Pierson Kathleen, Power Yuri, Marcus Adeyinka, Dahlberg Angela
Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada.
Aviat Space Environ Med. 2007 Apr;78(4):361-7.
The history and etiology of airline passenger misconduct are discussed and relevant medico-legal and management implications reviewed.
The medical literature was reviewed and supplemented with internet searches for relevant information. Organizations including the Federal Aviation Administration, International Air Transport Association, Transportation Safety Board of Canada, and the Canadian Transportation Agency were contacted for unpublished information. Three cases of in-flight psychiatric emergencies in which two of the authors were involved are presented along with a review of relevant literature pertaining to the etiology and medical management of passenger misconduct. Recommendations for the in-flight management of disruptive passengers are discussed.
Incidents of in-flight passenger misconduct represent a serious threat to passenger safety. The three cases presented highlight the difficulties involved in managing incidents of passenger misconduct in the context of limited resources and treatment options aboard aircraft. Ambiguity remains in regard to the responding physician's medico-legal obligations (and liabilities) during the management of an unruly passenger. However, liability risks appear minimal at this time.
Awareness of the causes of passenger misconduct is required to adequately prevent, identify, and treat in-flight cases of passenger misconduct. Although most physicians will not be obligated to respond, liability issues do not appear to be a major factor preventing the offer of medical assistance.
探讨航空旅客不当行为的历史及病因，并审视相关的法医学和管理问题。
查阅医学文献，并通过互联网搜索补充相关信息。联系了包括美国联邦航空管理局、国际航空运输协会、加拿大运输安全委员会和加拿大运输局在内的组织，获取未公开信息。介绍了两位作者参与的三起飞行中精神紧急情况案例，并回顾了有关旅客不当行为病因及医疗管理的相关文献。讨论了应对机上扰乱秩序乘客的建议。
飞行中旅客不当行为事件对乘客安全构成严重威胁。所介绍的三个案例凸显了在飞机上资源和治疗选择有限的情况下，处理旅客不当行为事件所涉及的困难。在处理不守规矩的乘客时，应对医生的法医学义务（和责任）仍不明确。然而，目前责任风险似乎极小。
需要了解旅客不当行为的原因，以便充分预防、识别和处理飞行中的旅客不当行为案例。虽然大多数医生没有义务做出回应，但责任问题似乎并非妨碍提供医疗援助的主要因素。
