乘客飞机上突发疾病死亡，“空中急救”难在哪

Core Viewpoint - The article highlights the increasing concern regarding in-flight medical emergencies, particularly following a recent incident involving a passenger death on a Lufthansa flight, emphasizing the need for improved medical support and equipment on aircraft [2][4][5]. Summary by Sections In-Flight Medical Emergencies - It is reported that globally, a medical emergency occurs on a passenger aircraft every 12 minutes, with approximately 70% of these incidents happening on intercontinental flights [6]. - The overall incidence rate of in-flight medical emergencies is low, estimated at 8 to 50 per 1 million passengers, while the probability of an unscheduled landing due to such emergencies is 1 in 1 million, and the death rate is about 1 in 2 million passengers [6]. Causes and Statistics - The majority of medical emergencies are triggered by cardiovascular symptoms, followed by neurological and gastrointestinal issues [7]. - Over 80% of incidents involve medical professionals on board, and more than 35% of emergencies concern passengers aged 55 and older, with the peak age range being 56 to 65 years [6]. Medical Equipment and Training - Aircraft are equipped with various medical supplies, including doctor’s kits, automated external defibrillators (AEDs), and multiple first aid kits, with additional medical supplies available on long-haul flights [7]. - Crew members receive training in first aid, including CPR and AED usage, to handle potential emergencies [8]. Challenges in Emergency Response - Experts indicate that high-altitude medical emergencies pose significant challenges, particularly in diagnosing and treating complex acute cardiac conditions due to environmental constraints and limited medical supplies [10]. - There is a call for better medical equipment, such as electronic blood pressure monitors and portable ultrasound devices, to enhance emergency response capabilities on flights [10]. Legal and Ethical Considerations - The legal implications and responsibilities surrounding in-flight medical assistance can deter medical professionals from providing help, as they may face requests for personal information and credentials after offering aid [10].