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Intro
Foreword
Contents
1: Setting the Scene
Introduction
History of Handling In-Flight Medical Events
Epidemiology of In-Flight Medical Events
On-Board Medical Resources
Ground-Based Consultation Services
Challenges of In-Flight Medical Care
Diversion
Our Flightpath
References
2: Commercial Air Transport: The History of Inflight Medical Emergencies
References
3: Pathophysiology of Flight
Introduction
The Atmosphere
The Gas Laws
Dalton's Law
Boyle's Law
Henry's Law
Pathophysiological Consequences of Flight

Effects of Altitude
Effects of Temperature
Effects of Altered Humidity
Effects of Acceleration and Deceleration
Effects of Noise
Effects of Vibration
Effects of Fatigue and Stress
Motion Sickness
Cabin Atmosphere and the Spread of Respiratory Pathogens
Summary
References
4: Medicolegal Issues Arising from Inflight Medical Emergencies in Commercial Travel
Introduction
The Aviation Medical Assistance Act
The Do Not Board List
The Montreal Convention-International Carriers
In-Flight Medical Encounters
Important Considerations Before Giving Care

Conclusion
References
5: International Flight Considerations
Introduction
Background
Differences in Medical Emergencies on International Flights
General Medical Conditions Affected by Long-Haul International Flights
Vector and Insect-Borne Diseases on International Flights
Risk of Deep Venous Thromboembolism in International Travelers
Special Medical Equipment Needs for International Flights
Emergency Medical Kits on International Flights
Special Areas for Critical Patients on International Flights
Legal Issues
Other Considerations of International Flight

Future Recommendations
References
6: In-Flight Evaluation and Management of Cardiac Illness
Introduction
Cardiac Arrest
Acute Coronary Syndrome
Syncope
Congestive Heart Failure
Summary
References
7: Respiratory Emergencies
Introduction and Epidemiology
The Physiology of Flying
Preparing for Air Travel
Preflight Recommendations by Disease Process
Obstructive Airway Disease (asthma, COPD)
Pneumothorax/Recent Thoracic Surgery
Obstructive Sleep Apnea (OSA)
Pulmonary Hypertension (PH)
Interstitial Lung Disease
Respiratory Muscle Weakness

Heart Failure
In-Flight Emergency Management
Conclusion
References
8: Neurological Illness
The authors have nothing to disclose. Epidemiology
Stroke
Seizure
Altered Mental Status
Dizziness
Headache
Head Injury
Risk Stratification
Management
Stroke
Seizure
Altered Mental Status
Dizziness
Headache
Head Injury
Documentation
References
9: Psychiatric Emergencies
Introduction
Initial Approach
Specific Illness
Anxiety/Panic Disorder
Psychosis
Treatment Options
Anxiety/Panic
Agitated Patients
Suicide

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