Department of Trauma Surgery, Johann Wolfgang Goethe University, Frankfurt/Main, Germany.
J Telemed Telecare. 2009;15(8):409-13. doi: 10.1258/jtt.2009.090501.
We have conducted a three-year prospective study of medical incidents on a commercial airline. A telemedicine service was available via an on-board satellite phone. During the study period there were 3364 medical incidents. The most common incident was collapse (n = 2310, 57%). Telemedicine was used in 323 of the cases (9%). Neurological patients, mostly stroke and seizures, excluding psychiatric diseases, were seen in 27% of the telemedicine cases (n = 83). Most of the cases involved middle-aged people, not the elderly. The group of patients that needed diversion (n = 27) was compared to the cases staying on board (n = 275). None of the patients in the non-diversion group deteriorated. All unstable patients forced a diversion. Doctors on board used the service in more severe cases, whereas laymen used the service in less severe cases. The results of the present study demonstrate the advantage of using simple teleconsultation in cases of medical emergency on board an aircraft.
我们对商业航班上的医疗事件进行了为期三年的前瞻性研究。通过机上卫星电话提供远程医疗服务。在研究期间，共发生 3364 起医疗事件。最常见的事件是晕倒（n = 2310，57%）。有 323 例（9%）使用了远程医疗。在 83 例远程医疗病例中，有 27%（n = 83）是神经科患者，主要是中风和癫痫，不包括精神疾病。大多数患者是中年人，而非老年人。需要改道的患者组（n = 27）与留在机上的患者组（n = 275）进行了比较。非改道组的患者没有恶化。所有不稳定的患者都需要改道。机上的医生在更严重的情况下使用该服务，而非医务人员在较不严重的情况下使用该服务。本研究结果表明，在飞机上发生医疗紧急情况时，使用简单的远程咨询具有优势。
