Re: Lufthansa - Doctor on Board perk

[Guest guest]

Interesting, . I've responded twice on cross-country flights. One was a youth w/orthostatic hypotension from traveling all day w/o drinking enough fluids. I got him to lie down and get PO hydrated. They sent me a fruit basket. The other was chest pain in a hyperlipidemic middle-aged Russian-speaking woman. Responded to nitro -- I made them land in Indianapolis so she could be hospitalized. Got a bottle of cheap wine for that. I never considered asking for additional compensation. On one hand, I would have been sitting there the whole flight anyhow. On the other, I think I have primary doc devaluation syndrome; I just assume nothing I do will be adequately compensated, so just another day in paradise. I imagine the airlines assume I'm obligated to speak up when the call goes out, take the case, and be happy with nothing...

Felix, MD

Lufthansa - Doctor on Board perk

Interesting perk that Lufthansa has.

See below.

I'm flying to Italy from Denver on Lufthansa as a school Chaperone - I may sign up -- although this link points out some possible downside...

http://www.flyertalk.com/forum/archive/t-1219269.html

....such as -- are you basically "on call" during the flight? Can you drink alcohol if you are designated as an On Board doc? Among other thoughts that docs had.

Or how about this doc who tried to bill the airline for caring for a couple emergencies.

http://www.canada.com/topics/bodyandhealth/story.html?id=7664d9cb-2e5e-4c2a-9ca4-b347396a6f6f

http://www.flyertalk.com/forum/archive/t-973458.html

Articles about in-flight medical care - frequency, types of emergencies, etc

http://www.naemsp.org/documents/OralAbstract20.pdf

http://transportmedicine.org/sitebuildercontent/sitebuilderfiles/inflightemergenciesandthephysician.pdf

http://www.bmj.com/content/321/7272/1336.short

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1119071/

BMJ. 2000 November 25; 321(7272): 1336–1337.

“Is there a doctor on the aircraft?†Top 10 in-flight medical emergencies

http://jrsm.rsmjournals.com/content/99/12/628.full

In-flight emergencies: playing The Good Samaritan

In a 1991 Federal Aviation Administration study, physician travellers were available in 85% of reported in-flight medical emergencies.20 Indeed, in 1997 one was not available when requested on Virgin Atlantic Airways flights only four times and in 1998 eight times.11 As such, it would seem likely that the airlines' reliance on doctors and the oft heard cry: ‘If there is a doctor on board the aircraft, would they please make themselves known to the cabin crew’ is likely to continue for the foreseeable future, though one can only hope that technological advances such as telemedicine will allow greater assistance from experts on the ground.

http://www.nejm.org/doi/full/10.1056/NEJMra012774

REVIEW ARTICLE

Responding to Medical Events during Commercial Airline Flights

Mark A. Gendreau, M.D., and De, D.O., M.P.H.

N Engl J Med 2002; 346:1067-1073April 4, 2002

http://www.hkcem.com/html/publications/Journal/2003-3/p191-196.pdf

Is there a doctor on-board?: medical liability during in-flight emergencies

F Lateef, CSK Tay, N Nimbkar

Provision of emergency medical care to passengers during flights on commercial aircraft is an issue which

concerns many physicians. As world population ages and air travel increases, the number of medical events

on board aircrafts is also expected to increase. This paper discusses the liability of the physician-passenger

who volunteers and renders care as well as advises the crew, on certain actions. Complex medico-legal

issues will be mentioned and there will be a brief discussion on the in-flight environment and unscheduled

landings. (Hong Kong j.emerg.med. 2003;10:191-196)

Anyone aware of US airlines doing this inducement?

On 2nd thought, I may think twice about signing up.

Locke, MD

====================================

http://www.lufthansa.com/us/en/Doctors-on-board

Doctors on board

Faster reaction to medical emergencies on board - how it works

With Lufthansa you are legally covered

Your registration for the doctors programme

Register now as a 'Doctor on board' and help us if on your flights with Lufthansa medical aid is needed. Simply download the registration form, complete it and send it to us with a copy of your medical qualification.

To thank you for your support we will give you 5,000 award miles for your first Lufthansa flight as a ‘doctor on board’ and a copy of the "Handbook of Aviation Medicine and Inflight Medical Emergencies".

In addition, we offer you many opportunities for further training:

useful information on the Lufthansa fleet's first-aid equipment

Faster reaction to medical emergencies on board - how it works

When you register, your name and your medical field will be stored at Miles & More so that in a medical emergency the flight attendants can locate you quickly and ask for your help. If several doctors are on board at the same time, a medical council of various fields is possible in serious cases. By that we save valuable time and render speedy help.

When you book flights in future simply give your Miles & More card number as usual. We shall then know that we can rely on your medical support on board.

With Lufthansa you are legally covered

Your legal situation as the doctor treating a patient on board is covered. You are covered personally, within the framework of third-party insurance that Deutsche Lufthansa AG has concluded for such cases, against possible claims of recourse by the passenger you have treated. Intent is of course excluded. This disclaimer of liability applies to doctors and skilled lay assistants.

Your registration for the doctors programme

If your are not yet a Miles & More member, please register yourself first. This will enable you to enjoy the many benefits of Europe's biggest frequent flyer programme. You will immediately receive your Miles & More card number, which you can then enter in your registration form.

To Miles & More registration

Subsequently, please register for our doctors programme. Download the form, print and complete it, and send it to us via fax together with a copy of your medical qualification.

Registration for the doctors programme (PDF, 1.252 KB)

If you do have any questions regarding our programme or the registration please contact us also via phone:

+49 - 18 05 - 35 93 62 equivalent to 0180 5 FLYDOC (Mo-Sa from 07:00 a.m. to 10:00 p.m.; 0,14 €/min.)

[Guest guest]

I  responded to  syncopal 12 yr old...There was a dentist in first class who got there first and  decidedhe was hypoglycemic for no clear rreasonI didn;t get nuthin:)Jean

Interesting, . I've responded twice on cross-country flights. One was a youth w/orthostatic hypotension from traveling all day w/o drinking enough fluids. I got him to lie down and get PO hydrated. They sent me a fruit basket. The other was chest pain in a hyperlipidemic middle-aged Russian-speaking woman. Responded to nitro -- I made them land in Indianapolis so she could be hospitalized. Got a bottle of cheap wine for that. I never considered asking for additional compensation. On one hand, I would have been sitting there the whole flight anyhow. On the other, I think I have primary doc devaluation syndrome; I just assume nothing I do will be adequately compensated, so just another day in paradise. I imagine the airlines assume I'm obligated to speak up when the call goes out, take the case, and be happy with nothing...

Felix, MD

Lufthansa - Doctor on Board perk

 

Interesting perk that Lufthansa has.

See below.

I'm flying to Italy from Denver on Lufthansa as a school Chaperone - I may sign up -- although this link points out some possible downside...

     http://www.flyertalk.com/forum/archive/t-1219269.html

....such as -- are you basically " on call " during the flight? Can you drink alcohol if you are designated as an On Board doc? Among other thoughts that docs had.

Or how about this doc who tried to bill the airline for caring for a couple emergencies.

http://www.canada.com/topics/bodyandhealth/story.html?id=7664d9cb-2e5e-4c2a-9ca4-b347396a6f6f

http://www.flyertalk.com/forum/archive/t-973458.html

Articles about in-flight medical care - frequency, types of emergencies, etc

http://www.naemsp.org/documents/OralAbstract20.pdf

http://transportmedicine.org/sitebuildercontent/sitebuilderfiles/inflightemergenciesandthephysician.pdf

http://www.bmj.com/content/321/7272/1336.short

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1119071/

BMJ. 2000 November 25; 321(7272): 1336–1337.

“Is there a doctor on the aircraft?” Top 10 in-flight medical emergencies

http://jrsm.rsmjournals.com/content/99/12/628.full

In-flight emergencies: playing The Good Samaritan

In a 1991 Federal Aviation Administration study, physician travellers were available in 85% of reported in-flight medical emergencies.20 Indeed, in 1997 one was not available when requested on Virgin Atlantic Airways flights only four times and in 1998 eight times.11 As such, it would seem likely that the airlines' reliance on doctors and the oft heard cry: ‘If there is a doctor on board the aircraft, would they please make themselves known to the cabin crew’ is likely to continue for the foreseeable future, though one can only hope that technological advances such as telemedicine will allow greater assistance from experts on the ground.

http://www.nejm.org/doi/full/10.1056/NEJMra012774

REVIEW ARTICLE

Responding to Medical Events during Commercial Airline Flights

Mark A. Gendreau, M.D., and De, D.O., M.P.H.

N Engl J Med 2002; 346:1067-1073April 4, 2002

http://www.hkcem.com/html/publications/Journal/2003-3/p191-196.pdf

Is there a doctor on-board?: medical liability during in-flight emergencies

F Lateef, CSK Tay, N Nimbkar

Provision of emergency medical care to passengers during flights on commercial aircraft is an issue which

concerns many physicians. As world population ages and air travel increases, the number of medical events

on board aircrafts is also expected to increase. This paper discusses the liability of the physician-passenger

who volunteers and renders care as well as advises the crew, on certain actions. Complex medico-legal

issues will be mentioned and there will be a brief discussion on the in-flight environment and unscheduled

landings. (Hong Kong j.emerg.med. 2003;10:191-196)

Anyone aware of US airlines doing this inducement?

On 2nd thought, I may think twice about signing up.

Locke, MD

====================================

http://www.lufthansa.com/us/en/Doctors-on-board

Doctors on board

Faster reaction to medical emergencies on board - how it works

With Lufthansa you are legally covered

Your registration for the doctors programme

Register now as a 'Doctor on board' and help us if on your flights with Lufthansa medical aid is needed. Simply download the registration form, complete it and send it to us with a copy of your medical qualification.

To thank you for your support we will give you 5,000 award miles for your first Lufthansa flight as a ‘doctor on board’ and a copy of the " Handbook of Aviation Medicine and Inflight Medical Emergencies " . 

In addition, we offer you many opportunities for further training:

useful information on the Lufthansa fleet's first-aid equipment

Faster reaction to medical emergencies on board - how it works

When you register, your name and your medical field will be stored at Miles & More so that in a medical emergency the flight attendants can locate you quickly and ask for your help. If several doctors are on board at the same time, a medical council of various fields is possible in serious cases. By that we save valuable time and render speedy help.

When you book flights in future simply give your Miles & More card number as usual. We shall then know that we can rely on your medical support on board.

With Lufthansa you are legally covered

Your legal situation as the doctor treating a patient on board is covered. You are covered personally, within the framework of third-party insurance that Deutsche Lufthansa AG has concluded for such cases, against possible claims of recourse by the passenger you have treated. Intent is of course excluded. This disclaimer of liability applies to doctors and skilled lay assistants.

Your registration for the doctors programme

If your are not yet a Miles & More member, please register yourself first. This will enable you to enjoy the many benefits of Europe's biggest frequent flyer programme. You will immediately receive your Miles & More card number, which you can then enter in your registration form. 

To Miles & More registration

Subsequently, please register for our doctors programme. Download the form, print and complete it, and send it to us via fax together with a copy of your medical qualification.

Registration for the doctors programme (PDF, 1.252 KB)

If you do have any questions regarding our programme or the registration please contact us also via phone:

+49 - 18 05 - 35 93 62 equivalent to 0180 5 FLYDOC (Mo-Sa from 07:00 a.m. to 10:00 p.m.; 0,14 €/min.)

--      MD          ph    fax

[Guest guest]

I had two in the last year: Southwest Denver-Chicago syncope, and Turkish Air

Bahrain-Kuwait (dont ask) with Chest Pain. I got nothing from either. On Turkish

Air they had a nice emergency med kit, but they would only let me see and not

touch the contents, because I couldn't show them my " doctor card. " Luckily the

CP was a low risk pt, but if he looked higher risk, I would have liked to

administer some nitro.

Since then I keep my little wallet size license on me, even on vacations...

P.J.

>

> > Interesting, . I've responded twice on cross-country flights. One

> > was a youth w/orthostatic hypotension from traveling all day w/o drinking

> > enough fluids. I got him to lie down and get PO hydrated. They sent me a

> > fruit basket. The other was chest pain in a hyperlipidemic middle-aged

> > Russian-speaking woman. Responded to nitro -- I made them land in

> > Indianapolis so she could be hospitalized. Got a bottle of cheap wine for

> > that. I never considered asking for additional compensation. On one hand, I

> > would have been sitting there the whole flight anyhow. On the other, I

> > think I have primary doc devaluation syndrome; I just assume nothing I do

> > will be adequately compensated, so just another day in paradise. I imagine

> > the airlines assume I'm obligated to speak up when the call goes out, take

> > the case, and be happy with nothing...

> >

> > Felix, MD

> >

> >

> > Lufthansa - Doctor on Board perk

> >

> >

> > Interesting perk that Lufthansa has.

> > See below.

> > I'm flying to Italy from Denver on Lufthansa as a school Chaperone - I may

> > sign up -- although this link points out some possible downside...

> > http://www.flyertalk.com/forum/archive/t-1219269.html

> > ...such as -- are you basically " on call " during the flight? Can you drink

> > alcohol if you are designated as an On Board doc? Among other thoughts that

> > docs had.

> >

> > Or how about this doc who tried to bill the airline for caring for a

> > couple emergencies.

> >

> >

> >

http://www.canada.com/topics/bodyandhealth/story.html?id=7664d9cb-2e5e-4c2a-9ca4\

-b347396a6f6f

> >

> > http://www.flyertalk.com/forum/archive/t-973458.html

> >

> > Articles about in-flight medical care - frequency, types of emergencies,

> > etc

> >

> > http://www.naemsp.org/documents/OralAbstract20.pdf

> >

> >

> >

http://transportmedicine.org/sitebuildercontent/sitebuilderfiles/inflightemergen\

ciesandthephysician.pdf

> >

> > http://www.bmj.com/content/321/7272/1336.short

> > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1119071/

> > BMJ. 2000 November 25; 321(7272): 1336–1337.

> >

> > " Is there a doctor on the aircraft? " Top 10 in-flight medical

> > emergencies

> >

> >

> > [image: Inline image 1]

> >

> > http://jrsm.rsmjournals.com/content/99/12/628.full

> > In-flight emergencies: playing The Good Samaritan

> >

> > In a 1991 Federal Aviation Administration study, physician travellers

> > were available in 85% of reported in-flight medical

emergencies.20<http://jrsm.rsmjournals.com/content/99/12/628.full#ref-20>

Indeed,

> > in 1997 one was not available when requested on Virgin Atlantic Airways

> > flights only four times and in 1998 eight

times.11<http://jrsm.rsmjournals.com/content/99/12/628.full#ref-11> As

> > such, it would seem likely that the airlines' reliance on doctors and the

> > oft heard cry: `If there is a doctor on board the aircraft, would they

> > please make themselves known to the cabin crew' is likely to continue for

> > the foreseeable future, though one can only hope that technological

> > advances such as telemedicine will allow greater assistance from experts

on

> > the ground.

> >

> >

> >

> >

> > http://www.nejm.org/doi/full/10.1056/NEJMra012774

> > REVIEW ARTICLE

> > Responding to Medical Events during Commercial Airline Flights

> > Mark A. Gendreau, M.D., and De, D.O., M.P.H.

> > N Engl J Med 2002; 346:1067-1073April 4,

2002<http://www.nejm.org/toc/nejm/346/14/>

> >

> > http://www.hkcem.com/html/publications/Journal/2003-3/p191-196.pdf

> > Is there a doctor on-board?: medical liability during in-flight

> > emergencies

> > F Lateef, CSK Tay, N Nimbkar

> > Provision of emergency medical care to passengers during flights on

> > commercial aircraft is an issue which

> > concerns many physicians. As world population ages and air travel

> > increases, the number of medical events

> > on board aircrafts is also expected to increase. This paper discusses

> > the liability of the physician-passenger

> > who volunteers and renders care as well as advises the crew, on certain

> > actions. Complex medico-legal

> > issues will be mentioned and there will be a brief discussion on the

> > in-flight environment and unscheduled

> > landings. (Hong Kong j.emerg.med. 2003;10:191-196)

> >

> > Anyone aware of US airlines doing this inducement?

> >

> > On 2nd thought, I may think twice about signing up.

> >

> > Locke, MD

> > ====================================

> >

> >

> >

> > http://www.lufthansa.com/us/en/Doctors-on-board

> >

> > Doctors on board

> >

> > - Faster reaction to medical emergencies on board - how it

works<http://www.lufthansa.com/us/en/Doctors-on-board#ancAbT1>

> > - With Lufthansa you are legally

covered<http://www.lufthansa.com/us/en/Doctors-on-board#ancAbT2>

> > - Your registration for the doctors

programme<http://www.lufthansa.com/us/en/Doctors-on-board#ancAbT3>

> >

> > Register now as a 'Doctor on board' and help us if on your flights

> > with Lufthansa medical aid is needed. Simply download the registration

> > form, complete it and send it to us with a copy of your medical

> > qualification.

> >

> > To thank you for your support we will give you 5,000 award miles for your

> > first Lufthansa flight as a `doctor on board' and a copy of the " Handbook

> > of Aviation Medicine and Inflight Medical

Emergencies<http://www.amazon.co.uk/gp/product/3941468057/ref=pd_lpo_k2_dp_sr_2?\

pf_rd_p=103612307 & pf_rd_s=lpo-top-stripe & pf_rd_t=201 & pf_rd_i=0340813199 & pf_rd_m=\

A3P5ROKL5A1OLE & pf_rd_r=1M1V4AE99JF07BXXZMZT#_>

> > " .

> > [image: Handbook of Aviation Medicine: and In-Flight Medical Emergencies]

> > In addition, we offer you many opportunities for further training:

> >

> > - useful information on the Lufthansa fleet's first-aid equipment

> >

> > <http://www.lufthansa.com/us/en/Doctors-on-board#top>

> > Faster reaction to medical emergencies on board - how it works

> > When you register, your name and your medical field will be stored at

> > Miles & More so that in a medical emergency the flight attendants can

> > locate you quickly and ask for your help. If several doctors are on board

> > at the same time, a medical council of various fields is possible in

> > serious cases. By that we save valuable time and render speedy help.

> >

> > When you book flights in future simply give your Miles & More card number

> > as usual. We shall then know that we can rely on your medical support on

> > board.

> > <http://www.lufthansa.com/us/en/Doctors-on-board#top>

> > With Lufthansa you are legally covered

> > Your legal situation as the doctor treating a patient on board is covered.

> > You are covered personally, within the framework of third-party insurance

> > that Deutsche Lufthansa AG has concluded for such cases, against possible

> > claims of recourse by the passenger you have treated. Intent is of course

> > excluded. This disclaimer of liability applies to doctors and skilled lay

> > assistants.

> > <http://www.lufthansa.com/us/en/Doctors-on-board#top>

> > Your registration for the doctors programme

> > If your are not yet a Miles & More member, please register yourself first.

> > This will enable you to enjoy the many benefits of Europe's biggest

> > frequent flyer programme. You will immediately receive your Miles & More

> > card number, which you can then enter in your registration form.

> >

> > To Miles & More

registration<http://www.lufthansa.com/de/en/New-Registration>

> >

> > Subsequently, please register for our doctors programme. Download the

> > form, print and complete it, and send it to us via fax together with a copy

> > of your medical qualification.

> >

> > Registration for the doctors programme (PDF, 1.252

KB)<http://www.lufthansa.com/mediapool/pdf/60/media_425760.pdf>

> >

> > If you do have any questions regarding our programme or the registration

> > please contact us also via phone:

> > +49 - 18 05 - 35 93 62 equivalent to 0180 5 FLYDOC (Mo-Sa from 07:00 a.m.

> > to 10:00 p.m.; 0,14 €/min.)

> >

>

>

>

> --

>

>

>

> MD

>

>

> ph fax

>

>

[Guest guest]

Since we are swapping stories -- I've only had to respond once - in the 1990's while flying back from Germany to US.Italian lady was having panic attack and had liquid benzo of some type to take.

I was sorting this out and telling her to take another dose from her meds..The only thanks I got was an irritated flight attendant telling the anxious lady and I to hurry and take our seats - not really caring what was going on with the patient on her plane.

Patient was appreciative at least. Locke

[Guest guest]

I responded once on JAL Vancouver to Tokyo. Middle aged guy w cp diaphorwtic poor pulses. I gave o2 and nitro. captain came to ask me if we should land. It was another 6 hrs to Tokyo Had to land in anchorage. FBI game on board. Paramedics did EKG. He was having acute MI. So glad we landed. JAL gave me a first class suite w a bed great food they were so grateful. Had a limo waiting for me to take me where ever as our flight was delayed several hrs. They also mailed me a JAL clock. I didn't expect anything but it was nice to sleep comfortably. Sent from my iPhoneclose

Since we are swapping stories -- I've only had to respond once - in the 1990's while flying back from Germany to US.Italian lady was having panic attack and had liquid benzo of some type to take.

I was sorting this out and telling her to take another dose from her meds..The only thanks I got was an irritated flight attendant telling the anxious lady and I to hurry and take our seats - not really caring what was going on with the patient on her plane.

Patient was appreciative at least. Locke