International Operations

Presented by Debbi Laux - MedAire, Director of Trade RelationsWednesday, October 11, 2017 1:00 – 2:00 PM

MEDICAL PREPARATION

INTERNATIONAL OPERATIONSMEDICAL PREPARATION

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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