Is there a doctor or nurse on board this flight?

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Has anyone else ever been on an airplane when this panicked announcement has been made overhead?

I was on a 2-hour flight last night when this happened to me. I looked around for about 30 seconds and didn't see anyone do anything - there were only about 100 people on board - so I got up and identified myself. Now, I'm a NICU nurse, and I told the flight attendent that right off the bat. She asked if I felt comfortable checking out a passenger that was having chest pains. Now, I don't have my own nursing insurance (matter of preference) but I do believe that the Good Samaritan law protects nurses in this kind of a situation, so I agreed.

He was a slightly overweight businessman who had some serious chicken and egg allergies as a child. He had eaten at a fast-food restaurant in the airport and was eating a nut snack mix (minus peanuts) on the plane. He had sudden chest pain and shortness of breath. I found him to have a strong, even pulse of 80 BPM, resps 20 per minute and shallow, diaphoretic, pale pink, rated his pain as a 6-7, breathing with no audible wheezing upon inhalation or exhalation, denied any heart or GI problems. I told the flight attendent that I didn't know what else to do, but asked if they had an AED on board just in case. She said yes, and oxygen as well. Luckily we never needed that! I suggested that it was possibly indigestion, reflux, an ulcer, or an allergic reaction. She asked me to come up and sit by him (he was in first class) and I did. I sat next to him, checked his pulse a few more times, and talked him through it. After about 20 minutes, he suddenly said, "Wow, I'm suddenly feeling a lot better." and he started breathing deeper and slower. I suggested some ginger ale to settle his stomach and he did drink a bit. By the time we landed, he was talking, chewing gum, up to the bathroom, and seemed much better. The flight attendent asked if he wanted paramedics standing by at the gate and he declined.

His coworker was going to drive him home and promised to make sure his wife knew what happened. I suggested that he go to the ER to get checked out, but he said he didn't think it was necessary. I told him to at the very least call his doctor ASAP and touch base with him, because further examination was warrented. He agreed and said he would do that. After the flight landed, he thanked me for my help and left with his coworker.

Did I do anything I should or shouldn't have?

He did hear my name - I told him my first name and also the flight attendant came by with the manifest to ask my last name "in case they heard anything" and needed to contact me. I don't think I have to worry about legal action - the flight attendants were all there and knew what was going on, and I honestly didn't think we needed an emergency landing or anything like that. I still wished he'd have let paramedics check him out, but he refused when both the flight attendants and I asked.

Specializes in NICU, PICU, educator.

Actually, I believe that the good sam law only applies to lay people.

When it comes to adults, I have to bow out, I only work on you if you are less than 2. My DH is in the medical profession also, and we both tend to stay out of it.

Specializes in NICU, Infection Control.

I think you did great, given that I'd be in the same position you were--NICU nurse, you see my motto below! I don't even like it when the moms "feel faint"!

Specializes in Education, FP, LNC, Forensics, ED, OB.
actually, i believe that the good sam law only applies to lay people.

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the good samaritan law applies to anyone, not just the lay person.

a review of your state's laws will help you determine whether, and to what degree, liability immunity protection exists. for further information on good samaritan laws, see the state aed laws, the national immunity/good samaritan law database, national ems info exchange, naemt online at http://naemt.org/nemsie/immunity.htm

Specializes in Corrections, neurology, dialysis.

Eeek! I'm allergic to aspirin. I think that if a patient is a alert enough to take the med they could probably let you know if they're allergic.

I am also a NICU RN and had a situation similar to this. I hesitated a bit, kind of hoping there was another RN on board. Fortunatly there was. As a NICU nurse I doubt I could have done much. Heck I haven't taken a manual blood pressure in years. Doubt I could do it now.

Specializes in NICU.
Eeek! I'm allergic to aspirin. I think that if a patient is a alert enough to take the med they could probably let you know if they're allergic.

I asked him if he'd had allergy testing done - usually people with severe allergies like poultry and eggs have been tested. He said he hadn't been, and with him also being allergic to penicillin, I wasn't going to take the chance with giving him ANY meds. With this guy having a history of anaphylactic shock, the last thing I wanted to do was to make him worse. He really wasn't doing that bad - had he gone unconscious I would have intervened a lot more. I figured it would be safer to do less and monitor him than to start doing things I didn't feel comfortable with. I had good rationales (I think) for not starting O2, aspirin, or placing the AED on him.

Specializes in NICU.
I am also a NICU RN and had a situation similar to this. I hesitated a bit, kind of hoping there was another RN on board. Fortunatly there was. As a NICU nurse I doubt I could have done much. Heck I haven't taken a manual blood pressure in years. Doubt I could do it now.

I remember enough from my med-surg CNA days to know how to take all manual vital signs and what the normal ranges were for adults. I just didn't even think to ask for a BP cuff or stethescope - I figured they'd have offered me those thigns if they had them on board.

Specializes in NICU.
the good samaritan law applies to anyone, not just the lay person.

a review of your state's laws will help you determine whether, and to what degree, liability immunity protection exists. for further information on good samaritan laws, see the state aed laws, the national immunity/good samaritan law database, national ems info exchange, naemt online at http://naemt.org/nemsie/immunity.htm

thanks for the link. it looks like everything should be fine. i just monitored the guy. i had no reason to intervene with cpr, aed, meds, or o2 according to my assessment of this person. the pilot was aware of the situation. had the man been worse, they would have emergently landed.

Specializes in Education, FP, LNC, Forensics, ED, OB.

i think you did fine, gompers. you acted and reacted and kept your composure. you are a fine servant of the people.

Who were you guys flying on when you got a free ticket, and where is mine?

June of last year I was coming back from Boston to NC and heard the call. I went from sleeping to halfway down the aisle in less than 2 seconds. (jumped 2 passengers in the process) The Peds NP sitting on the aisle in my row said she had never seen anyone move so fast.

A Pediatrician and I responded to an obese male appearing > 60 y.o. with CP and lightheadedness who was "assisted to the floor" at the back of the pain after taking a nitro tab. By the time the MD and I got there he was awake but groggy.

The flight attendant offered to lift his legs, we encouraged him not to and asked for O2, AED and whatever else they had on board.

BP of 80/nothing, pulse was 90 and thready, diaphoretic and chest pain 10/10. We applied the AED and checked a rhythm, no need to shock. I continued assessing while the MD got as much history as he could from the pt and his s/o. He had had a triple bypass about 6 months before.

We asked for and got expedited landing at the nearest airport and medics had him off the plane in less than a minute. (Philly)

Took the time afterwards to explain to the flight attendant that if a pt has heart problems the last thing they need is increased blood volume on the heart.

No need for caffeine after that, adrenaline kept me up for about 3 hours.

I took my flight to S.F. And had a wonderful time. Two years after this happened the air line went out of business. It was Eastern. The paramedic and I satayed in touch. He used his to fly to Seattle..

Grannynurse:balloons:

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

hubby and i were boarding a flight on the east coast to get home to the west coast when some guy in the line behind us slapped him on the back. it turned out to be a cardiologist we both knew from work. what a coincidence!

about halfway into the flight, the flight attendents started galloping up and down the aisles frantically -- enough to make anyone nervous in this day and age! one flight attendendant was sitting on the aisle right in front of us, talking to a strangely dressed man waring what appeared to be a white bedsheet and an orange turban. just about the time my fantasies had turned to hijackings to cuba and terrorists with bombs attempting to blow up kansas or something, someone got on the microphone and asked if there were any doctors aboard.

hubby and i and the cardiologist (whom i'll call norman, because we only call them "doctor" when we're pissed at them) all three slunk as far down in our seats as we could, pretending to be completely involved in whatever we could think of. norman was three rows ahead of us and across the aisle -- turns out the patient was in the row in front of us, having some sort of respiratory issues. as hubby and i were discussing the relative urgency of the situation and whether we could help or not, norman got up and took the flight attendant's place with the man in front of us.

norman sat there with that guy the rest of the flight, asking questions, taking a history, holding the airsick bag while he threw up, being reassuring as hell! when the flight was over with, we were all delayed while an ambulance crew came and took the guy away. norman stood up and announced "you guys owe me!" to my husband and i, who agreed. "we're very grateful you left us alone," we said. "but whatever made you volunteer?"

"i didn't volunteer," he said. it turns out that early in the flight he'd had a casual conversation with his seatmate and mentioned that he'd been attending a medical conference on the east coast. his seatmate volunteered him! "and i knew that if it came to cpr or anything like that, you two were right there!" norman's a good doctor; i trust him and would have followed his orders -- but i'm really glad he didn't out us as nurses until we were home!

ruby

"Has anyone else ever been on an airplane when this panicked announcement has been made overhead? "

Good job! I imagine that man was very happy a nurse was on-board his flight!

Wayne

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