 Nov- 23. Van Gerwen LJ, Diekstra RF. Fear of flying treatment programs for
Dec;22(6):361-7. passengers: an international review. Aviat Space Environ Med. 2000
5. Sand M, Bechara FG, Sand D, Mann B. Surgical and medical Apr;71(4):430-7.
emergencies on board European aircraft: a retrospective study of 10189 24. Polk JD, Rugaber C, Kohn G, Arenstein R, Fallon WF Jr. Central retinal
cases. Crit Care. 2009;13(1):R3. artery occlusion by proxy: a cause for sudden blindness in an airline
6. Martin-Gill C, Doyle TJ, Yealy DM. In-Flight Medical Emergencies: A passenger. Aviat Space Environ Med. 2002 Apr;73(4):385-7.
Review. JAMA. 2018 Dec 25;320(24):2580-90. 25. Daniell WE, Vaughan TL, Millies BA. Pregnancy outcomes among female
flight attendants. Aviat Space Environ Med. 1990 Sep;61(9):840-4.
7. Kim JH, Choi-Kwon S, Park YH. Comparison of inflight first aid
performed by cabin crew members and medical volunteers. J Travel 26. Gendreau MA, DeJohn C. Responding to medical events during
Med. 2017 Mar 1;24(2). commercial airline flights. N Engl J Med. 2002 Apr 4;346(14):1067-73.
8. Aerospace Medical Association Medical Guidelines Task Force. Medical 27. International Air Transport Association. IATA Medical Manual. 11th ed.
Guidelines for Airline Travel, 2nd ed. Aviat Space Environ Med. 2003 June 2018. https://www.iata.org/publications/Documents/medical-
May;74(5 Suppl):A1-19. manual.pdf. Accessed June 20, 2018.
9. Silverman D, Gendreau M. Medical issues associated with commercial 28. Pavlović A. Kardiopulmonalno cerebralna reanimacija. Medicinski
flights. Lancet. 2009 Jun 13;373(9680):2067-77. fakultet Priština-K. Mitrovica, 2022; p.291-8.
10. Seccombe LM, Peters MJ. Oxygen supplementation for chronic 29. AlShamlan NA, AlOmar RS, Alrayes MM, Alkhaldi SK, Alomar AH,
obstructive pulmonary disease patients during air travel. Curr Opin Alghamdi AA, et al. "Is there a doctor on board?": willingness and
Pulm Med. 2006 Mar;12(2):140-4. confidence of physicians in the Kingdom of Saudi Arabia in assisting
with in-flight medical emergencies. BMC Emerg Med. 2021 Apr
11. Ruskin KJ, Hernandez KA, Barash PG. Management of in-flight medical 30;21(1):54.
emergencies. Anesthesiology. 2008 Apr;108(4):749-55.
30. Nable JV, Tupe CL, Gehle BD, Brady WJ. In-Flight Medical Emergencies
12. Aerospace Medical Association; Aviation Safety Committee; Civil during Commercial Travel. N Engl J Med. 2015 Sep 3;373(10):939-45.
Aviation Subcommittee. Cabin cruising altitudes for regular transport
aircraft. Aviat Space Environ Med. 2008 Apr;79(4):433-9. 31. Wong, M. (2017). Doctor in the sky: Medico-legal issues during in-flight
emergencies. Medical Law International, 17(1-2), 65-98. https://doi.
13. Campbell CD, Smyth MW, Brown L, Kelly E. Air Travel for Subjects org/10.1177/0968533217705693
Receiving Long-Term Oxygen Therapy. Respir Care. 2018 Mar;63(3):326-
31. 32. Baltsezak S. Clinic in the air? A retrospective study of medical
emergency calls from a major international airline. J Travel Med. 2008
14. Hampson NB, Kregenow DA, Mahoney AM, Kirtland SH, Horan KL, Holm Nov-Dec;15(6):391-4.
JR, et al. Altitude exposures during commercial flight: a reappraisal.
Aviat Space Environ Med. 2013 Jan;84(1):27-31.
15. Kelly PT, Seccombe LM, Rogers PG, Peters MJ. Directly measured cabin Konflikt interesa: Nema
pressure conditions during Boeing 747-400 commercial aircraft flights.
Respirology. 2007 Jul;12(4):511-5.
Primljeno: 23. 10. 2023.
16. Zitter JN, Mazonson PD, Miller DP, Hulley SB, Balmes JR. Aircraft cabin Prihvaćeno: 07. 11. 2023.
air recirculation and symptoms of the common cold. JAMA. 2002 Jul Onlajn: 01. 12. 2023.
24-31;288(4):483-6.
17. Srinivasan V, Spence DW, Pandi-Perumal SR, Trakht I, Cardinali DP. Jet
lag: therapeutic use of melatonin and possible application of melatonin
analogs. Travel Med Infect Dis. 2008 Jan-Mar;6(1-2):17-28.
52 DOI: 10.5937/Galmed2308044P

