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Richard O. Cummins, MD, MPH, MSc; Jessica A. Schubach, MA

JAMA. 1989;261(9):1295-1299.

Abstract
We performed a one-year prospective survey of emergency medical responses to travelers at an international airport to observe the frequency and type of emergencies experienced in flight and before and after travel. Emergency personnel evaluated a total of 1107 people; 754 (68%) were travelers, 232 (21%) were employees of the airport or airlines, and 118 (11%) were area residents. Of the 754 travelers, 190 (25%) experienced their problem during flight; the aircraft made an unscheduled landing for seven of these travelers. The frequency of in-flight emergencies was 1 per 753 inbound flights, or 1 per 39 600 inbound passengers. The most common emergency problems among all travelers were abdominal pain, chest pain, shortness of breath, syncope, and seizures; 25% of the emergencies were caused by minor trauma. The majority of emergencies among air travelers (75% [564/754]) happened on the ground within the air terminal. Most problems (84% [633/754]) were effectively handled by personnel trained as emergency medical technicians. The types of problems encountered suggest that the "doctors only" medical kit now required aboard US air carriers contains clinically useful items and should continue to be required on board.

JAMA 1989;261:1295-1299)

Author Affiliations
From the Department of Medicine, University of Washington, (Dr Cummins), the Center for Evaluation of Emergency Medical Services (Dr Cummins and Ms Schubach), and the King County Department of Public Health (Dr Cummins and Ms Schubach), Seattle.

Footnotes
Reprint requests to Center for the Evaluation of Emergency Medical Services, Emergency Medical Services Division, King County Emergency Medical Services, 110 Prefontaine PI S, Suite 500, Seattle, WA 98104 (Dr Cummins).

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