15. Glucose To The Rescue
Didn't happen to me but happened to my dad (internal medicine doctor) on his flight to Alaska.
They did the whole "is there any medical professionals on board" thing and my dad just sat there for a minute hoping that another person would get up and help (pops doesn't like a bunch of attention geared towards him). They did the announcement again and still nobody, so pops got up and went to the back where the guy was almost passed out on the floor.
Apparently the guy recently had back surgery, had taken some pain medicine but forgot to eat, which I guess caused his blood sugar to drop. Pops did his doctoring thing which pretty much consisted of him telling the flight attendants to get the person as much orange juice as he wanted. Once the guy felt better the flight attendants started offering my dad steaks and free drinks. He said no to all the fancy stuff and opted for a soda.
My uncle, who he went to visit, is a pilot and he told my dad that if he didn't help, they would have had to reroute the plane to the nearest airport, get all the passengers new tickets to their destination which would have cost the airline tons of money.
A few weeks after the incident, pops got a packet in the mail from the airline for 2 free round trip tickets anywhere in the US.
He's a good man.
14. You Did A Placement
13. What Are We Supposed To Do?
12. Eye Spy
10. Is Anyone Not A Doctor?
9. Nurses Know How To Turn It On
8. How To Save A Life
I am a young doctor, recently graduated. I fly frequently and last week I faced a very scary situation that I would like to share here. My actions helped save a life, I think.
The plane had started moving on the runaway and we were just about to take off, when a kid started screaming 3 rows behind me. I assumed he was cranky about flying until suddenly I noticed the flight crew rushing past. A stewardess grabbed the child and started shouting, "Is there a doctor on this flight?" I stood up reflexively without even thinking (part of me was screaming this was a very bad idea) and she immediately dumped the kid in my lap.
He was about 1 year old. I don't have much experience with such an young age. He was actively seizing. Grand mal. Frothing secretions from his mouth. Chest not rising. My mind went perfectly blank for a couple of seconds. This was bad, very bad. In the background I could hear the mother screaming her head off about her baby dying.
Training kicked in fast. A crowd was rapidly building up, someone slapping him, someone else trying to open his mouth. I shouted at everyone to back off and told the air hostess to bring the medical kit and oxygen ASAP. We created a empty space for him and I put him in recovery position, removing any big objects in the vicinity.
Now the problem arose. The air crew had no medical training and did not know the contents of their kit. There was no medicine to stop his fits, no anti-epileptics, no benzos or any sedative. Nothing to establish IV access with or anything I could give nasally or rectally. I had no means to stop his seizure.
I briefly asked the mother about any recent history of fever, any prior history of fits, any medical problem. Everything was normal so far. This was his first fit, apparently. He had eaten two hours prior.
By this time they had brought an oxygen cylinder and a mask which was useless as he wasn't breathing anyways. I had to take control of his airway as his fits were continuous and I was worried about hypoxia, aspiration, or a cardiac arrest. There was nothing to control his airway either. There was a neonatal ETT but no pediatric size laryngoscopes. A small miracle happened and someone brought a AMBU and mask, all adult sizes. They actually had nothing pediatric with them.
I stuffed gauze around the mask and started ventilating with AMBU. I was trembling head to toe. He thankfully had a good pulse so far. I asked for a big roll of gauze and in between breaths, tried to mope up as much of his secretions as I could. They found a stethoscope in the meanwhile.
He stopped seizing after 5 minutes. He still wasn't breathing. Not responding to pain either. I continued ventilation, trying to avoid hyperventilation, checking pulse intermittently. On auscultation I could tell he had aspirated a bit. I kept on mopping excess secretions. His cyanosis disappeared. After 10-15 minutes he started breathing. Chest was rising again. I put a mask on him, covered him with a blanket and kept on rubbing his back to stimulate him. He still hadn't opened his eyes and wasn't responding to painful stimuli either.
In the meanwhile, another issue had arisen. This was a flight en route to the USA. The cabin crew wanted to take off. The pilot came to speak with me, emphasizing how important it was to start on time as delay would cause a massive financial loss. I told him not to continue, in my professional opinion. I couldn't release an unconscious kid to them as I was scared of another fit and cardiac arrest. The family involved agreed to let me decide the plan of action.
30 minutes after this started, he opened his eyes and started crying. I can't tell you how relieved I was to hear that cry. The on ground pediatrician came after 45 minutes. They attached monitors and his saturation was 96%. The pediatricrian agreed that my decision to stop the flight was the correct one. They took him in an ambulance to a nearby hospital. I was afraid they would come after me for stopping the flight and I was very relieved when he agreed with my decision. The family couldn't thank me enough.
I struggle with imposter syndrome a lot. I make mistakes often and I don't know everything. But when I left that flight as we landed eventually, I knew I had helped save that kid so apparently I am not entirely useless.
6. Trust Me: I'm A "Doctor"
5. Attitude And Altitude
4. Too Little, Too Late
3. Q & Anxiety
1. Maybe Her Nephew Is A Doctor Too...
I was recently on a puddle jumper from DC to Detroit, which left four and a half hours late due to storms. En route, a woman became ill. I had informed the flight attendant I was medical upon boarding (they appreciate knowing there's someone on board) so she came to ask me to help.
The woman, a hypertensive diabetic with asthma, was clammy, tachycardic (fast pulse), and with shallow breathing. She didn't have her glucose monitor but another passenger did, and her blood sugar was >500, so we gave her insulin. (I think it was the other passenger's, too.) The medical kit on that tiny plane was impressive - could have run a full code up there.
After insulin she was somewhat better but still far from well, and I was on the intercom phone with the pilot every 15 minutes discussing if we should continue to Detroit or land at [each airport we were passing]. She seemed ill but stable and we were really late. So I suggested we continue to Detroit.
When we landed, an amazing thing happened. All the passengers stayed in their seats until the EMTs could get the woman off the plane. By the time I got into the terminal, they were all gone (this was no more than 5 minutes -- it was a tiny plane). The next evening as I was flying out, I asked a gate agent if they had heard anything about her (the agent apparently recognized me).
The woman refused to go to the hospital, and went home with her nephew! I sure was glad we didn't bring the plane down in Toledo!
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0. Asleep at the wheel
The plane was about 40 mins from landing when the FA came over the radio and said: “If there’s a doctor on board please report to the cockpit.” I ran up there as quick as I could. When I arrived, I found both pilot and copilot unconscious. I examined them and found nothing wrong. They were just blacked out. I tried to revive them, but nothing worked. Finally I noticed a strange bag on the floor. When I realized what was inside, I knew we were in deep trouble.
The two of them had taken vitamin supplements that do not mix and the result was unconsciousness. Thankfully I was able to revive them just in time.
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