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#1
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Time to medical help
Hi,
I have a question from a friend. Her daughters have nut allergies. She wants to know how long it takes from cruise (41K?) to a gate from the time they notify the crew of a medical emergency (e.g. anaphylactic shock). Obviously it depends on their proximity to a suitable airport, but I'd like to hear from the airline pilots in this group. She is specifically referring to a flight from the SF Bay Area to the NY area. She does have some medication/injection to give them, but obviously she would want real medical treatment ASAP. As a pilot, what kind of descent rates can a 737/A320/747 etc get in a medical mergency? Would this descent rate be different than a descent for decompression? Thanks, Hilton |
#2
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Time to medical help
Hilton wrote:
Hi, I have a question from a friend. Her daughters have nut allergies. She wants to know how long it takes from cruise (41K?) to a gate from the time they notify the crew of a medical emergency (e.g. anaphylactic shock). Obviously it depends on their proximity to a suitable airport, but I'd like to hear from the airline pilots in this group. She is specifically referring to a flight from the SF Bay Area to the NY area. She does have some medication/injection to give them, but obviously she would want real medical treatment ASAP. As a pilot, what kind of descent rates can a 737/A320/747 etc get in a medical mergency? Would this descent rate be different than a descent for decompression? Thanks, Hilton No one is going to do a classic decompression descent for any medical emergency. But, they can use the speed breaks, bust the 250 limit, etc. If the weather is crummy below that limits it, too. But, generally 20 to 30 minutes to be on the ground. |
#3
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Time to medical help
Hilton writes:
I have a question from a friend. Her daughters have nut allergies. She wants to know how long it takes from cruise (41K?) to a gate from the time they notify the crew of a medical emergency (e.g. anaphylactic shock). Obviously it depends on their proximity to a suitable airport, but I'd like to hear from the airline pilots in this group. She is specifically referring to a flight from the SF Bay Area to the NY area. At least 30-40 minutes. If she is indeed prone to anaphylactic shock, she'll need to be treated on board. And there may not be any airport with suitably elaborate treatment services available within a short distance. If it happens over the Rockies, it's going to be a lot longer. As a pilot, what kind of descent rates can a 737/A320/747 etc get in a medical mergency? The same rate it can get in a non-emergency. The structural limits of the aircraft do not change in emergencies. The kinetic energy represented by high altitude and high speed must be dissipated in every case. Would this descent rate be different than a descent for decompression? No. While the crew of the flight may make every effort to expedite the landing of the aircraft at a suitable airport should that be deemed necessary, that effort will not extend to endangering the flight, crew, and passengers. If a choice must be made between endangering the entire flight and delaying landing to treat your friend's daughters, her daughters will lose. If your friend imagines the pilots putting the aircraft into a wild dive to get to an airport, she has been watching too many movies. In every case, the emphasis must be on emergency treatment while in the air. That's why many aircraft must carry defibrillators now. |
#4
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Time to medical help
Hilton wrote:
Hi, I have a question from a friend. Her daughters have nut allergies. She wants to know how long it takes from cruise (41K?) to a gate from the time they notify the crew of a medical emergency (e.g. anaphylactic shock). Obviously it depends on their proximity to a suitable airport, but I'd like to hear from the airline pilots in this group. She is specifically referring to a flight from the SF Bay Area to the NY area. She does have some medication/injection to give them, but obviously she would want real medical treatment ASAP. As a pilot, what kind of descent rates can a 737/A320/747 etc get in a medical mergency? Would this descent rate be different than a descent for decompression? Thanks, Hilton The nearest APPROPRIATE landing site may not be the closest (which you have acknowledged). You may take up to 15 - 30 minutes to get to the gate in such a situation. If someone is going to die in 5 minutes, then it doesnt really matter if its 15 minutes or 50 to get to the gate. They are not going to do a dive/emergency descent for a medical emergency (in the manner that they would for a cabin breach/decompression. Those rapid descents are just to get below 10,000 feet then you stablize the flight path and form a plan (the emergency is mostly over, from a pressurization standpoint then). An overly abrupt descent can also interfere with providing care to the ill passenger. If she is a severe anaphalactic, the appropriate course of action is to ALWAYS ALWAYS ALWAYS have her epi-pen with her, and not be hesitant about using it if a true anaphylactic event takes place. Have TWO, in case something happens to the first one. And thats for each potential patient. That IS the treatment. Thats the same drug paramedics or ER staff would administer. There are other nice things, like benadryl, pepcid and steroids, but for the real deal, Epinepherine/Adrenaline is the 1st line priority treatment for anaphylaxis. After Epi.. its mostly a matter of observing the patient... Dave |
#5
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Time to medical help
Robert, Dave,
Thank you for your info, I'll pass that along. She has three daughters, first is allergic to sesame seeds, second to nuts, and third to dairy! Oh, and she's severely afraid of flying (since the birth of he daughters). I try to ease her fears and describe the departure out of SJC etc so that she can anticipate the flaps up, right turn, throttle back, level out, add power, climb, turn - it's all standard in the departure. It hasn't really helped - I'll be amazed if she actually gets on the flight to JFK. Thanks again. Hilton "Dave S" wrote in message ... Hilton wrote: Hi, I have a question from a friend. Her daughters have nut allergies. She wants to know how long it takes from cruise (41K?) to a gate from the time they notify the crew of a medical emergency (e.g. anaphylactic shock). Obviously it depends on their proximity to a suitable airport, but I'd like to hear from the airline pilots in this group. She is specifically referring to a flight from the SF Bay Area to the NY area. She does have some medication/injection to give them, but obviously she would want real medical treatment ASAP. As a pilot, what kind of descent rates can a 737/A320/747 etc get in a medical mergency? Would this descent rate be different than a descent for decompression? Thanks, Hilton The nearest APPROPRIATE landing site may not be the closest (which you have acknowledged). You may take up to 15 - 30 minutes to get to the gate in such a situation. If someone is going to die in 5 minutes, then it doesnt really matter if its 15 minutes or 50 to get to the gate. They are not going to do a dive/emergency descent for a medical emergency (in the manner that they would for a cabin breach/decompression. Those rapid descents are just to get below 10,000 feet then you stablize the flight path and form a plan (the emergency is mostly over, from a pressurization standpoint then). An overly abrupt descent can also interfere with providing care to the ill passenger. If she is a severe anaphalactic, the appropriate course of action is to ALWAYS ALWAYS ALWAYS have her epi-pen with her, and not be hesitant about using it if a true anaphylactic event takes place. Have TWO, in case something happens to the first one. And thats for each potential patient. That IS the treatment. Thats the same drug paramedics or ER staff would administer. There are other nice things, like benadryl, pepcid and steroids, but for the real deal, Epinepherine/Adrenaline is the 1st line priority treatment for anaphylaxis. After Epi.. its mostly a matter of observing the patient... Dave |
#6
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Time to medical help
On Feb 19, 11:36*am, "Hilton" wrote:
Hi, I have a question from a friend. *Her daughters have nut allergies. *She wants to know how long it takes from cruise (41K?) to a gate from the time they notify the crew of a medical emergency (e.g. anaphylactic shock). Obviously it depends on their proximity to a suitable airport, but I'd like to hear from the airline pilots in this group. *She is specifically referring to a flight from the SF Bay Area to the NY area. She does have some medication/injection to give them, but obviously she would want real medical treatment ASAP. As a pilot, what kind of descent rates can a 737/A320/747 etc get in a medical mergency? *Would this descent rate be different than a descent for decompression? Have her bring an Epipen. In fact they may have them onboard. Our Boy Scout Troop has several (we have several Drs in the Troop so they provided them). Once she takes the Epipen there should be no medical emergency. We have a couple boys in our troop that have severe (life threatening peanut allergies). -Robert |
#7
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Time to medical help
Robert M. Gary writes:
Have her bring an Epipen. In fact they may have them onboard. Our Boy Scout Troop has several (we have several Drs in the Troop so they provided them). Federal law prohibits the dispensing of Epipen without a prescription. |
#8
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Time to medical help
Mxsmanic wrote:
Robert M. Gary writes: Have her bring an Epipen. In fact they may have them onboard. Our Boy Scout Troop has several (we have several Drs in the Troop so they provided them). Federal law prohibits the dispensing of Epipen without a prescription. Shows how much you know about airline medical kits. |
#9
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Time to medical help
Sam Spade writes:
Shows how much you know about airline medical kits. I know that they are intended for use by airlines aboard aircraft, not for use by Scout troups. |
#10
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Time to medical help
On Feb 20, 8:08*am, Mxsmanic wrote:
Robert M. Gary writes: Have her bring an Epipen. In fact they may have them onboard. Our Boy Scout Troop has several (we have several Drs in the Troop so they provided them). Federal law prohibits the dispensing of Epipen without a prescription. So are you saying the Epipens that several of the dads in the troop who are medical doctors put in the kit are fake? I'm not following what you are saying. Are you saying that all the emergency drugs in an ambulance are available without a Dr's concent? -Robert |
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