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What happens when you are the doctor on the airplane?

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Re: What happens when you are the doctor on the airplane?

#51
My dad, an electrical engineer, was once on his way back from a conference with a Concorde flight full of other EEs. In the air, the stewardess asked, "Is there an engineer on board?" Everyone responded enthusiastically. She was forced to clarify, "Is there an aeronautical engineer on board," to disappointment all around.

I must admit, some secret part of me always hopes I'll be in a situation on an airplane where they need an emergency perl script written . . .

Re: What happens when you are the doctor on the airplane?

#52
post #29

Earlier quoted context omitted.

My wife told me about a famous dermatologist who flies in dread of getting that call and there being no other doctor available. When med school was 40 years ago, you're not necessarily going to be comfortable handling, say, a heart attack.

One of my paramedic instructors told me a pretty funny story. Apparently they were on shift one Saturday afternoon, when a call came through for a Code 2 (Cardiac Arrest) at a local racecourse. Anyway, it was about 15 minutes away so they took off in a hurry, all the while receiving notes on their terminal regarding the job. Apparently it went along the lines of this: Initial: Unknown Age, Cardiac Arrest, Racecourse…

I'm assuming the patient wasn't a racehorse?

If I had a dollar for every time a dermatologist or podiatrist tried to be 'helpful' on an emergency scene... I could probably buy a coffee at Starbucks... The same goes for 'nurses.' If an ER nurse wants to help out, that's great. Invariably though, it's a nurse at a nursing home or dialysis center...

I don't mean to imply these folks aren't skilled professionals, but prehospital medical emergencies are generally well outside their experience, and the confusion that arises from that can be dangerous.

Re: What happens when you are the doctor on the airplane?

#53
post #51

My dad, an electrical engineer, was once on his way back from a conference with a Concorde flight full of other EEs. In the air, the stewardess asked, "Is there an engineer on board?" Everyone responded enthusiastically. She was forced to clarify, "Is there an aeronautical engineer on board," to disappointment all around. I must admit, some secret part of me always hopes I'll be in a situation on an airplane where th…

That story seems _really_ fishy to me...

Why would electrical engineers fly to a conference on a Concorde? What good would an aeronautical engineer be _in flight_?

Re: What happens when you are the doctor on the airplane?

#54
post #22

I have had several medical emergencies onboard as a pilot. One thing I constantly say to physician friends (my wife is a doctor), is that we (the crew) expect from them to make as fast assessment of the situation as possible. For example in my company we don´t have an online doctor to ask for help, so the volunteer has to take care of the situation. Recognizing the problem as soon as possible and prescribing the nece…

I know I'm going to get down-voted for an information-free post, but I think it's awesome that you're a commercial pilot and participating in HN. It can sometimes get too insular with valley-type techies here. Thanks for participating.

Re: What happens when you are the doctor on the airplane?

#55
post #22

I have had several medical emergencies onboard as a pilot. One thing I constantly say to physician friends (my wife is a doctor), is that we (the crew) expect from them to make as fast assessment of the situation as possible. For example in my company we don´t have an online doctor to ask for help, so the volunteer has to take care of the situation. Recognizing the problem as soon as possible and prescribing the nece…

As a physician, thank you for this. Is there a standard medkit load out?

There is an ICAO recomended kit list, but usually is more extensive than that, I have our company list (I'll search it and post it later) but trying to find if there is a more general one. Now a days there are also automatic defribilators (spelling?) in transoceanic planes. There should be some kind of general briefing for physicians, from airlines and medical asociations.

Re: What happens when you are the doctor on the airplane?

#56
post #51

My dad, an electrical engineer, was once on his way back from a conference with a Concorde flight full of other EEs. In the air, the stewardess asked, "Is there an engineer on board?" Everyone responded enthusiastically. She was forced to clarify, "Is there an aeronautical engineer on board," to disappointment all around. I must admit, some secret part of me always hopes I'll be in a situation on an airplane where th…

That story seems _really_ fishy to me... Why would electrical engineers fly to a conference on a Concorde? What good would an aeronautical engineer be _in flight_?

[deleted]

Re: What happens when you are the doctor on the airplane?

#57

Earlier quoted context omitted.

Why would a diabetic person not travel with insulin?

Pretty much a collision of unfortunate events. We were at a work function until 2am in London and returned to our room to find it had been robbed. The thieves took his bag which contained his insulin kit. So now it's 3am GMT and he can't reach his doctor in the States. We're supposed to leave at 8am for the flight home. No pharmacy is open and even if they were, they wouldn't help him. Nurses at Heathrow couldn't hel…

Ouch.

Were I ever to become diabetic (and manage to figure out my fear of needles), I'm pretty sure I'd carry around spare insulin, like an epi-pen.

(Is it something that can be carried around trivially? Or does it need to be refridgerated? You know what, maybe I'll just eat healthier.)

Re: What happens when you are the doctor on the airplane?

#58
post #51

My dad, an electrical engineer, was once on his way back from a conference with a Concorde flight full of other EEs. In the air, the stewardess asked, "Is there an engineer on board?" Everyone responded enthusiastically. She was forced to clarify, "Is there an aeronautical engineer on board," to disappointment all around. I must admit, some secret part of me always hopes I'll be in a situation on an airplane where th…

That story seems _really_ fishy to me... Why would electrical engineers fly to a conference on a Concorde? What good would an aeronautical engineer be _in flight_?

If I'm on a flight and they're asking for aeronautical engineers, I'll be asking for their strongest and most expensive drinks.

Re: What happens when you are the doctor on the airplane?

#59

Earlier quoted context omitted.

One of my paramedic instructors told me a pretty funny story. Apparently they were on shift one Saturday afternoon, when a call came through for a Code 2 (Cardiac Arrest) at a local racecourse. Anyway, it was about 15 minutes away so they took off in a hurry, all the while receiving notes on their terminal regarding the job. Apparently it went along the lines of this: Initial: Unknown Age, Cardiac Arrest, Racecourse…

I'm assuming the patient wasn't a racehorse? If I had a dollar for every time a dermatologist or podiatrist tried to be 'helpful' on an emergency scene... I could probably buy a coffee at Starbucks... The same goes for 'nurses.' If an ER nurse wants to help out, that's great. Invariably though, it's a nurse at a nursing home or dialysis center... I don't mean to imply these folks aren't skilled professionals, but pre…

Unlike a podiatrist, a dermatologist went to medical school. If they're young, there's actually a good chance that they were among the very best medical students -- in the past few years, dermatology has become one of the more competitive fields in medicine because of the lifestyle (short predictable hours, high pay, minimal insurance hassles).

There are daft people in every field, but I would be delighted to have most of the derm residents and attendings I've met in an emergency (in fairness, I should note that this is a small sample, drawn from a couple top-tier hospitals, and biased towards people who do volunteer backcountry search and rescue).

Re: What happens when you are the doctor on the airplane?

#60
post #14

Earlier quoted context omitted.

The stricken passenger had the option of using the restroom, but for unknown reasons could not urinate. They stretched him out on a row of seats which seemed to help the pain, but from what I recall was unable to go until they reached the destination airport. The total trip time was about three hours.

Beyond a certain capacity the bladder is no longer contractile and must be catheterized to urinate. Happens every day in the OR or PACU.

Really? What happened before modern medicine? I'm not being snarky: I believe you.. but a burst bladder would be lethal without access to modern medical knowledge. That seems like a epic fail by evolution.
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