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International Operations
Presented by Debbi Laux - MedAire, Director of Trade RelationsWednesday, October 11, 2017 1:00 – 2:00 PM
MEDICAL PREPARATION
INTERNATIONAL OPERATIONSMEDICAL PREPARATION
P
INTERNATIONAL OPERATIONSPOINTS OF MEDICAL INTERVENTION
PRE-FLIGHT DESTINATION
IN-FLIGHT
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PRE-TRIP PREPARATION • Research destination
• Establish medical protocol
• Part of Emergency Response Plan
• Engage medical assistance company
• Obtain aviation medical travel advisories
• Download aviation apps for email travel alerts
• Store emergency contacts
• Equip onboard medical equipment:
Medical Kits & Defibrillator
Remote Diagnostic Device
• Crew medical training
• Consider crew “Fitness
for Duty”
• Obtain immunizations
• Review medical insurance
• Carry medications in original packaging
IN-FLIGHT MEDICAL EVENTSBUSINESS AVIATION
Source: © 2017 MedAire, Inc. Data from MedAire’s MedLink 1985 – 2017.
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IN-FLIGHTMEDICAL RESPONSE
• Assess situation
• Contact medical provider for direction
• Aid ill passenger, as advised
• Use medical kits and/or defibrillator
• Coordinate any diversion arrangements
• Follow best practices for food handling
• Wash hands to avoid sharing germs
• Document activities, as soon as possibleFollow Your Established Protocol
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IN-FLIGHT MEDICAL
Fever ≥ 100°F of any duration AND one or more of the following:
– Persistent cough
– Persistent vomiting
– Difficulty breathing
– Headache with stiff neck
– Decreased consciousness
– Unexplained bleeding
Source: Centers for Disease Control and Prevention’s (CDC) Quarantine Station http://www.cdc.gov/quarantine/quarantine-stations-us.html 8
The U.S. Code of Federal Regulations requires reporting to CDC:
1) death, 2) suspected communicable disease or 3) serious illness
before arrival of all passengers/crew on international flights into the United States.
IN-FLIGHT MEDICAL REPORTING
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• Know how to get medical assistance 24/7
• Assume personal medical safety – wear seat
belt – caution experimenting with food
• Prevent mosquito bites - reduce risk
• Use an effective insect repellent (i.e. DEET)
• Establish Guarantee of Payment for treatment
• Request prescription replacement coordination
• Accept referral for medical appointment
AT DESTINATIONSEEK MEDICAL HELP
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• Hotel Physicians, Urgent Care, Emergency Dept.
• May not be 24/7 - limited X-rays, testing, lab
• Foreign language translation
• Personal vehicles can be used for transport
• Possible overcrowding in facilities
• Be cautious of local folk-lore remedies
• Awareness of cultural differences
AT DESTINATIONVETTED FACILITIES
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• Contact your personal physician for any medical
concerns experienced during trip
• Monitor your health for two to three weeks
• If new symptoms develop, seek medical attention
and advise your doctor of your travel history
POST TRIPFOLLOW-UP
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• Centers for Disease Control & Prevention CDC www.cdc.gov
• International Civil Aviation Organization ICAO www.icao.int
• International SOS www.internationalsos.com
• MedAire www.medaire.com
• National Institute of Allergy & Infectious Diseases NIH www.niaid.nih.gov.
• World Health Organization WHO www.who.int --
http://www.who.int/emergencies/zika-virus/classification-tables/en/
MEDICAL RESOURCES
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