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C323

  • Introduced by: Gregory Adamson, MD, James M. Jeffries, III, MD, FACS, J. Eric Lomax, MD, Jennifer Thompson, MD, and Frank Russo, MD, Delegates, for Peoria Medical Society

    Subject: Improving the Handling of In-flight Medical Emergencies (IFME)

    Referred to: Reference Committee C


    Whereas, 44,000 IFMEs (In-flight Medical Emergencies) occur annually throughout the world with 9,000 of these occurring in the US; and

    Whereas, airlines have protocols that guide airline staff in handling such emergencies; and

    Whereas, all airlines in the US and most airlines throughout the world carry a standardized set of medications and medical equipment and most airlines are in contact with ground medical emergency support during most IFMEs; and

    Whereas, a federal Good Samaritan statute was passed over a decade ago to protect the medical public who volunteer to help in an IFME; and

    Whereas, many physicians have imperfect knowledge of the above equipment, medications and protocols; and

    Whereas, physicians may be more comfortable helping in IFMEs were they better prepared; and

    Whereas, the treatment of the patient involved in an IFME can be expected to be improved when the treating physician is able to effectively use the resources at hand; and

    Whereas, in 2014, the ISMS resolved that the AMA “support efforts to increase the level of knowledge among the flying physicians public of which in-flight medical events are most common, of their professional liability in responding to in-flight medical emergencies (IFMEs), of established airline protocols that guide airline staff in handling IFMEs and of available on-board medications and equipment” (resolution C312); and

    Whereas, the 2014 ISMS resolution was approved as amended by the AMA House of Delegates stating that the “AMA support participate in efforts to educate the flying physician public about in-flight medical emergencies (IFMEs) to help them participate more fully and effectively when an IFME occurs.” (Resolution 718); and

    Whereas, a team of physicians lead by an ISMS member has developed an non-profit app, airRx, that contains information about which in-flight medical events are most common and how they can be treated, of their professional liability in responding to in-flight medical emergencies (IFMEs), of established airline protocols that guide airline staff in handling IFMEs and of available on-board medications and equipment; and

    Whereas, the development team included internationally recognized experts in aerospace medicine and emergency department faculty members of the University of Illinois College of Medicine, Peoria; and

    Whereas, the non-profit app is available on both Apple and Android platforms for free; and

    Whereas, the app is fully functional in airplane mode with all of its information and does not require Wi-Fi; and  

    Whereas, the ISMS approved a resolution in 2017 resulting in notification its membership by email in December 2017 making the membership aware of this non-profit app; and

    Whereas, in accordance with the 2017 resolution the ISMS has requested that the AMA notify its membership of the app; and  

    Whereas, the AMA has not yet notified its membership; therefore, be it

    RESOLVED, that the ISMS, by submission of a resolution to the AMA, request that the AMA notify its membership by email to make the membership aware of the non-profit app, airRx.  


    Existing ISMS policy related to this issue:

    Board of Trustees adopted Resolution C320 (A-17), Improving the Handling of In-flight Medical Emergencies (IFME), as presented, which directs that ISMS support email notification of its membership to make them aware of a non-profit phone app to aid in in-flight emergencies and forward to the AMA for email notification of its membership.(BOT - OCT 2017)

    ISMS supports efforts to increase the level of knowledge among physicians of in-flight medical events, of their professional liability in responding to in-flight medical emergencies (IFMEs), of established airline protocols that guide airline staff in handling IFMEs and of available on-board medications and equipment. (HOD 2014)

    The Illinois State Medical Society encourages air carriers to equip planes with an emergency kit on each flight and that flight crews be instructed in cardiopulmonary resuscitation procedures. (HOD 1982 Interim; Last BOT Review 2012)

    House of Delegates adopted Resolution C312 (A-14) as amended, which directed ISMS to support efforts to increase the level of knowledge among the flying physicians public of which in-flight medical events are most common, of their professional liability in responding to in-flight medical emergencies (IFMEs), of established airline protocols that guide airline staff in handling IFMEs and of available on-board medications and equipment. The resolution also directed ISMS to urge the American Medical Association to partner with the Aerospace Medical Association and with the American College of Emergency Physicians in supporting the development of guidelines that may be used by physicians who assist in IFMEs, and to urge these societies to participate in efforts to educate the flying physician public about IFMEs to help them participate more fully and effectively when an IFME occurs. (HOD 2014)

    ISMS supports efforts to increase the level of knowledge among physicians of in-flight medical events, of their professional liability in responding to in-flight medical emergencies (IFMEs), of established airline protocols that guide airline staff in handling IFMEs and of available on-board medications and equipment. (HOD 2014)


     

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    Nestor A. Ramirez, M.D. I favor this resolution

    I have the app on my cellphone, haven't had to use it yet, but I think it could be very useful in an emergency. 

    Apr 13, 2018 at 11:58 a.m.

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    ... MISSING_EMAIL Resolution


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