The Sky's The Limit When It Comes To Acute Care

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David Bobrowski
Adam Bobrowski



With over 4 billion passengers expected to fly on international commercial airlines in 2018, doctors on-board face a quagmire when it pertains to in-flight emergencies: act as a good Samaritan in a cramped, resource-limited setting, or remain silent and compromise the duty to act.2,16,26 In association with Air Canada and WestJet, emergency medicine practitioners at St. Michael's Hospital have identified this gap in medical competency and authored recommendations geared toward assisting physicians in managing in-flight emergencies.5 The paucity of available information regarding the incidence of in-flight medical cases, exemplified by the lack of consensus on the definition of the term in-flight medical event, highlights the need for international collaboration to further understand the prevalence and outcomes of in-flight health emergencies to ensure passenger safety.4,9 Concurrently, this complex issue underscores the need to engage patients as partners in their care, and in association with emerging recommendations on managing in-flight emergencies, medical school curriculums ought to offer learners training specific to in-flight and resource-limited emergencies to better prepare future doctors.20,21,24,25,28