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Klinisk vurdering

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Etter forespørsel fra kabinpersonalet om hjelp bør medisinsk profesjonelle gi seg til kjenne og fortelle hvilken utdanning vedkommende har og nåværende klinisk praksis. Klinikerens oppgave er å bidra til å klargjør type og varighet av symptomer, eventuelt yte førstehjelp. Den frivillige skal gi råd til kabinpersonalet om den medisinske tilstanden, dens alvorlighetsgrad, mulig behov for behandling og mulige utfall dersom råd om en anbefalt nødlanding ikke etterfølges. 

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Høyrisiko symptomer er:

  • Brystsmerter
  • Kortpusthet
  • Tegn på hjerneslag

Den medisinske frivillige må vurdere puls, blodtrykk, pustefunksjon og mentale status. Etter at den medisinsk frivillige har samlet inn pasientinformasjon, etablerer kabinpersonalet bakkekontakt med medisinsk støtteapparat og overbringer informasjonen, inklusive eventuelle anbefalinger om terapeutiske tiltak eller behov for å lande flyet snarest.

Dette dokumentet er basert på det profesjonelle dokumentet Akuttmedisin ombord i fly . Referanselisten for dette dokumentet vises nedenfor

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  2. Hu JS, Smith JK. In-flight Medical Emergencies. Am Fam Physician. 2021;103(9):547-552. PubMed
  3. Kim JH, Choi-Kwon S, Park YH. Comparison of inflight first aid performed by cabin crew members and medical volunteers. J Travel Med. 2017;24(2):1–6. PMID: 28395095 PubMed
  4. Peterson DC, Martin-Gill C, Guyette FX, et al. Outcomes of medical emergencies on commercial airline flights. N Engl J Med. 2013;368(22):2075-2083. PubMed
  5. Kim JH, Choi-Kwon S, Park YH. Comparison of inflight first aid performed by cabin crew members and medical volunteers. J Travel Med. 2017;24(2). PMID: 28395095. PubMed
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  10. Wong M. Doctor in the sky: medico-legal issues during in-flight emergencies. Med Law Int. 2017;17(1–2):65–98. journals.sagepub.com
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  13. International Air Transport Association. Medical manual. 11th ed. June 2018. www.iata.org
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  18. Silverman D, Gendreau M. Medical issues associated with commercial flights. Lancet 2009;373:2067-2077. PubMed
  19. Han Z, To GN, Fu SC, Chao CY, Weng W, Huang Q. Effect of human movement on airborne disease transmission in an airplane cabin: study using numerical modeling and quantitative risk analysis. BMC Infect Dis 2014;14:434-434. PubMed
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