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On-board emergency medical equipment of European airlines

J. Hinkelbein, J. Schmitz, S. Kerkhoff, F. Eifinger, A. Truhlář, V. Schick, C. Adler, S. Kalina

. 2021 ; 40 (-) : 101982. [pub] 20210202

Language English Country Netherlands

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc21026046

BACKGROUND: Medical emergencies frequently occur in commercial airline flights, but valid data on causes and consequences are rare. Therefore, optimal extent of onboard emergency medical equipment remains largely unknown. Whereas a minimum standard is defined in regulations, additional material is not standardized and may vary significantly between airlines. METHODS: European airlines operating aircrafts with at least 30 seats were selected and interviewed with a 5-page written questionnaire including 81 items. Besides pre-packed and required emergency medical material, drugs, medical devices, and equipment lists were queried. If no reply was received, airlines were contacted up to three times by email and/or phone. Descriptive analysis was used for data interpretation. RESULTS: From a total of 305 European airlines, 253 were excluded from analysis (e.g., no passenger transport). 52 airlines were contacted and data of 22 airlines were available for analysis (one airline was excluded due to insufficient data). A first aid kit is available on all airlines. 82% of airlines (18/22) reported to have a "doctor's kit" (DK) or an "Emergency Medical Kit" (EMK) onboard. 86% of airlines (19/22) provide identical equipment in all aircraft of the fleet, and 65% (14/22) airlines provide an automated external defibrillator. CONCLUSIONS: Whereas minimal required material according to European aviation regulations is provided by all airlines for medical emergencies, there are significant differences in availability of the additional material. The equipment of most airlines is not sufficient for treatment of specific emergencies according to published in-flight medical guidelines (e.g., for CPR or acute myocardial infarction).

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$a Hinkelbein, Jochen $u Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany; Working Group "Emergency Medicine and Air Rescue", German Society of Aviation and Space Medicine, Munich, Germany; Working Group "Standards, Recommendations, and Guidelines", German Society of Aviation and Space Medicine, Munich, Germany. Electronic address: jochen.hinkelbein@uk-koeln.de
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$a BACKGROUND: Medical emergencies frequently occur in commercial airline flights, but valid data on causes and consequences are rare. Therefore, optimal extent of onboard emergency medical equipment remains largely unknown. Whereas a minimum standard is defined in regulations, additional material is not standardized and may vary significantly between airlines. METHODS: European airlines operating aircrafts with at least 30 seats were selected and interviewed with a 5-page written questionnaire including 81 items. Besides pre-packed and required emergency medical material, drugs, medical devices, and equipment lists were queried. If no reply was received, airlines were contacted up to three times by email and/or phone. Descriptive analysis was used for data interpretation. RESULTS: From a total of 305 European airlines, 253 were excluded from analysis (e.g., no passenger transport). 52 airlines were contacted and data of 22 airlines were available for analysis (one airline was excluded due to insufficient data). A first aid kit is available on all airlines. 82% of airlines (18/22) reported to have a "doctor's kit" (DK) or an "Emergency Medical Kit" (EMK) onboard. 86% of airlines (19/22) provide identical equipment in all aircraft of the fleet, and 65% (14/22) airlines provide an automated external defibrillator. CONCLUSIONS: Whereas minimal required material according to European aviation regulations is provided by all airlines for medical emergencies, there are significant differences in availability of the additional material. The equipment of most airlines is not sufficient for treatment of specific emergencies according to published in-flight medical guidelines (e.g., for CPR or acute myocardial infarction).
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$a Schmitz, Jan $u Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany; Working Group "Emergency Medicine and Air Rescue", German Society of Aviation and Space Medicine, Munich, Germany; Working Group "Standards, Recommendations, and Guidelines", German Society of Aviation and Space Medicine, Munich, Germany. Electronic address: jan.schmitz@uk-koeln.de
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$a Kerkhoff, Steffen $u Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany. Electronic address: steffen.kerkhoff@uk-koeln.de
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$a Eifinger, Frank $u Department of Paediatrics, Krankenhaus Porz, Cologne, Germany. Electronic address: frank.eifinger@uk-koeln.de
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$a Truhlář, Anatolij $u Emergency Medical Services of the Hradec Králové Region, Hradec Králové, Czech Republic; Department of Anaesthesiology and Intensive Care Medicine, Charles University Prague, Faculty of Medicine Hradec Králové, University Hospital Hradec Králové, Hradec Králové, Czech Republic. Electronic address: truhlaran@zzskhk.cz
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$a Schick, Volker $u Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany. Electronic address: Volker.schick@uk-koeln.de
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$a Adler, Christoph $u Department of Cardiology, University Hospital of Cologne, Cologne, Germany; Fire Department City of Cologne, Institute for Security Science and Rescue Technology, Cologne, Germany. Electronic address: Christoph.adler@uk-koeln.de
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$a Kalina, Steffen $u Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany. Electronic address: steffen.kalina@uk-koeln.de
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