Pediatric Emergencies on a US-Based Commercial Airline

Moore, Brian R.; Ping, Jennifer; Claypool, David W.

doi:10.1097/01.pec.0000186424.84764.94

Cited by 47 publications

(36 citation statements)

References 19 publications

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“…One study of an 8-year period for a single US commercial airline reported 169 paediatric emergencies of which 22 were respiratory 55. The presence of pre-existing lung disease in these children was not reported.…”

Section: Background Literature Reviewmentioning

confidence: 99%

Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations

Ahmedzai¹,

Balfour‐Lynn²,

Bewick³

et al. 2011

Thorax

197

298

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Section: Background Literature Reviewmentioning

confidence: 99%

Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations

Ahmedzai¹,

Balfour‐Lynn²,

Bewick³

et al. 2011

Thorax

197

298

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“…The quality of data from studies reporting reactions on airplanes is poor also due to reluctance in survey response (75); however, the data suggest that a small number of reactions occur in this context, some of which are severe. Airline companies show inconsistency, for example, regarding provision of peanuts on board aircraft and requests for special assistance (76)(77)(78)(79)(80). Allergic reactions constituted only 2.2% of medical emergencies during commercial passenger flights in the USA (81).…”

Section: Providers Of Non-prepacked Foodsmentioning

confidence: 99%

EAACI Food Allergy and Anaphylaxis Guidelines: managing patients with food allergy in the community

Muraro¹,

Agache²,

Clark³

et al. 2014

Allergy

142

155

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The European Academy of Allergy and Clinical Immunology (EAACI) Food Allergy and Anaphylaxis Guidelines, managing patients with food allergy (FA) in the community, intend to provide guidance to reduce the risk of accidental allergic reactions to foods in the community. This document is intended to meet the needs of early-childhood and school settings as well as providers of non-prepackaged food (e.g., restaurants, bakeries, takeaway, deli counters, and fast-food outlets) and targets the audience of individuals with FA, their families, patient organizations, the general public, policymakers, and allergists. Food allergy is the most common trigger of anaphylaxis in the community. Providing children and caregivers with comprehensive information on food allergen avoidance and prompt recognition and management of allergic reactions are of the utmost importance. Provision of adrenaline auto-injector devices and education on how and when to use these are essential components of a comprehensive management plan. Managing patients at risk of anaphylaxis raises many challenges, which are specific to the community. This includes the need to interact with third parties providing food (e.g., school teachers and restaurant staff) to avoid accidental exposure and to help individuals with FA to make safe and appropriate food choices. Education of individuals at risk and their families, their peers, school nurses and teachers as well as restaurant and other food retail staff can reduce the risk of severe/fatal reactions. Increased awareness among policymakers may improve decision-making on legislation at local and national level.

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“…The majority of pediatric in-flight emergencies are related to infections (fever and otitis media), neurological conditions (syncope and seizures), and respiratory issues (asthma exacerbations) (7). These emergencies tend to be self-limited, seldom require alteration of the planned flight route, and do not pose a significant risk to life (7).…”

mentioning

confidence: 99%

“…When a medical emergency arises during flight, care is provided by crewmembers and volunteers with a medical background and increasingly more often in consultation with a specialized ground-based medical support (GBMS) center (3)(4)(5)(6)(7). The majority of pediatric in-flight emergencies are related to infections (fever and otitis media), neurological conditions (syncope and seizures), and respiratory issues (asthma exacerbations) (7). These emergencies tend to be self-limited, seldom require alteration of the planned flight route, and do not pose a significant risk to life (7).…”

mentioning

confidence: 99%

Fatalities Above 30,000 Feet

Rotta

Alves²,

Mason

et al. 2014

Pediatric Critical Care Medicine

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Pediatric in-flight fatalities are rare, but death occurs most commonly in infants and in subjects with a preexisting medical condition. The number of fatalities involving seemingly previously healthy children under the age of 2 years (lap infants) is intriguing and could indicate a vulnerable population at increased risk of death related to in-flight environmental factors, sleeping arrangements, or yet another unrecognized factor.

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Pediatric Emergencies on a US-Based Commercial Airline

Abstract: The most common in-flight pediatric emergencies involved infectious diseases and neurological and respiratory tract problems. Emergency medical kits should be expanded to include pediatric medications.

Cited by 47 publications

References 19 publications

Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations

Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations

EAACI Food Allergy and Anaphylaxis Guidelines: managing patients with food allergy in the community

Fatalities Above 30,000 Feet

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