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* Department of Emergency Medicine, Aberdeen Royal Infirmary, Aberdeen;
Scottish Centre for Telehealth, Foresterhill, Aberdeen;
International Centre for Emergency Medicine, Department of Emergency Medicine, Aberdeen Royal Infirmary, Aberdeen, UK
Correspondence: Dr A Urwin, Department of Emergency Medicine, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN, UK (Fax: +44 1224 550 718; Email: a.urwin{at}doctors.org.uk)
We reviewed five years' experience of providing ground-to-air medical advice for commercial passenger aircraft. A total of 273 events occurred in-flight where further advice was sought. The most common age group resulting in calls were from those aged 21–30 years, who generated 38 calls (16%). The 273 cases included gastrointestinal conditions (26%), neurological (22%) and cardiovascular events (14%). Most incidents were managed conservatively in-flight with oxygen and/or other medications. Aircraft diversion occurred on 9% of occasions; cardiovascular and neurological emergencies were the major cause of this. Collaboration between aviation providers should be considered to develop a common database of in-flight emergencies so that contents of medical kits can be standardized in order to improve the quality of care in the air.
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