{"id":6821,"date":"2019-11-13T10:00:06","date_gmt":"2019-11-13T15:00:06","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=6821"},"modified":"2020-07-13T14:39:53","modified_gmt":"2020-07-13T18:39:53","slug":"in-flight-emergencies","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/in-flight-emergencies\/","title":{"rendered":"Are you prepared for an in-flight medical emergency?"},"content":{"rendered":"

Allergic reactions and other medical emergencies can happen anywhere,\u00a0<\/span>including 31,000 feet in the air<\/span><\/a>. In fact, one study estimated that\u00a0<\/span>one out of every 604 flights<\/span><\/a> involves some sort of health problem. The most common ones? They involve fainting (32.7%), gastrointestinal issues (14.8%), respiratory (10.1%), and cardiovascular (7%) symptoms.<\/span><\/p>\n

And even if a doctor is on board who can help out if a passenger experiences anaphylaxis, a heart attack, or a seizure, the plane itself may or may not be carrying all the tools and supplies needed to take care of certain in-flight emergencies.<\/span><\/p>\n

Earlier this year, for example, family physician and YouTube personality <\/span>Dr. Mikhail Varshavski<\/span><\/a> (aka Dr. Mike) famously rescued a fellow passenger on a flight to Israel. The man, who had no history of allergies and therefore had no reason to carry his own <\/span>EpiPen<\/span><\/a>, went into anaphylactic shock. The onboard medical kit contained epinephrine for heart attacks, but that dosage is too high to administer to a patient with anaphylaxis. Dr. Mike figured out a way to make it work, and the passenger made a full recovery.\u00a0<\/span><\/p>\n

But the fact is many airlines are not currently required to carry EpiPens (or any epinephrine at all), thanks to a four-year exemption granted by the <\/span>Federal Aviation Administration<\/span><\/a> to 50 specific carriers. The exemption also applies to three other medications: atropine, dextrose, and lidocaine. This exemption was created with the overall best interest of the public in mind due to frequent manufacturer shortages of drugs used in emergency situations. Most medications in aviation emergency supply kits end up expired and discarded, and ground-based emergency responders use the drugs much more frequently. The exemption was created to be able to divert the drugs in short supply to ground-based services first. This exemption expires in January 2020.<\/span><\/p>\n

While this doesn\u2019t mean your flight definitely <\/span>won\u2019t<\/span><\/i> have these supplies; it means there is no <\/span>guarantee<\/span><\/i> they will be on board.<\/span><\/p>\n

What medical supplies are airlines required to carry?<\/span><\/h2>\n

According to the\u00a0<\/span>Code of Federal Regulations<\/span><\/a>, all U.S.-based domestic and international flights must be equipped with the following items in preparation for in-flight emergencies:<\/span>\u00a0<\/span><\/p>\n

    \n
  1. Between one and four first-aid kits, depending on the number of passenger seats<\/span><\/li>\n
  2. Lots of bandages, splints, and wound-care equipment<\/span><\/li>\n
  3. A stethoscope<\/span><\/li>\n
  4. CPR masks, a resuscitation device, and other respiratory equipment<\/span><\/li>\n
  5. An IV administration kit<\/span><\/li>\n
  6. Needles and syringes<\/span><\/li>\n
  7. Painkillers, antihistamines, and aspirin<\/span><\/li>\n
  8. A bronchodilator<\/span><\/li>\n
  9. Nitroglycerin<\/span><\/li>\n
  10. An automated external defibrillator<\/span><\/li>\n<\/ol>\n

    While these supplies are certainly useful and necessary, they won\u2019t cover every issue that could come up in flight. That means it\u2019s up to you, as a traveler, to be prepared, particularly if you have known issues (like food allergies), explains Norman Tomaka, a clinical consultant pharmacist in Melbourne, Florida, and spokesperson for the\u00a0<\/span>American Pharmacists Association<\/span><\/a>. \u201cWe don\u2019t want [travelers] to have a false sense of security,\u201d Tomaka says.\u00a0<\/span><\/p>\n

    Instead, expect the best but prepare for the worst, says <\/span>Sandra Gawchik, DO<\/span><\/a>, co-director of the division of allergy and immunology at Crozer-Chester Medical Center in Chester, Pennsylvania. \u201cThe key is when you travel you want to make sure that you have your medicine with you,\u201d she says. \u201cYou don\u2019t want to have it in the overhead bin, you want to have it readily available.\u201d<\/span><\/p>\n

    This applies to rescue inhalers for asthma, EpiPens, and any other medication that you would need quick access to in an emergency situation, she says. She also recommends making sure your travel companions know where to find your medication and how to use it.<\/span><\/p>\n

    What medical supplies should you pack?<\/span><\/h2>\n

    Depending on your condition, you should consider including some\u2014or all\u2014of these items in your carryon luggage.<\/span><\/p>\n

    1.<\/span> EpiPen (or two)<\/span><\/h3>\n

    If you have severe allergies you probably already know that one is not enough\u2014<\/span>two<\/span><\/i> EpiPens<\/span><\/a> are essential, Dr. Gawchik says. That\u2019s because while one dose will relieve anaphylaxis, symptoms could return in three to eight hours. If they do, and you\u2019re still in transit, you\u2019ll need a second shot.<\/span><\/p>\n

    2.<\/span> An antihistamine, like Benadryl<\/span><\/h3>\n

    Anaphylaxis isn\u2019t the only symptom of an allergy. In fact, hives and itching are much more common. A dose of <\/span>Benadryl<\/span><\/a> can help. The downside? It could make you sleepy (which might not be that big of a deal, particularly if you are on a red eye flight). Also, be sure to turn down the in-flight cocktail as <\/span>Benadryl and alcohol don\u2019t mix<\/span><\/a>.<\/span><\/p>\n

    3.<\/span> Anti-itch cream (hydrocortisone)<\/span><\/h3>\n

    Hydrocortisone<\/span><\/a> cream is fast-acting and should bring relief in the event that you experience a minor skin-related allergic reaction, Tomaka says.<\/span><\/p>\n

    4.<\/span> OTC painkillers<\/span><\/h3>\n

    Nothing can make a flight drag on like a headache (well, aside from an overly chatty seatmate). Yes, <\/span>acetaminophen<\/span><\/a> is probably one of the medications on airplanes that you could get from the flight attendant\u2014but it is much easier to reach into your carryon bag for your headache remedy of choice.<\/span><\/p>\n

    5.<\/span> Anti-diarrheal medication\u00a0<\/span><\/h3>\n

    If you start feeling ill from that bad hotel buffet an hour into your flight, you are going to wish you had some <\/span>Imodium<\/span><\/a> at the ready. Remember: persistent GI problems can lead to dehydration, and dehydration can quickly become a bona fide medical emergency.<\/span><\/p>\n

    6.<\/span> Blood sugar monitor<\/span><\/h3>\n

    It you have diabetes, be sure to carry whatever it is you normally use to keep your blood sugar in check, including your blood sugar monitor. A blood sugar crash on board a flight can be extremely dangerous, especially if your flight isn\u2019t carrying dextrose. You should avoid this possibility at all costs.<\/span><\/p>\n

    7.<\/span> Copies of your prescriptions<\/span><\/h3>\n

    Finally, make sure all of your medicine on flights are labeled with the original manufacturer or pharmacy label, advises Tomaka. He urges travelers to bring copies of all prescriptions along with them and notes from your doctors. With EpiPens in particular, he suggests notifying the flight crew that you are carrying one so they can be prepared for the unlikely event that you would need to use it.<\/span><\/p>\n

    When you\u2019ve packed the right items, you can relax and enjoy an in-flight movie, knowing that even if the worst happens, you\u2019re prepared for it!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    Allergic reactions and other medical emergencies can happen anywhere,\u00a0including 31,000 feet in the air. In fact, one study estimated that\u00a0one out of every 604 flights involves some sort of health problem. The most common ones? They involve fainting (32.7%), gastrointestinal issues (14.8%), respiratory (10.1%), and cardiovascular (7%) symptoms. And even if a doctor is on […]<\/p>\n","protected":false},"author":85,"featured_media":6861,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[554,11278,8227],"coauthors":[8369],"class_list":["post-6821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-allergies","tag-singlecare-for-seniors","tag-travel","wpautop"],"acf":[],"yoast_head":"\nAre you prepared for in-flight emergencies while traveling?<\/title>\n<meta name=\"description\" content=\"1 in 604 flights involves a medical emergency. 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