What is the problem you realized as a result of doctor's dealing actually with "Do you have a doctor?"

ByRosmarie Voegtli

If a sudden sick person occurs on an aircraft flying over the sky and a case where a doctor needs to respond is a case of Japan Airlines200 cases per yearIt is occurring as much. In such a case, a doctor call called "Do you have a doctor in the customer?" Will be done, but in reality it is concerned that unexpected troubles may occur during treatment and after treatment , It is pointed out that there are cases that hesitate to respond.

Yes, There IS a Doctor on The Plane. What I Learned at 30,000 Feet. - FemInEM
https://feminem.org/2016/09/01/doctor-on-plane/

Beginning in 2016, Japan Airlines and Japan Aerospace, which are the two major airlines in Japan, have started a system to register doctors in advance as doctors when they board an airplane. This is a mechanism to register by using the account of each company's Mileage Club, and by grasping which seat the registrant is sitting at the time of boarding, when a situation requiring measures occurs The aim is to make it possible to respond promptly, and to suppress unnecessary disturbance given to other passengers by flowing announcement like "Do you have a doctor in the customer? there is.

JAL Mileage Bank - JAL DOCTOR Registration System
https://www.jal.co.jp/jmb/doctor/

Start a doctor registration system "ANA Doctor on board" | Press Release | ANA Group Company Information
https://www.ana.co.jp/group/pr/201605/20160526.html

By grasping the existence of a doctor in advance, it is expected that the response of the cabin crew will be smooth, and in the case of passengers other than the doctor it will be expected to receive a good deal of responses in case of emergency Although there seems to be merit, in fact, there are circumstances that are not straightforward, such as litigation troubles over the responsibility after the measure.

This situation is not limited to Japan, and similar things are happening all over the world. Dr. Janel Evans encountered was an unexpected resistance due to the misunderstanding of the cabin crew, not the passenger.

Evans' doctor was on a long flight of 17 hours, an incident occurred in the plane about 8 hours after departure. Dr. Evans sitting on an emergency exit seat next to the emergency exit, but a passenger's man fell into syncope near the seat. The man is bleeding from his / her face, and he seems to have fallen into a situation where control of bowel movement does not remain after that.

ByCaribb

According to the man's wife, the man suffers from diabetes and is having symptoms of anemia from ulcerative bleeding. The situation is that men have undergone bleeding in the cabin and a large amount of bloody stool has spread to the floor of an emergency exit seat which is close to the toilet. Evans doctors who witnessed the situation went to call a flight attendant to seek help.

Eventually the cabin crew 's chief arrived, Evans doctors and others carried men into the toilet. The man's complexion was blue, the pulse was weak and it was difficult to measure blood pressure. Here, Dr. Evans and an emergency life-saving doctor who sat on the same flight asked the cabin crew to bring an emergency medical kit, but provided that a card certifying that he is a doctor is not presented He seems to have been refused.

It seems that the reaction of the cabin crew was in accordance with the rules because there is a prescribed rule for the provision of the medical kit, but it is obvious that Dr. Evans is in an emergency situation and has treatment ability It is claimed to be. As a result, among the 4 doctors aboard the same flight, Evans physician bringing a card for a portable doctor brought a card issued cards permitted the use of the medical kit .

It is said that the cabin crew here instructed the rescuer to return to his / her seat. The reason was that she did not bring a doctor's card, but this doctor refuses the instructions and continues the procedure. Male pulse was very weak and Evans physician and life-saving doctor suspected myocardial infarction due to gastrointestinal bleeding and diabetes, trying to lay the man in a sideways passage connecting the two aisles in the cabin, where the flight attendants He said he received strong resistance. That was the reason that other passengers would be inconvenienced, but already there is unnaturalness in the allegation in the situation where men's bloody buds had spread. Above all, hard resistance when a heavy patient needs treatment is an act of risking passenger's life.

ByJeff Boyd

Evans doctors and others ignored resistance and did the necessary treatment. The cabin crew asked for the lighting necessary for the treatment of drip and AED, but it will be refused on the grounds that it will be troublesome again. By the way, Evans physician inserted drip with reliance on the LED light of the mobile phone that my friend shined. After that, it seems that the dentist who was getting on the same flight adjusted the pressure of the drip.

Automatic diagnosis of AED revealed that the heart is doing normal pulsation. Dr. Evans confirmed the medical kit for future treatment and aspirin and nitroglycerin which the FAA (American Federal Aviation Administration) decided to be mounted on an airplane of more than 35 passengers, and the mask necessary for treatment , Fixtures for removing body fluids, tools for securing airways, and so on. It seems that only a small bottle containing epinephrine (adrenaline) and 50% dextrose solution was mounted slightly.

After that, we came to confirm that the pilot needs divert (destination change). The man's symptoms seem to be settled to a certain extent, but while Evans physicians and others correspond to the pilot, the cabin crew attempted to return the medical kit to its original storage location. Evans doctors and others decided to confront the cabin crew in order to regain the kit, but although the symptoms calmed down, despite the situation where it is obvious to everyone's eyes to prepare for a sudden change in the condition After all, the cabin attendant was very angry with Evans doctors and so on.

ByJürgen Stemper

After that, the state of men entered a state of lull, and Dr. Evans came to the conclusion that as a result of discussions with the ground controllers, divert is not necessary. Nonetheless, he seems to have continued the vital check every 20 minutes until landing so that men can respond to changes in their conditions.

After this one, Dr. Evans summarized what he learned about the situation as follows and as an article that he wants Delta Airlines wanting to share with passenger's life, which could endanger the lives of passengers by action of the cabin crew We are publishing.

· Most of the cabin crewmen were equipped with knowledge of responding to emergency situations on long flight flights. They responded to the necessary assistance and brought some coffee regularly so that I could continue to care after the incident. However, a crew member did not participate in this, in short, took actions that endanger the life of this man. This person is also the head of a cabin crew. After this incident I came to the conclusion that I got FAA guidelines and talked with the pilot of Delta Airlines, so that she should not have such power.

· When a cabin attendant refuses support and feels a doubt, seek to talk with the pilot as a healthcare professional.

· Despite the flight of more than 16 hours, the inventory of the installed medical kit was less than 50%. In light of the provisions of the Aviation Law, it is clear that this is insufficient as a provision for long-distance flights. I warned Delta Airlines that it was in violation of FAA's regulations, but because there was no reaction, I contacted the FAA Hotline directly. Furthermore, I decided to personally buy a pulse oximeter to measure oxygen concentration in the blood, a medical kit of pouch size, and I bought LED lights and bring it for the next flight after the next time.

· The rule stipulates that only pilots can decide whether or not an airplane can be diverted. But on this flight it was unclear who the decision right was.

· Even if you take medical treatment, do not expect to receive appreciation from the airline. They knew everything about what happened and how I responded, but there was no response. The issue of this time was how to manage the risk, but the airline was going on how to keep the flight on schedule.

Dr. Evans was doing summary of the accident like this. Responding to sudden illnesses during flight is actually a deep problem, and there is a risk that a family member who has doubts about the treatment content of the doctor who treated as described above suffered a lawsuit. Why doctors are unlikely to raise hands on doctor on flight, the reasons are also summarized in the following article.

Why doctors not to raise hands "Do you have a doctor in the plane?" Doctor's real sound (Yujiro Nakayama) - Individual - Yahoo! News
http://bylines.news.yahoo.co.jp/nakayamayujiro/20160804-00060527/

It is difficult to grasp the state of breathing in the stethoscope because the inside of the flight flying over the sky is largely short of medical equipment and noise such as engine sound is so great that it can be judged in the aircraft sky Some doctors say that "This patient's life is dangerous or dangerous" level. Even if a physician who has a feeling of saving lives with good intentions is to suffer a medical practice suddenly in an environment where medical treatment can not be done normally and in the event that it is misdiagnosed as a result, It may be necessary to say that it is hard to hold hands in the rescue of a sudden sick person. Moreover, doctors say they should not refuse their request when asked for helpResponsibility obligationThere is a very harsh premise that it is imposed, and in some cases, "the dignity as a doctor" is questioned.

Under such circumstances, the way of thinking "good Samaritan's law" to make doctors able to complete their responsibilities without being disturbed by the existence of risk is adopted in Europe and the United States. This means that if you do good-faith actions free of charge in order to save people who have suffered a suffering or suffered from illness, if you do something that is reasonable and honest with that person, even if you fail, There is an aim to prevent the doctor from hesitating to respond to fear of risks such as lawsuits and losing the life that should be saved.

Good Samaritan's law - Wikipedia

It is said that at the time of article creation, consideration is being promoted in Japan to incorporate this way of thinking. It may be said that the doctor registration system listed at the beginning is a first step towards solving these problems. It seems to be important to create an environment in which good intention is exercised with confidence as a good intention.