Preliminary report on AED deployment on the entire Air France commercial fleet:

Bertrand, Catherine; Redington, P. Rodriguez; Lecarpentier, Éric; Bellaïche, G.; Michel, D.; Teiger, Emmanuel; Morris, William R.; Bourgeois, J. P. Le; Barthout, M.

doi:10.1016/j.resuscitation.2004.05.011

Cited by 34 publications

(21 citation statements)

References 11 publications

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“…The sensitivity and specifi city of AED were reported to be 100% in all three studies on AED programs mentioned above ( 2,10,11 ). No harm for co-passengers or malfunctions were reported.…”

Section: Discussionmentioning

confidence: 92%

“…Of 15 patients who were defi brillated, 6 were discharged to their homes from the hospital ( 11 ). Between November 2002 and November 2003 Air France reported 12 CA on board, in which 5/12 defi brillatory shocks were initially advised ( 2 ). The survival rate for getting to the hospital after in-fl ight CA was 3/12.…”

Section: Discussionmentioning

confidence: 99%

“…The survival rates that the airlines have reported after implementation of AED on board have been higher than that obtained by the best EMS ( 11 ). Problems and delays in recognition of a CA have been reported in two studies ( 2,10 ). Unconscious passengers were assumed to be asleep and not identifi ed as being victims of a CA.…”

Section: Discussionmentioning

confidence: 99%

“…The special character of the Finnair defi brillation program is the extensive 36-h training compared with the 4-h training of the Air France and American Airlines programs ( 2,11 ). Qantas trained only chief pursers to use an AED while all fl ight attendants were trained in basic life support ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

“…The deployment of AED in aircraft has enabled early defi brillation during the fl ight, even in the absence of medical personnel ( 2,10,11 ). Although the main purpose for the use of AED is defi brillation, the devices have also been used for monitoring purposes, assisting volunteer medical personnel in emergencies in which CA is not present.…”

mentioning

confidence: 99%

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AED Use in a Passenger During a Long-Haul Flight: Repeated Defibrillation With a Successful Outcome

Harve

Hämäläinen²,

Kurola³

et al. 2009

aviat space environ med

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There are three large studies reporting placing AEDs on commercial aircraft. No harm for co-passengers or malfunctions were reported. Survival rates have been higher than those obtained by well-performing EMS. According to previous studies, placing AEDs on commercial aircraft is also cost effective. The absence of a suitable diversion destination should not influence the rescuers' decision to attempt CPR on board.

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“…The sensitivity and specifi city of AED were reported to be 100% in all three studies on AED programs mentioned above ( 2,10,11 ). No harm for co-passengers or malfunctions were reported.…”

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

AED Use in a Passenger During a Long-Haul Flight: Repeated Defibrillation With a Successful Outcome

Harve

Hämäläinen²,

Kurola³

et al. 2009

aviat space environ med

View full text Add to dashboard Cite

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In-Flight Medical Emergencies

Martin‐Gill

Doyle

Yealy

2018

JAMA

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n-flight medical emergencies (IMEs) are unique events for which traveling physicians, nurses, and other health care professionals may render medical assistance. Cruising at 35 000 ft with limited medical equipment, often hours away from the closest medical facility, creates an unfamiliar care challenge for many health care professionals. This clinical review focuses on IME data and offers guidance to assist medical professionals who may encounter these events using both literature and the authors' insights providing airline care guidance for IMEs. MethodsA literature search was conducted in MEDLINE using PubMed for English-only articles published between January 1, 1990, and June 2, 2018, using the terms air emergency, air emergencies, air passenger, air travel, aircraft, airline, aviation, commercial air, flight, and fitness to fly (n = 14 842). Scanning the titles to identify appropriateness and searching bibliographies yielded the final list of relevant articles (n = 765). Each article was assessed for completeness of data reporting and importance to management and prevention of IMEs. Based on this assessment, a total of 317 articles were included in the review. Frequency data were extracted and means and 95% confidence intervals were calculated when appropriate. Observations EpidemiologyThe estimated prevalence of IMEs is 1 in 604 flights based on a review of 11 920 requested ground consultations from 5 large IMPORTANCE In-flight medical emergencies (IMEs) are common and occur in a complex environment with limited medical resources. Health care personnel are often asked to assist affected passengers and the flight team, and many have limited experience in this environment.OBSERVATIONS In-flight medical emergencies are estimated to occur in approximately 1 per 604 flights, or 24 to 130 IMEs per 1 million passengers. These events happen in a unique environment, with airplane cabin pressurization equivalent to an altitude of 5000 to 8000 ft during flight, exposing patients to a low partial pressure of oxygen and low humidity. Minimum requirements for emergency medical kit equipment in the United States include an automated external defibrillator; equipment to obtain a basic assessment, hemorrhage control, and initiation of an intravenous line; and medications to treat basic conditions. Other countries have different minimum medical kit standards, and individual airlines have expanded the contents of their medical kit. The most common IMEs involve syncope or near-syncope (32.7%) and gastrointestinal (14.8%), respiratory (10.1%), and cardiovascular (7.0%) symptoms. Diversion of the aircraft from landing at the scheduled destination to a different airport because of a medical emergency occurs in an estimated 4.4% (95% CI, 4.3%-4.6%) of IMEs. Protections for medical volunteers who respond to IMEs in the United States include a Good Samaritan provision of the Aviation Medical Assistance Act and components of the Montreal Convention, although the duty to respond and legal protections vary across countries. Medical vol...

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