AIR HEALTHCARE

Montserrat Megías Peralta (Emergency Operating Room Nurse)

Torrecárdenas University Hospital (Almería)

Antonio Galera García (Emergency Room Nurse)

Poniente University Hospital (Almería)

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<
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LUFTHANSA TORRECÁRDENAS PONIENTE

Airline University Hospital University Hospital
 2
1

3
4 5 6
Top Cover Main Cover
Business Class Exit (emergency) Team seat

Premium Economy Kitchen on board Stairs

Bathrooms

Luggage stowage
Business Class Extra legroom seats Exit (emergency) Team seat

Premium Economy Kitchen on board Stairs

Priority seating area
Economy Class Bathrooms
Seats for cribs/
Family with children Luggage stowage
Economy Class Exit (emergency) Team seat
Seats for cribs/
Extra legroom seats Kitchen on board Family with children
Priority seating area Bathrooms

Luggage stowage
VANCOUVER
Vanc
ou
(YVR ver Frankfurt
)
(FRA)

1 Scale

Malaga
(AGP)
 Alaska
14-15 Mayo 2023
Skagway
Haines
Juneau
Sitka

Vanc
ouver

7-14 Mayo 2023

4-7 Mayo 2023

FRANKFURT
Vanc
ou
(YVR ver
) Frankfurt
(FRA)
 C
BOARDING PASS BOARDING PASS R BOARDING PASS BOARDING PASS
●FLIGHT ●FLIGHT O
●FLIGHT ●FLIGHT
B744 B744 S
B744 B744
S
●GATE ●GATE E ●GATE ●GATE
D8 D8 D D8 D8
●SEAT ●SEAT ●SEAT ●SEAT
38K 38J L 41B 41A
I
F
E
S
Vanc
ou
(YVR ver
)

16:25 2 Hours 18:30

Economy Class Exit (emergency) Team seat
Seats for cribs/
Extra legroom seats Kitchen on board Family with children
Priority seating area Bathrooms

Luggage stowage
< Location / Medical equipment available
< Action area delimitation
< Redefinition of spaces
<
< Proximity to evacuation area
< Access restrictions
< Role attribution
< Collaboration and coordination
 Emergency Exit

Location
< / Medical equipment available Oxygen therapy equipment
Area
<
Action area delimitation à Area 42 Automatic external defibrillator (DEA)
<
Redefinition of spaces CardioPad Pro à 12-lead portable EKG machine
<
Healthcare

Proximity to evacuation area Wrist blood pressure monitor

Area

<
Access
< restrictions Pulse oximeter
< attribution Life support emergency backpack
Drug
Role
< Sharps container
Area
Collaboration and coordination

Emergency Exit
160
90
 Podromal Symptoms
ü Dyspnea sensation
ü Nausea
ü Severe epigastric pain
ü General discomfort
ü Anxiety
Signs of Coronary Thrombosis
Heart attack code activation
1. Chest pain
2. Dyspnea sensation
3. EKG ST-segment elevation
PERFORMANCE ALGORITHM
Face mask oxygen (3 lpm)
Evaluation using ABCDE approach
SpO2 = 92 % Incorporated supine position
§ Give O2 if SpO2 < 94% and obtain venous access
95-98%
§ EKG monitoring (DEA), blood pressure (BP) and
register 12-lead EKG 4 mg IV ondansetron
Venous catheter (in bolus) + 40 mg IV
§ Identify and treat possible causes + Long flight pantoprazole in 50
num. 16 ml PS + 10 mg IV
diazepam in 50 ml PS
ü No known allergies
ü No medical or surgical history Thyrotropin-Releasing Hormone (TRH) Treatment
ü No pharmacological treatment
ü Verbal consent
What is the possible cause? Menopause
Two sublingual nitroglycerin sprays Analgesia Fibrinolysis
At 5 minutes
Does the pain persist and is the BP > 140/80? 100 mg Tramadol in 100 PS Aspirin 500 mg orally
BP = 160 /90 Yes No Heart rate change à Tachycardia
Administer 3rd and last spray No more doses
300 mg Amiodarone in 50 PS
Patient with precordial pain < 12 Hours from
PERFORMANCE ALGORITHM
onset of symptoms

EKG, evaluation, confirmation of

¿Environment?
acute myocardial infarction with
ST-segment elevation ¿Qualified medical team?
¿Resource availability?
¿Clinical course?

Hospital proximity with facility for percutaneous

coronary intervention (PCI)
Fibrinolytic Therapy

Is it available?
Successful?
Yes No Uncertain?
Yes No

PCI < 90 min No available > 90 PCI (3-24 hours) PCI as quickly as possible
min
 Iceland
(KEF)

46 Km
20 minutes

Vanc
ou
(YVR ver
)

l
i o na
t m
r ven Roo
e y
Int iolog
rd
Ca

Coronary stent implanted

in 20 minutes

9 days in hospital + 4 days out of hospital

 Keflavik Airport
Iceland
(KEF)

1S
cal
e

Frankfurt Airport

Frankfurt
(FRA)

2 Scale

Malaga Airport

Malaga
(AGP)
 LUFTHANSA AIRLINES

ER
VANCOUV
RT
t M e g ías Peralta FRANKFU
rra
Montse Flight
Date
Gate
B744
ER 15/5/23
VANCOUV
D8

RT 8KVER
FRANKFU Flight 16:25 VANC3OU
Date rcía
Gate
Anton io
/
Galera7G
5/23 B
44a FRANKFURT
D8 15
Date Flight
Gate
VANCOUVER D8 15/5/23 B744

FRANKFURT
Date Flight 16:25 38J
Gate
CONCLUSIONS D8 15/5/23 B744

Aircraft with excellent
medical equipment
Extraordinarily professional
cabin crew, led by Karin
Reimers
Responsible and assisting
aircraft commanders
First aid and medication administered during the
flight à Hemodynamic stability
Explaining in French what was happening was
helpful: safety, confidence and comfort
But it was absolutely necessary for Denise to receive
hospital care
Denise and Daniel, exemplary
Fast and effective medical
people: courage, willpower, patience,
transfer
prudence, humility, collaboration and
empathetic attitude Receiving hospital with high-
level care (The National
University Hospital of Iceland)
Proximity of the French
embassy (500 metres)
Icelandic aid, hospitality and
solidarity
Flight back to Marseille via
Frankfurt with a nurse
 AIR HEALTHCARE
Montserrat Megías Peralta (Emergency Operating Room Nurse)
Torrecárdenas University Hospital (Almería)

Antonio Galera García (Emergency Room Nurse)

Poniente University Hospital (Almería)

<
<
<

LUFTHANSA TORRECÁRDENAS PONIENTE

Airline University Hospital University Hospital