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Publication Abstracts

In-Flight Psychiatric Emergencies

Ken Matsumoto, M.D., and Deborah Goebert, Dr.P.H.
Aviat Space Environ Med 2001; 72:919-23

Abstract

Background: Although studies have been published regarding airline in-flight medical emergencies, there is a lack of any specific studies about in-flight psychiatric emergencies. This study seeks to ascertain the incidence of in-flight psychiatric emergencies, their associated factors, and outcomes. Methods: All in-flight calls for physician consultation to MedAire, a leading medical resource for airlines, during 1997 were reviewed for psychiatric symptomatology. Results: Of 1375 consultations, 3.5% were characterized as psychiatric, with a large majority (90%) of these cases presenting primarily as acute anxiety. Most of the psychiatric cases (69%) required arrangements for the passenger to be evaluated on arrival, and three cases required emergency flight diversion and landing. Conclusions: This study suggests that an anxiolytic agent with a rapid onset may be indicated for the on-board medical kit.

Keywords: anxiety, commercial airlines, in-flight emergency, medical kits, passenger health, psychiatry.


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Table of Contents for Volume 72, Number 10 of the ASME journal.