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What should you do if a person needs medical attention but is in a confined space on an airplane? The stress that the body experiences during air travel often provokes ailments, exacerbation of chronic diseases or life-threatening conditions.
We are in website learned what rules apply on board to help passengers who feel unwell, what medications are available on the plane and what medical knowledge the crew is required to receive, constantly improving their skills.
Each airline has rules (they can be found online) that regulate medical issues: who may not be allowed on board, what assistance is provided to disabled people, what happens in force majeure circumstances. They describe how to prepare for a flight if you have a chronic medical condition and what you need to warn staff about (for example, allergies). One example: Some airlines will not sell peanuts and will ask passengers not to eat them if someone in the cabin warns about the allergy. Other companies will replace peanut snacks with alternatives just for you.
The main prohibitions on being on board relate to late travel (you may be asked to provide a doctor's certificate to absolve yourself of liability) and acute respiratory illnesses, when the passenger can clearly pose a threat to others, as well as suffer serious complications in flight conditions. An overweight person may be denied boarding if he has not purchased two tickets. These rules concern the comfort of other passengers. In case of severe forms of disability, a person may also not be allowed on board if there are no special conditions for him on the plane.
There are usually two types of first aid kits on an airplane. The first one will be used to provide emergency assistance to passengers; it contains painkillers, antiemetics, sorbents, drugs to reduce temperature, normalize blood pressure, thermometers, a device for measuring pressure, oxygen masks, and in some cases, defibrillators.
The second type of first aid kit is intended for a doctor; it can only be opened and used by people with medical education. Usually there are syringes and injection solutions, hormonal agents, and bronchodilators.
Flight attendants are prohibited from taking medications from other passengers to provide assistance unless it is the property of the person receiving assistance.
Stewards must undergo a medical assistance course and then regularly improve their skills. Rules regarding what kind of assistance a flight attendant can provide may vary from company to company. In some, only emergency care is allowed, and, for example, injections are prohibited. In other companies, flight attendants even know how to deliver babies.
Mandatory crew skills are, as a rule, measuring pressure and stopping a hypertensive or hypotensive attack, helping with fractures and bleeding, breathing problems, epilepsy, and loss of consciousness.
There are instructions for dealing with infected passengers. So, if there are signs of an acute infection, the passenger must be seated close to the toilet, provided with a mask, and served in a mask and gloves. If possible, such a passenger will be served by a separate flight attendant, and one of the toilets will be closed to other passengers.
But what if the passenger's condition threatens his life? In this case, there are clear algorithms. Crew members make an announcement over the loudspeaker about the problem, in case there are medical workers on board, preferably with a specific specialization. They are the ones who can open the first aid kit intended for the doctor to help the passenger.
However, the provision of assistance by a random doctor is a rather controversial issue. After all, he may not have the proper qualifications, which means time will be lost. Responsibility for a poor decision lies with the airline and the injured passenger's insurance company. However, each country has its own laws regarding the liability of doctors for poor medical care or leaving someone in danger. Moreover, every airline has them, and if you don’t study them before your flight, you won’t know whether you are protected or not.
Therefore, in case of severe conditions, communication with the medical service on the ground must be established. The doctor will remotely supervise the actions of the crew, and the aircraft commander will decide when to make an emergency landing at the nearest airport.
Some companies offer a “Doctor on board” offer. When purchasing a ticket or at check-in, you can indicate your medical qualifications, which will give you access to on-board medical kits and liability information. In the presence of such registered doctors, the crew has the right not to contact medical services on the ground.
A holiday abroad somewhere far from home often involves traveling by plane. So, residents of other countries mostly fly by plane to vacation in Turkey and Marmaris.
An air flight, especially a long one, is a great stress for the body. Therefore, it is worth preparing mentally and physically in advance for an airplane flight.
In this case Doctors have prepared some advice, which will make your air travel more comfortable.
Dizziness on an airplane is quite common. In order to eliminate this unpleasant condition, you should look at a stationary object for a long time.
Nausea, like dizziness, is the second most common unpleasant symptom that appears during air travel.
To avoid nausea, do not fly on an empty or full stomach. Have a snack before your flight so that you don’t feel any discomfort from either hunger or heaviness.
Choose snack foods that do not cause increased gas. This way your body will endure the flight much more comfortably.
One of the options for “folk remedies” for motion sickness is lemon. You can smell or chew a lemon wedge at the first symptoms. Although this option may not bring the necessary relief.
If you know your predisposition to motion sickness, purchase anti-motion sickness remedies from pharmacies in advance - Quinedryl, Aeron, Dramamine, Air Sea, homeopathic medicines. Sometimes such drugs have a hypnotic effect as a side effect.
If you decide to give such drugs to a child, especially a small one, consult a doctor. In Turkey, for example, such children's sedatives for flights are prescribed only by a doctor and are sold in pharmacies on prescription.
Takeoff and landing are accompanied by changes in pressure in the plane and in the ears. The processes are comparable to immersion in water.
To get rid of congestion, pain and noise in the ears, the following is recommended:
Do not press your hands over your ears, as this may worsen the condition.
To relieve the symptoms of increased nervousness when flying on an airplane, doctors recommend breathing exercises. A very useful thing for overexcitation, fear, and nervousness. Allows you to return to a state of composure.
In order to calm down, you should take a deep breath to the count of “1-2” through your nose, and then exhale slowly through your mouth with a straw to the count of “1-2-3-4-5-6”. Firstly, the count itself allows you to switch your attention, and secondly, the normalization of breathing contributes to the general normalization of the spirit.
For those who are especially afraid of flying on airplanes, doctors recommend taking a sedative (motherwort, valerian) before the flight.
Many people “fight the fear” of flying with the help of alcohol, especially from duty-free stores. Doctors advise not to get involved in alcohol. One glass of wine helps you relax; taking a higher dose of alcohol can, on the contrary, lead to the opposite effect. In addition, flying and crossing the border of a foreign country are quite important moments, and at this time the situation should be soberly monitored.
Before the flight, it is worth remembering that the effect of alcohol increases 3 times during the flight. Even a small dose can lead to unpredictable effects and deterioration of well-being. Due to low air humidity, the body quickly loses moisture and the hangover intensifies much more.
Another option to calm down during a flight is reading an interesting book, watching a movie, listening to music, or any other activity that will allow you to take your mind off your fears. Having a travel pillow will make your rest and sleep during the flight more comfortable.
Any person at a certain age, especially older people and women who have given birth, develop blood clots in the veins of the pelvis and lower extremities, which most people are not even aware of.
During takeoff and landing, when overcoming the forces of gravity, blood circulation in the body changes, it begins to flow to the lower extremities. This threatens with two troubles - dilation of veins (varicose veins) and separation of blood clots from the inner walls of the veins. Blockage of the veins leading to the heart or lungs by detached blood clots can cause acute right ventricular failure or pulmonary embolism. Such conditions are not amenable to cardiopulmonary resuscitation. Therefore, the main thing is to prevent the occurrence of these complications of air travel.
The veins need to be compensated. To prevent the expansion of veins and blood clots, it is necessary to use a special compression knitwear - tights or knee socks.
Compression tights and stockings enhance the muscle tone of the veins, promote effective circulation of venous blood from bottom to top, and prevent the appearance of freely moving blood clots.
Compression jersey is sold in pharmacies or specialty stores and is selected strictly individually according to the size of the leg. You should wear tights and knee socks with a compression effect at home before the flight according to the instructions for them.
For people suffering from chronic venous insufficiency or varicose veins, longer use of compression stockings is recommended.
In addition to compression hosiery, you should choose comfortable, non-tight shoes for flying. If the flight is long, especially in winter, take a change of light shoes with you so that your feet can rest.
Sitting in an airplane seat should be done correctly, avoiding the “foot on foot” position. Periodically you should do leg exercises, move your legs, change your body position, periodically stand up and walk around the plane.
If necessary, give a light foot massage. Those with seats in the front rows of some types of aircraft may have their legs extended forward or higher.
Before the flight, you should take a small dose 2-3 hours before the flight. aspirin(75-100 milligrams). Aspirin is known to be an anti-clot agent.
Air humidity on an airplane is very low, about 20-30%, which leads to significant loss of fluid from the body and unpleasant symptoms - sore throat, dry nose and mouth, tight skin, dry eyes. It is recommended to drink more regular water during the flight. Tea, coffee, cocoa, and alcoholic drinks contribute to increased dehydration.
To get rid of unpleasant symptoms, you should take with you a skin moisturizer, throat or nose spray, and eye drops. If you wear contact lenses, it is recommended to remove them during the flight and periodically apply eye drops to your eyes.
To better adapt the body to changing time zones, it is recommended to adhere to the following rules.
To better adapt to jet lag, it is not recommended to drink alcohol during a flight.
If you have serious chronic diseases, doctors recommend taking medications with you to airplane hand luggage.
Before flying during pregnancy, you should consult your doctor. Airlines usually allow women to fly for up to 7 months. Flights during later stages of pregnancy are only possible upon presentation of a doctor's certificate. When flying while pregnant, you should move more on the plane, exercise, drink plenty of water, and take an aisle seat.
Babies can fly after the first 7 days of life.
May 3, 2015 tigress...s
On the night of November 11, a plane once again landed unscheduled at Yekaterinburg Koltsovo airport due to the ill health of a passenger. According to the airport, a 45-year-old man felt unwell due to a sharp increase in pressure on a Moscow-Irkutsk flight. He was taken to the hospital; the passenger's life is not in danger. This is already the fourth known case in the Urals, and, alas, it was not possible to save two passengers. In addition, everyone is hearing about the tragedy of 24-year-old Artem Chechikov, who died in Sheremetyevo in August. The young man became ill during the flight, the plane made an emergency landing, but the ambulance took too long.
Doctors note that air travel can really negatively affect the human body. Artem Yurovsky, a cardiologist at the Central Clinical Hospital of Civil Aviation, told RG what you need to pay special attention to in order to avoid serious health problems.
What do people die from during a flight?
Artem Yurovsky: Airlines are reluctant to share information related to pilot deaths, most often due to heart attacks or arrhythmias. Pilots experience constant stress and a large amount of adrenaline is released in the body. In such a situation, nature is designed to run away or catch up, but they cannot leave the workplace. There are no statistics on passengers, since they often die far from the plane and it is difficult to prove the connection between death and the influence of negative factors of the flight. But it can still be argued that the main threat during air travel is ordinary physical inactivity.
So it’s deadly dangerous to just sit, like in an office?
Artem Yurovsky: Yes, sitting increases venous pressure in the lower extremities. The veins stretch and the legs begin to swell due to general stagnation of blood, in which its liquid part leaves the vessels into the intercellular space. If a person is healthy and the negative impact on the body is not systematic, for example, the passenger makes flights lasting up to four hours no more than twice a month, then there is nothing to worry about.
What happens if you have to fly more often?
Artem Yurovsky: Then the diameter of the vessels steadily expands and blood flow slows down, red blood cells stick together, and a blood clot forms. The person gets up from the chair, the blood flow accelerates sharply, and the blood clot rushes to the lungs. A blockage occurs - thromboembolism - of the pulmonary artery, which can lead to death. Simply put, standing up after sitting for a long time is deadly.
In addition to vein problems, all conditions that increase blood viscosity are a risk factor, as they promote the formation of blood clots. These are, for example, pneumonia, acute and chronic infectious and autoimmune inflammatory diseases, the postoperative period of up to three weeks, as well as the recovery period after myocardial infarction and stroke.
Pulmonary pathologies are dangerous. In chronic bronchitis, asthma, and after tuberculosis, due to an increase in the density of lung tissue, pressure increases in the right side of the heart, in the veins of the liver, abdominal cavity, and legs. This also promotes thrombus formation.
What can a passenger do during a flight to avoid these troubles?
Does the body suffer because our body is lifted off the ground?
Artem Yurovsky: Overloads during takeoff and landing, changes in atmospheric pressure and reduced air humidity in the aircraft cabin have a negative impact. But the consequences are not so fatal. During a flight, a person may feel dizzy and bloated.
Do you need to eat before boarding a plane?
Artem Yurovsky: It is better to eat no later than three hours before takeoff, and then after the climb is completed. Then, when the atmospheric pressure changes and there is overload, there will be no food in the stomach, and the passenger will not feel sick.
What are the consequences of low humidity?
Artem Yurovsky: The dryness of conditioned air is associated with cosmetic inconveniences - the skin dries out. The problem can be easily solved with the help of a moisturizer. I advise women to avoid aggressive cosmetics, since with dry skin the chemicals penetrate the pores more actively. For those who wear contact lenses, it is better to replace them with glasses. With low humidity, there is likely a feeling of sand in the eyes and discomfort when moving the eyeballs.
It is clear that a lot of unpleasant things can happen to a person on an airplane, and yet some people are already afraid of flying...
Artem Yurovsky: In fact, air transport is currently the safest. Psychological discomfort is associated with the fact that the person himself does not know how to fly, with the passive role of the passenger: he does not have the opportunity to influence the process. A healthy person adapts to this situation quite quickly. In people with mental illness, adaptation is slow or absent altogether. They can drive themselves to the point of hysteria, stupor or paralysis, and self-mutilation. Flights are absolutely contraindicated for such patients.
Artem Yurovsky: Fortunately, disorders appear already upon boarding the plane, and flight attendants take a closer look at restless passengers. And for balanced people, a book, a lollipop, or a neighbor to talk to will help them cope with discomfort.
Some people drink alcohol to calm down. In vain?
Artem Yurovsky: The main thing is not to feel drunk. I generally do not recommend drinking more than 50 grams per day in terms of pure alcohol. Remember: during the flight, oxygen starvation occurs - dizziness, drowsiness, and general malaise appear. A person who has been drinking is more likely to vomit.
Of course it's not fatal. But if we are talking about an unhealthy person, then all his problems on the plane will get worse. He will feel bad simply because he is already sick, and he also drank.
What about smoking? Should you stock up on nicotine?
Artem Yurovsky: Smoking is an addiction. And a person becomes inadequate during withdrawal, including tobacco withdrawal. If you are so dependent on a cigarette, it is better to smoke. To more or less comfortably survive nicotine fasting during a flight, you can suck a lollipop or, again, sip a glass - no more. The main thing is to maintain an adequate state.
Should I take medications on air travel?
Artem Yurovsky: If a person is flying for the first time, anti-motion sickness medications will help. Plus those that he takes regularly. For passengers with health problems, I recommend talking to a doctor before flying. Perhaps the doctor will adjust the therapy or advise, for example, to fly in compression stockings.
Meanwhile
According to carriers, one forced landing costs them from 100 to 300 thousand rubles. Fortunately, sick passengers are not issued such bills - these amounts are considered airline costs. However, the passenger will face additional expenses: to get to their destination, they will have to buy a new ticket.
Flying is a lot of stress for the body. Pressure changes at altitude, dry air and a sedentary state can play a cruel joke. So what should you do if you still get sick on the plane?
Everything that concerns flights within one state concerns only its laws. If the flight is international, then the rules are dictated by the Montreal Convention of 1999, which states that the air carrier is responsible for damage to the health and property of the passenger. Now it operates in 199 countries, including all EU countries, Russia, the USA, China and others.
If an emergency occurs during a flight, the flight attendants announce it via loudspeaker. This way they can find a professional healthcare provider. According to statistics, there is one on board every second flight. Some airlines have their own staff of paramedics to assist you during your flight. If the situation is critical, the pilot makes an emergency landing at the airport, where doctors and specialized equipment are waiting for the passenger.
Airline flight attendants undergo extensive training and must be able to provide first aid. They will treat poisoning, injuries and colds, stitch up injuries or determine shock. According to the standards of all airlines, they must even be able to deliver babies. Flight attendants are not allowed to prescribe medications or administer any medications to passengers. In addition, there are two first aid kits on each board: one for first aid, and the second in case there is a doctor on the plane. He takes responsibility for treating the passenger, so only he can open the second medicine box.
Hello, dear readers! Today we will talk to you about a fairly common and important problem. We all have to fly on airplanes from time to time. It doesn’t matter if you’re doing this for the first time or have already experienced flying, but the fear that things could get bad in the sky is something that many people experience. How to deal with it?
I often hear the phrase: “I’m afraid that I’ll get sick on the plane, what should I do?” How to behave correctly so that fear does not affect the desire and ability to travel by air? This is what we will talk about today. In this case, psychology will help cope with the problem better than anything else.
Thoughts, especially about a person’s physical condition, directly affect his well-being. I think that many people are familiar with the word “psychosomatics”. This is a direction in psychology that studies how the nervous system affects the physical condition of people and the course of their diseases.
Each of us can feel a headache if we constantly think about it. What can we say about the situation when a person subconsciously prepares himself for?
If you are wondering whether it is possible for a person to become ill on an airplane, then most likely you will encounter problems as soon as you get on board the airliner.
I won’t describe what moments you will begin to pay attention to and what exactly you will experience. You yourself should not think about such things, so as not to program yourself and cheat yourself.
If you want to avoid problems, it’s best to think for a minute: “Why, exactly, should I feel bad? What exactly am I afraid of? Is it all about the confined space? But you are unlikely to experience discomfort in a room or a car, why should everything be different on an airplane?
Now many readers may seize on this idea and begin to make excuses for themselves, for example, that in the air you cannot control what is happening. You can leave the car at any time, stop it, but what if you want to get off the plane?
Many people experience intense fear when they cannot control a situation. In fact, this happens every day, but in the case of an airplane, the feeling of defenselessness becomes all too obvious. You just sit down and put yourself in the hands of the pilot and the crew.
Man has come up with many ways to create the illusion of control. We trust fate and for some reason wear rabbits' feet for good luck, even though we understand with our minds that part of the body of a dead animal cannot possibly be in our wallet or...
Nevertheless, this is a good way to help you cope with fear. If you are superstitious, this may be your salvation. Find the first rock you come across and start thinking that it will protect you if things get really bad on the plane. Now any methods are good. It would be a sin not to use them.
The world and psychology know thousands of examples when they even managed to overcome their fear on their own. They found strength in themselves because they understood the need.
The fear of confined spaces, flying, the dark, or even the fear interfered with their lives so much that they were ready to do anything just not to experience this discomfort again, to get rid of the annoying problem. This is extremely difficult, but at such moments things are too important on the scale.
If now you convince yourself that you really have something to be afraid of, and then on the plane you feel bad symptoms, just think about whether you will be able to continue traveling calmly? No. You will know about the danger and you will have only two options - come to terms with fear or face it face to face from time to time.
What do you think the heroes I talked about a little earlier do with phobias? Some go to a psychologist and begin to work gradually through beliefs, reasoning, and encounters with a stressful situation. Others act through shock - lock themselves in dark rooms if they are afraid of closed spaces, hold spiders in their hands if they are afraid of them. It’s hard to imagine what they feel, but they don’t see any other way out.
It is quite easy to fall into the trap of fear. You just need to start being afraid of something and then make sure that your fears were not in vain. After this, each new meeting will only confirm the relevance of the phobia. Try to anticipate this in advance. Reassure yourself that your fears are justified.
Now we are not talking about phobias. We are ready to board the plane, which means we are able to cope with our problem ourselves, trying to prove the groundlessness of fear now. First, stop thinking about it, and then try and do what you can to minimize the consequences if you do get sick on the plane.
How to achieve this?
Remember the old saying that if you knew where you would fall, you would definitely put a straw? Let's try to do this.
The first thing you might experience on a plane is a panic attack. Fear has emotional and physical manifestations. Breathing techniques allow you not only to distract yourself, but also to cope with the influence of fear on the human body.
For relaxation, techniques are used in which inhalations are shorter than exhalations. That is, you calmly inhale air on a count of two and exhale it on a count of 4. At the same time, your pulse slows down, your heart beats less quickly. You can take a book with you on the flight Thich Nhat Hanh "In One Breath", and practice directly in the sky.
I can also recommend Andrey Goloshchapov “Anxiety, fear and panic attacks. Self-help book", if you want to learn a little more about other methods that help get rid of fears.
Be sure to mention your concerns to your steward. This is another way to take control of the situation. If a passenger or child becomes ill, the team will definitely come to the rescue faster if they know about his ailments.
You can also consult your doctor in advance to find out which medications are best to take with you to avoid problems in the palate. You probably have an idea of what exactly might happen to you. If it is a panic attack, consult a psychologist, headache or other physiological manifestations, go to see a therapist.
That's basically it. See you again and don't forget to subscribe to the newsletter.
