Deschidere la Conferinta Inspir "Medicina respiratorie la altitudine" Iasi oct 2018

1. www.iata.org
• The democratization of the skies
• More people are flying than ever before, to more places and more
frequently.

2. www.iata.org
• By 2036 IATA estimates that globally 7.8 billion passengers will travel
by air, nearly double the 4 billion who are expected to fly this year.
• In Europe, one of the world’s most developed and mature air
markets, 550 million more passengers will fly each year bringing the
total market to 1.5 billion passengers in 2036.

3. www.iata.org
• Globally, the aviation industry supports $2.7 trillion in economic
activity or 3.5% of the world’s gross domestic product and generates
65.5 jobs!

4. If it feels more crowded on your flights these days, that’s because
it is. More than 201 million extra passengers flew on U.S. airlines
last year compared with in 2005, but U.S. carriers operated 1.6
million fewer flights, reports Forbes.
Carriers are also reducing seat pitch — the distance from one
seat to the one in front — to squeeze in a few extra rows. Many
have also gone from nine seats across, to 10.
The result? Planes are now carrying 32% more passengers on
average than a decade ago.
Sursa https://www.linkedin.com/comm/feed/news

5. Accesul la ingrijiri medicale de
urgenta este limitat
Peterson DC et al. NEJM 2013; 368: 2075-83

6. Asociatia Medicala Aerospatiala (The Aerospace Medical Association -
www.asma.org) recomanda evaluarea bolnavilor cronici inaintea calatoriei,
indeosebi a acelora cu
• boli cardiovasculare,
• cu istoric de tromboembolism venos,
• boli pulmonare cronice,
• conditii chirurgicale,
• convulsii,
• accident vascular cerebral,
• boli psihice si
• diabet.

7. Analiza publicata in 2013:
2,75 miliarde pasageri anual pe
liniile comerciale.
Peterson DC et al. NEJM 2013; 368: 2075-83

8. 1 ian 2008 – 31 Oct 2010 din 5 linii aeriene (USA
si internationale) reprezentand aprox 10% din
volumul global de paageri ~ 744 milioane
pasageri, aprox 7,2 milioane zboruri
11.920 urgente medicale ce au avut comunicare
cu centrul- academic, personal antrenat in
telemedicina
Peterson DC et al. NEJM 2013; 368: 2075-83

9. 1 urgenta medicala la 604 zboruri
16 urgente la 1 milion pasageri
Peterson DC et al. NEJM 2013; 368: 2075-83

10. Sincopa si presincopa: 37,4%
Simptome respiratorii 12,1%
Greturi si varsaturi 9,5%
Peterson DC et al. NEJM 2013; 368: 2075-83

11. Medici 48,1% - medicul cel mai frecvent
ca responder voluntar
Asistente 20,1%
Deviere zbor in 7,3%
Peterson DC et al. NEJM 2013; 368: 2075-83

12. Exista sau nu o obligatie legala
sa asisti?
Etic DA! In unele tari exista si
obligatia legala!
Nable JV et al. NEJM 2015; 373: 939-45

13. Medicii si alte peroane din
sistem au o obligatie morala si
profesionala sa actionexa ca un
Bun Samaritan!
1988 Aviation Assistance Act include „a
Good Samaritan provision”
Peterson DC et al. NEJM 2013; 368: 2075-83

14. Daca asisti ai obligatia de a
documenta ceea ce ai furnizat –
utilizeaza documentatia
specifica liniei aeriene
respective.
Nable JV et al. NEJM 2015; 373: 939-45

15. O proportie imoprtanta din
pasagerii care dezvolta
probleme medicale in cursul
calatoriei necesita ulterior
spitalizarea.
Nable JV et al. NEJM 2015; 373: 939-45

19. MEDICAL GUIDELINES
FOR
AIRLINE PASSENGERS
AEROSPACE MEDICAL ASSOCIATION
ALEXANDRIA, VA
(MAY, 2002)
CONTRIBUTORS:
Michael Bagshaw, M.D.
James R. DeVoll, M.D.
Richard T. Jennings, M.D.
Brian F. McCrary, D.O.
Susan E. Northrup, M.D.
Russell B. Rayman, M.D. (Chair)
Arleen Saenger, M.D.
Claude Thibeault, M.D.

21. BRITISH AIRWAYS HEALTH SERVICES
YOUR PATIENT AND AIR TRAVEL
A GUIDE TO PHYSICIANS
Contents
Introduction
Pre-flight Assessment and Medical Clearance
Assessment Criteria
Considerations of Physical Disability or Immobility
Oxygen
Stretchers
Conditions requiring Special Precautions or Planning
Summary of Contra-Indications
Other Precautions
Conclusion
Additional Information - Contact Details