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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?

#141
post #60

Earlier quoted context omitted.

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.

There are lots of epic fails by evolution, is more about quantity than quality so to speak.

An extreme outlier is hardly an 'epic fail'.

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

#142

Earlier quoted context omitted.

Would not they check the passenger list for Dr's first? I remember being told that this was an occupational hazard for Phd's that you might be assumed to be a MD Dr.

I think that's the reason why. Also if there's no physician on board but there's an EMT/nurse, you wouldn't know that from the passenger list. Plus it's entirely possible that even if there's a doctor, she isn't listed as one.

ObTrivia: In the UK it is convention that surgeons drop the Dr title and revert to Mr/Mrs/Miss/Ms.

(History: http://www.newmediamedicine.com/forum/modernising-medical-ca... )

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

#143
post #55

Earlier quoted context omitted.

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.

I believe this document has the current ICAO med kit. Interestingly, I work with the guys who draw up these supply lists for naval ships, and we're chopping one now. Will definitely include this in the discussion. I really hope you can send me your company list. http://www.asma.org/asma/media/asma/pdf-policy/2007/airline-...

I found something better than my company list, this is IATA medical manual. It is much more extensive, and it covers almost everything related with health and flight. But you can find the recommended kit in the SECTION 6 passenger care, APPENDIX B. I suppose it will be of more interest for you.

I must also say that when there is a person onboard with high fiver or symptoms of a contagious disease, in the USA you have to notify to the authorities (the Federal and State Quarantine and Isolation Authority I think) immediately. I didn´t know it before I read the manual as I am not currently doing intercontinental flights.

https://www.iata.org/whatwedo/safety/health/Documents/medica...

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

#144

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…

On the other hand, it's good to have anyone step in to lend a hand, instead of standing back like sullen sheep.

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

#145
post #136
post #130

Earlier quoted context omitted.

Now I am intrigued and want to hear the other four.

#1 would probably be asking for a pilot. There have been a number of tests on simulators, and pilots licensed for smaller aircraft have a surprisingly low chance of being able to land a commercial jet.

I have heard someone tell a story about that happening once. They said that the cabin crew announced that they would be playing a game; they would call out an item, and give a free drink to the first person who could find that in their carry on. The first couple of items were fairly standard things; "a fountain pen", "a camera", etc. Then they got to "a commercial pilots license". Someone actually did raise their hand, and the cabin crew escorted them up to the cockpit.

There was never any problem with the flight, and he never found out what happened. Probably something like the co-pilot had a problem that prevented them from continuing to act as the co-pilot, and they wanted to maintain sufficient redundancy just in case.

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

#146
post #74

I was half-dozing on a Southwestern flight when a stewardess came on the PA system calling for any physician to identify themselves. I spoke up, and the crew directed me toward the back. They already had this incredible medical kit opened in the aisle. I mean they had everything ....ACLS drugs, defibrillator, suction, a complete mini-pharmacy, and what looked like a few plastic-7 wound and/or trauma kits at the least…

Would not they check the passenger list for Dr's first? I remember being told that this was an occupational hazard for Phd's that you might be assumed to be a MD Dr.

Just taking a random guess, but it could be that it's easier to use the intercom and ask everyone instead of digging out the passenger list and scanning to find someone whose prefix was 'Dr' (if such info is even included on a passenger list). This is just speculation, though.

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

#147
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…

Obligatory xkcd: http://xkcd.com/208/

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

#148

Earlier quoted context omitted.

Is there some form of timestamp which is better than the full date at the bottom of the page?

Personally I find it useful when it says it was an hour ago, or a day ago, or 3 days ago etc up to a week. Then the date is what I want.

Yes. And it also helps if it's near the top of the post, as opposed to being buried in a signature or something.

Bottom of the page would be OK, too, if people always put it there. But they don't.

Consistent date placement promotes efficient search engine result scanning (Google's date constraints are highly imperfect).

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

#149
post #14

Earlier quoted context omitted.

intense bladder pains mid-flight which turned out to be the result of downing a huge quantity of beer before the flight and being unable to urinate was that due to the altitude or something else?

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.

Huh. According to the article that you linked to about the coat hanger, brandy, and rubber tube: 'The aircraft's medical kit is "quite well-equipped for having babies and people who develop urinary blockages..."'. In fact, it sounds like the tube they used to drain the lung was a catheter intended for urinary blockage. I wonder why they couldn't use such a catheter for this guy; did that kit not have one?

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

#150
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.

wow! I learned something today.

So just to confirm, you're saying that if (for example) I hold my pee for whatever reason, after a certain point, I might not be able to pee unless they catheterize my bladder?

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