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Medical Briefcase For In-Flight Patient Evaluation

Makarand writes "On average one plane a day makes an unscheduled landing somewhere around the world when a passenger unexpectedly falls ill and requires medical attention. Diversion costs for an airline, related to fuel expenses and cost of putting people in hotels, can be anywhere between $50,000- $100,000 for each diversion. Now Airbus, in collaboration with the French Space agency, has come up with a solution in the form of a satellite-connected medical briefcase to determine if the patient needs urgent medical attention on the ground before making a diversion according to this BBC News article. A crew member with proper training can use the device to complete a medical examination of the patient in 2 minutes and download the data using satellite in real time to a hospital. A diversion is made if the emergency physician feels that the patient needs medical attention on the ground. Airbus believes that as planes get bigger, fuel efficient and fly longer hours with more number of people the chances of someone needing medical attention will increase creating a market for this device."

126 comments

  1. solution already invented by Anonymous Coward · · Score: 0

    It's the little paper bag that they give out

    1. Re:solution already invented by Anonymous Coward · · Score: 0

      Why don't they check 'em before the get on the plane. That can be done while waiting in line. Weed out all the sick and dying before they can get on the plane. Better yet, make everyone do two laps around the airfield, anyone who flunks can't get on the plane.

  2. Hrmm by acehole · · Score: 3, Funny

    satellite connection huh?

    Good thing I'm not in charge of it...

    "this man needs urgent medical attention!"

    "yeah yeah, hang on, just wait for this mp3 to finish downloading."

    --
    Be you Admins? nay, we are but lusers!
  3. Two minutes? by Anonymous Coward · · Score: 0

    A complete medical examination in 2 minutes?!? My doctor spends more time than that checking my nutsack!

    1. Re:Two minutes? by Anonymous Coward · · Score: 0

      He checks your nutsack for two minutes? Might be time to get a new doctor...

    2. Re:Two minutes? by Anonymous Coward · · Score: 0

      Is she hot?

  4. I foresaw this a thousand years ago... by Anonymous Coward · · Score: 0

    Hamster-fighting Starship Venom...

    Only you in your righteous indignation could possibly have designed planes so utterly large and voluminous so as to cart around several dozen people for days at a time!

    Indeed it was your sister who pointed out the perils and Subspace pitfalls of the work you were involved in...

    Even now - my 12 inch Battlefield soldiers of Umptaleeny Super Space Doom are proceeding into your nest of laser defence grids with the intent to not only render - but also Destroy!

    *Draws a deep breath* ...

  5. The probe goes where??? by Anonymous Coward · · Score: 0

    Nevermind, I'm feeling much better now.

  6. Hooters? by videodriverguy · · Score: 3, Funny

    Anyone agree the new Hooters airline might need one of these?

    Of course, if they do get one, how many guys are going to fake it in order to be examined?

    1. Re:Hooters? by Black+Rabbit · · Score: 1

      Don't hold your breath! It'll be the inflight bouncers that do the examination, and no, not THOSE bouncers!

  7. Better than nothing, but... by gammelby · · Score: 4, Insightful
    While not being a physician myself, I still think the usefulness sounds a bit exaggerated:

    "In two minutes you have a complete examination of the patient, you send this via the computer to the doctor, who is now able to make a complete assessment of the patient's status."

    Especially compared to the data the device actually collects:

    A crew member with proper training can now take basic heart, blood, temperature and sugar level readings.

    Not much info to provide a complete examination, isn't it?

    1. Re:Better than nothing, but... by Anonymous Coward · · Score: 0
      Not much info to provide a complete examination, isn't it?

      Well, that's just the basic version.

      If you cough up a little more cash, you get the extended version with an anal probe. As a physician you probably know that a medical examination is never complete without a rectal examination.

    2. Re:Better than nothing, but... by Anonymous Coward · · Score: 0

      Not much info to provide a complete examination, isn't it?

      Yeah, a full examination would require that the device have a phallus-shaped probe - to check for colon cancer, of course.

    3. Re:Better than nothing, but... by Anonymous Coward · · Score: 0
      You're so gay, Mr. Garrison.

      Remember what happened to IT?

    4. Re:Better than nothing, but... by Isldeur · · Score: 4, Interesting

      A crew member with proper training can now take basic heart, blood, temperature and sugar level readings.

      Not much info to provide a complete examination, isn't it?


      1. Heart Info: Any kind of dysrhythmia as well as immediate signs of heart failure and circulatory collapse (such as any of the kinds of shock).
      2. Blood: A vast number of things.
      3. Temperature: Fevers? (see 1)
      4. Blood sugars: Hyper/Hypoglycaemia. Which sometimes can look quite similar and therefore can be difficult to treat (the treatments are opposite in nature).

      I'd say this covers a lot. There's not a lot else you'd do in a general first work-up. Obviously any patient notes could also be sent to the doctor, adding to the clinical picture.

    5. Re:Better than nothing, but... by Anonymous Coward · · Score: 2, Interesting

      Heart: You will get the pulse, say, but I doubt this machine will give a complete electrocardiogram (EKG) to diagnose arrythmias. For one thing, you have to be trained just to apply the leads, and an EKG is very expensive. But conceivable. OTOH, I REALLY REALLY doubt this machine will listen for rales in the lungs (signs of congestive heart failure), let alone catheterize the pulmonary artery to determine the wedge pressure. In short, you will get pulse and blood pressure. Wow.

      Temperature: A re-usable electric thermometer costs $10. Do you need to spend 5000 times as much to enable a flight attendant to take a temeprature?

      Blood: This is more interesting. Will they be drawing venous blood (with a syringe and needle)? Probably not, too complicated. So they will be using a fingerstick as used now for glucose readings. This limits the possible tests. But the only test of any real value in an emergency situtation might be a troponin or CPK level (measures of heart damage as seen in a heart attack). I'm not sure that the technology exists to do this (1) in a drop of blood, (2) instantly, and (3) accurately (undercall: lawsuit; overcall: unnecessary emergency landing). What else are you going to diagnose? A low potassium level? So, give all sick passengers a glass of orange juice.

      Sugar levels: Big deal. Easily done on the cheap. Low sugar ==> give patient something sweet. High sugar ==> rarely a true emergency. I suppose the blood monitoring could detect ketoacidosis, and diabetic ketoacidosis (DKA) is an emergency, but patients in DKA are generally (1) comatose, (2) hypotensive (low blood pressure), (3) have a history of diabetes. You don't need to be a rocket scientist to figure this out, let alone a $50,000 medical kit. (FYI, if someone with diabetes is comatose, give them sugar. If they have low glucose, it will cure them. If they have too high glucose, it won't hurt them, just another drop in the bucket.)

      Agree with the other posters, this kit will represent a lawsuit waiting to happen, and it's hard to imagine (given the BBC statistics) that it is cost-effective.

      --A medical doctor

    6. Re:Better than nothing, but... by MacAndrew · · Score: 2

      While these tests, administered at the front door of every hospital, might indeed flag a problem, they're not much to decide not to seek medical attention, possibly for several hours. I think they'd be better off putting the money into the staff training rather than the gadgets. Imagine the publicity if they screw up just once and have someone die on board ... with a couple hundred witnesses to their frugal bungling. You just can't buy publicity like that.

      So strap a parachute on the patient and eject 'em over a city. (No, not seriously.)

    7. Re:Better than nothing, but... by Anonymous Coward · · Score: 0

      As an EMT-I, I can offer some perspective. Those readings (probably respiratory rate, EKG/heart rate, blood pressure, body temperature, and blood sugar) are used throughout the industry to determine if the patient is in need of immediate advanced (hospital) life support. If those readings (over a short history ~15 min) were given to a doctor they could easily decide whether a patient is deteriorating or could safely stay on the flight.

      Of course, the airlines will err on the side of caution. However, this could help figure out if the old woman is simply scared or is actually having a heart attack.

    8. Re:Better than nothing, but... by Wolfrider · · Score: 1

      (/me wonders why they don't hire a bunch of physicians, and just take a doctor along on every flight...)

      --But no, that would make too much sense.

      (Flight attendant)
      "...Is there a doctor on the plane??"

      "...No? Well how about a Lawyer, because I think this dying guy's family is about to sue our asses off..."

      --
      .
      == WolfriderV6 == I'm willing to admit that *I just might* be wrong... Are you??
  8. Let's do the math.. by wackybrit · · Score: 3, Insightful

    One plane a day on average diverts? The average diversion costs $50k-$100k to orchestrate?

    Let's assume $80k, and one plane a day. That totals $29,200,000. Is adding and maintaining this system to every major plane in the world going to cost more than $29 million a year? You bet!!

    Either the BBC is spouting incorrect statistics here, or is this is another union/Mason orchestrated contract.

    I don't know how many major airlines there are in the world, but even if it's just 20.. are you saying that each airline would spend $X gazillion on this super medical system, or just $1.46 million each on annoying diversions?

    Something does not add up here.

    1. Re:Let's do the math.. by Nonac · · Score: 2

      This doesn't even take into account the liability of a passenger dying. Once the airline has made an active decision not to land, any death can be blamed on their misdiagnosis. I'm no lawyer, but I think that typical liability of a lost life is about $3,000,000. It doesn't take many of those law suits to make this a very bad financial deal for the airlines.

    2. Re:Let's do the math.. by Anonymous Coward · · Score: 0
      Mason orchestrated contract

      It's funny how bashing jews or muslims is bad, but badmouthing us Masons is generally accepted. Yeah, we pledge our support to our brothers. What's wrong with that?

    3. Re:Let's do the math.. by Anonymous Coward · · Score: 0

      That's because masonry is a TRADE, not a religion, fucktard!

    4. Re:Let's do the math.. by MacAndrew · · Score: 2

      Not to mention the bad karma points for having a passenger croak in front of several hundred others. Might hurt their repeat business. Maybe for the patient they'll also invent a nice "privacy enclosure" ("storage locker").

      Speaking of amateur medics, anyone know how much training they're giving people on using those defibrillators? I have this nightmare that they'll zap me not realizing I'm just a deep napper.

    5. Re:Let's do the math.. by axlrosen · · Score: 2

      Speaking of amateur medics, anyone know how much training they're giving people on using those defibrillators? I have this nightmare that they'll zap me not realizing I'm just a deep napper.

      Automatic External Defibrillators require very little training. The have a built-in computer that analyzes your heart rhythm, and won't shock you unless you need it.

    6. Re:Let's do the math.. by Anonymous Coward · · Score: 0

      It's funny how bashing jews or muslims is bad, but badmouthing us Masons is generally accepted. Yeah, we pledge our support to our brothers. What's wrong with that?

      Because often support of one's brothers can come above common-sense, common decency, or in many situations, even the law.

      Brotherhood is great.. but when 'brothers' convince their 'brother' police pals to release them from jail, society starts to take a shit on itself.

    7. Re:Let's do the math.. by MacAndrew · · Score: 2

      Cool. Still, it would be unsettling to wake up to some flight attendant ripping your shirt open. Well, that depends on the flight attendant I suppose.

    8. Re:Let's do the math.. by Anonymous Coward · · Score: 0
      Automatic External Defibrillators require very little training. The have a built-in computer that analyzes your heart rhythm, and won't shock you unless you need it.

      I have a friend who works for Philips Medical here in Sydney. She quoted a recent experiment/study with these automagic any-moron-can-use-em defib machines. Apparently they put a bunch of high school students up against a bunch of qualified medical profesionals (doctors, nurses, etc).

      The kids had a better rate of 'success' in whatever the test was than the medicos using the Defib for Dummies machines.

      The consensus was that the medicos approached the situation with a bunch of preconceived ideas about what should happen and what should be done. The untrained folks who just shut up and followed the bouncing ball did better.!

  9. Motivation by rlsnyder · · Score: 1, Redundant

    Nowhere in the article is there any mention of how this benefits the potentially about-to-die passenger, and probably with good reason - there is no benefit to the potentially about-to-die passenger. Seriously - the article mentions the inconvenienced "other passengers"!

    Has our lifestyle actually come to the point where getting to the meeting on time is more important than getting medical attention to another human? This tool is nothing more than a way to play the odds and increase profitibility.

    1. Re:Motivation by iamacat · · Score: 1

      Do you really want the plane to land because you mistake gas for a heart attack (apparently a common case for ER visits)? When you are talking about 500 people, a few of them will have really important reasons for being there - like visiting a dying relative. You don't want to divert the plane unless you are really in danger before the regular landing.

    2. Re:Motivation by rlsnyder · · Score: 1

      It's a good point, and no, I really don't want to land the plan for nuisance emergencies - and I would also not be suprised at all to hear that most of the cases are nuisance issues. I guess my big concern with this whole thing the expectation an airline passenger has. Right now, I have the expectation that if I were to fly and to get seriously ill (or to really, really appear to be seriously ill), that I will be taken to seek proper medical attention - they key word, of course, being proper, which I'm not sure this actually is. That is apparently going to change. The focus is shifting from personal safety to business economics. Just as long as everyone getting on the plan knows where they stand, it's all good... kind of.

  10. Long time savings, right? by giaguara · · Score: 1

    Airlines want to reduce the costs, right.

    "The technology is not cheap - it costs about $50,000 - but the long-term savings for an airline could be enormous. "

    Right...

    "On average one plane a day has to make an unscheduled landing somewhere around the world because a passenger has fallen ill and requires medical treatment."

    We have thousands of flight companies. And most of them have at least a hundred planes. "Airlines want to keep costs to a minimum." One landing for a medical emergency costs 50 - 100 000;

    So, putting a 50 000 $ equipment for the hundreds of planes of the hundreds of companies because of 1 landing daily for all the airlines ... How big savings can it make?

    I can imagine only companies of the size of British Airways being interested in this technology, and even those on the intercontinental flights only, and on the new planes only.

    Then, in case the 2 minute online checkup shows the patient is ok but the online analysis goes wrong, will they be blaming a fallen internet connection, technical fault, or generally who will have the responsability for the analysis, the doctor or airline or the crew?

    1. Re:Long time savings, right? by Turbyne · · Score: 2, Interesting

      Good point. Might as well just give free tickets to E.R. doctors.

      --
      ~A'Ëq'i4d)^'$ÊSÈòB
    2. Re:Long time savings, right? by Nitin_M · · Score: 0

      All the info is wrong. You can calculate how much the diversion costs- Say an aircraft of 200 ppl is diverted. 1. Extra fuel comsumed=10T@300/T=3000$ (An avg acft consumes 5T of fuel per hour, I have taken 2Hours of extra flying) 2. Landing charges-MAX 3000$ 3. Hotel charges 200ppl@50$=10000$ 4. Time lost(for acft)=5hrs@3000=15000$(diverted acft is almost always used on different routes, not even 5 hrs are wasted) Total=3000+3000+10000+15000=31000$ All above figures are max. Statistics ppl, fire up your calculations to check how much and airline(of say 100 flying routes a day) is willing to spend.

    3. Re:Long time savings, right? by Anonymous Coward · · Score: 0

      Please let me know the contact information for that $50/night hotel. I'd like to look into staying there on my next vacation.

  11. Not equal to MCSEs, I hope. by SoSueMe · · Score: 4, Funny

    A crew member with proper training can use the device to complete a medical examination of the patient in 2 minutes

    Hopefully this will not be the "proper training" which lets people believe that a newly trained MCSE should have "root" access.

  12. The real problem by Anonymous Coward · · Score: 0
    Yes, waste money on gadgets like this and ignore the real problem.

    What are they going to do about the CHUPACABRA?!!

    Nothing. That's what they are going to do. Why? Because Mexico is so poor compared to the UK and US.

  13. Phone is enough if the infos are like that by giaguara · · Score: 2, Insightful

    If the infos of that "complete" 2 minutes medical checkup consists only of that kind of info (basic heart, blood, temperature and sugar level readings etc) the crew should already know how to do that.

    So all they need is a phone. So the equipment they need is already on board.

  14. 2 min check up by bace · · Score: 0

    So i have to buy a plane ticket to get a quick doctors appointment? I hear the waiting time for this thing is very small ;)

    --
    =If life was easy, i would be out of a job=
    1. Re:2 min check up by Anonymous Coward · · Score: 0

      Makes you wonder which is cheaper, a post 9/11 airline ticket or a medical bill from an American hospital!

  15. You just know it's going to happen... by WIAKywbfatw · · Score: 3, Interesting

    The first time that one of these systems is used and a passenger/patient dies because his/her plane was not diverted to the closest possible landing site where the appropriate medical aid could have saved their life is the day that the airlines will ditch these devices.

    Can you just imagine what kind of field day the lawyers, press and politicians would have in that scenario? Can you see how fast the relevant airline's stock would plummet? And how hard a blow it would make to their future bookings?

    Nothing cripples a business faster than a reputation for putting profits before the safety and lives of their customers - just ask Firestone.

    The day that airlines start rolling out these devices is the day to start dumping your airline (and other aviation) stock. Oh yeah, you might think about changing your choice of carrier too - or perhaps even taking a slower, more eco-friendly and safer form of transport (hint: trains).

    --

    "Accept that some days you are the pigeon, and some days you are the statue." - David Brent, Wernham Hogg
    1. Re:You just know it's going to happen... by Nicolas+MONNET · · Score: 2

      This doesn't make much sense; if the device allows some form of rapid diagnostic, it IS going to be safer than diverting the plane in most cases.

    2. Re:You just know it's going to happen... by toxic666 · · Score: 1

      You hit the nail on the head. We have a serious malpractice insurance issue where I live because juries award lottery judgements to those who win malpractice suits. And that applies to licensed physicians who are supposed to know what they are doing.

      Are airlines going to staff someone who is a competent EMT? I doubt it. There is a lot of training and continuing education, not to mention experience, required to be an EMT. That is about the minimum level of competence acceptable in court to be involved in these kinds of diagnoses.

      I doubt it would even get into a court room. The ambulance-chasing lawyers will be on the first mistake faster than you can say "huge out-of-court settlement."

    3. Re:You just know it's going to happen... by NeoSkandranon · · Score: 3, Funny

      or perhaps even taking a slower, more eco-friendly and safer form of transport (hint: trains).


      Gotta love those eco-friendly trans-atlantic train lines ;)

      --
      If you can't see the value in jet powered ants you should turn in your nerd card. - Dunbal (464142)
    4. Re:You just know it's going to happen... by WIAKywbfatw · · Score: 1, Flamebait

      Gotta love those eco-friendly trans-atlantic train lines ;)

      There's always one (or two) isn't there? For your education (if not entertainment), let me just hit you with a few basic facts:

      1. 95% of Americans don't have a passport.

      If most Americans don't bother to get a passport what does that suggest to you about the frequency with which they make transatlantic trips?

      2. Most Americans who board a plane do so to fly domestically.

      And, seeing as only a limited number of them are travelling to and from Hawaii, that means almost all of them could reach their destination by train or even coach.

      Is flying from New York to Philadelphia really that much faster or convenient than the alternatives?

      3. There is another method of crossing the oceans. It's called a boat.

      Newsflash: Christopher Columbus didn't travel to the new world on American Airlines.

      4. Just because you can open your mouth and say something, it doesn't mean that you have to do so.

      Try resisting the need to comment where none is necessary. If you must comment then at least try to come up with something vaguely intelligent - trust me, it really doesn't hurt to engage your brain before you open your mouth.

      But thanks* for taking a quote our of context. What I actually said was:

      Oh yeah, you might think about changing your choice of carrier too - or perhaps even taking a slower, more eco-friendly and safer form of transport (hint: trains).

      Fail to spot the word "perhaps" there, buddy? I think, perhaps, you did.

      (*This is irony. If you have trouble understanding it - just like you have seem to have trouble understanding other basic words - then, please, invest in a dictionary.)

      --

      "Accept that some days you are the pigeon, and some days you are the statue." - David Brent, Wernham Hogg
  16. GERMANS! by Anonymous Coward · · Score: 0
    1. Re:GERMANS! by Anonymous Coward · · Score: 0
      I like German porn.

      And German beer.

  17. Aerospace trends... by Turbyne · · Score: 2, Insightful

    Looks like the Aerospace is once again following the footsteps of Naval operations. If planes get [naval adjective eg big efficient etc] enough, I'm sure we'll see actual sick bays, full kitchens instead of those little galleys, and maybe even a ten-forward.

    --
    ~A'Ëq'i4d)^'$ÊSÈòB
    1. Re:Aerospace trends... by Black+Rabbit · · Score: 1

      Back in the early days of the airlines, in Canada anyway, stewardesses...sorry...flight attendants had to be registered nurses. Wouldn't this be a better, cheaper way to solve this, perhaps with each flight over a certain duration or along certain routes carrying one RN on a flight?

  18. Dammit Jim! by kevinvee · · Score: 2, Funny

    I'm a co-pilot, not a doctor!

  19. Medical Malpractice by MattC413 · · Score: 4, Interesting

    When I see a situation with people in charge of someone else's medical care in any way, I see the potential for a lawsuit. If the use of these medical kits amount to a medical diagnosis, then the person in charge of administering the diagnosis may be at risk of being sued for malpractice.

    With the already sky-high rates of malpractice lawsuits and the incredibly high cost of malpractice insurance, I don't see this a cost effective or practical way to determine if medical care is needed. The random "is there a doctor on the flight" may be much more effective.. or even hiring a doctor for each flight may be more cost effective as well, if one considers all the possible lawsuits from an undertrained flight attendant using a medical device such as this.

    Besides, combine the chance of misdiagnosis with the chance that the person doesn't understand how to correctly use the machine (this is a technological device, folks) and it's a lawsuit waiting to happen.

    -Matt

    1. Re:Medical Malpractice by otisaardvark · · Score: 1
      or even hiring a doctor for each flight may be more cost effective as well

      And what do you do for a living?

      I'm a flying doctor...

    2. Re:Medical Malpractice by MattC413 · · Score: 2

      I suppose it's a better paying job than a flying nun.. :)

      -Matt

    3. Re:Medical Malpractice by Wolfrider · · Score: 1

      ...Has Drake's boomerang come back yet??

      http://lyricsplayground.com/alpha/songs/m/myboom er angwontcomeback.html

      --
      .
      == WolfriderV6 == I'm willing to admit that *I just might* be wrong... Are you??
  20. Goa-tsu-cker by Anonymous Coward · · Score: 0

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    Till the comet do us part, Steve in Portland

  21. Two Ways by mlknowle · · Score: 2

    I see two ways that this technology will be used:

    1) As a life-saving medical technology --> lives will be saved by remote medical care, esp. when there isn't a doctor on a flight already.

    2) As an excuse for airlines to keep sick people in the air. Sure, they might reduce costs and avoid inconvienence (for other passangers) in the process, but I could see a situationw where someone really needs to be off the plane, but isn't allowed because of a faulty or inappropriate diagnosis from 2,000 miles away - in the intrest of the airline, who is paying the doctor in the first place...

  22. Can't wait by giaguara · · Score: 1

    I can't wait to get a complete 2-minute medical online checkup the next time i fly!!

    Of course, I want those checkup results to have the normal 5 years validity B)

    So, for the next flight reservation i'll ask for "a window seat, veggie meals and the check-up to do a commercial pilot please..."

  23. Words by hikousen · · Score: 1

    UPLOAD the data using satellite.

    DOWNLOAD is when you GET data.

    UPLOAD is when you SEND data.

    Almost as irritating as "begs the question" and misused at least as frequently.

    --
    LadyStar - Your Magical and Mysterious Adventure Awaits
    1. Re:Words by Dachannien · · Score: 2

      Sorry, but it's as follows:

      Download is when data is sent from a server to a client.

      Upload is when data is sent from a client to a server.

      When programming things like EPROMs, etc., you may be operating the computer sitting next to the EPROM programmer, and you may be sending data from the computer to the programmer, but you are still downloading the data to the device.

      This begs the question, however: did the original text use the term "download" because the plane would be up in the sky, and the data would be sent "down" to a hospital?...

    2. Re:Words by hikousen · · Score: 1

      Download is when data is sent from a server to a client.

      Upload is when data is sent from a client to a server.


      That's exactly what I said.

      This begs the question, however: did the original text use the term "download" because the plane would be up in the sky, and the data would be sent "down" to a hospital?...

      Nice troll.

      --
      LadyStar - Your Magical and Mysterious Adventure Awaits
  24. What if.... by jamesjw · · Score: 1

    Well, its all well and good having a case that can do a diagnosis in 2 minutes..

    But, what about lag?

    Or worse still.. Your patient get's the "Ping of death"..

    Or worse still.. somebody posts a link to the medical case on Slashdot and your examination is not only viewed by thousands of people but the only useful information returned to the mobile terminal is "In russia.. You examine your mobile medical case!"

    Reason of death: -2 Redundant

    --
    -- If at first you don't succeed, lie!
  25. medically-trained flight crew by brentlaminack · · Score: 1

    in the old days, all flight attendants had to be registered nurses. Even recently, hiring preference was given to medically-trained applicants. Is this still the case? Does anyone have the statistics of what percentage of flight attendants have formal medical training (LPN, RN, etc)? From that we could figure the probability that one of the attendants is already capable of accurately checking vital signs, or using one of these telemedicne devices.

  26. The right thing to do by Nonac · · Score: 2

    Despite the fact that this is spun as a way for airlines to save money, this is a good thing for airline passengers. Making a physician responsible for emergency medical care will expand the care that the flight attendants will be allowed to give. Where they currently don't have much available beyond traditional CPR now, they will be able to dispense drugs that the physician "prescribes" after doing the remote examination.

  27. Do not let them fly by Anonymous Coward · · Score: 0
    To my mind the airlines should not allow people over a certain age (60-), with a known heart condition or with dangerously high triglyceride levels/diabetes (=both contribute to blood clotting in the extremities) to fly.

    This would solve the cause of the problem. Having high tech medical gadgetry or doctors on board only addresses the results.

  28. this could lead to law suits.... by stonebeat.org · · Score: 1

    against arilines, if the system fails, and the person dies.

    Which in turn mean more money for the lawyers. and who want that to happen (except the lawyers).....

  29. This is where the lame jokes come in... by Provocateur · · Score: 1

    Announcing the new Windows ER.
    2 minutes broken down thus:
    1 min 50 sec to determine if you've got sufficient health insurance coverage
    10 sec for mouth-to-mouth by really hot flight attendant (Whaddya mean she ain't qualified?)

    --
    WARNING: Smartphones have side effects--most of them undocumented.
  30. Re:New Years Eve by Anonymous Coward · · Score: 0
    Go for it!

    The best sex I have ever had was with an Israeli exchange student. Goddamn that girl sucked and fucked my cock like there was no tomorrow.

  31. hypesonic airliners by Bob-o-Matic! · · Score: 2, Interesting

    Whatever happened to the idea of super- and hypersonic airliners? It seems to me that if you reduce the time spent in an airliner, you reduce exposure to whatever stresses the body experiences.

    Having flown over the pacific 11 times now, even I (extreme miser) would fess up an extra $200 for, say 5-6 hour flight rather than the 10-12 hours it takes now.

    Back on topic, trans-oceanic flights do pose an interesting problem for this: Where exactly do you divert to if you are flying from SFO to Narita?

    1. Re:hypesonic airliners by Anonymous Coward · · Score: 0

      How about Vancouver, Anchorage, Vladivostok, Sapporo...there's all sorts of cities with large airstrips and hospitals on the great circle route from the Pacific coast to SE Asia. You're not flying over water all the time.

  32. Psychiatrist in a Suitcase? by handy_vandal · · Score: 1

    In Philip K. Dick's Novel The Three Stigmata of Palmer Eldritch, there's a robot psychiatrist called Dr. Smile, the size and shape of a suitcase.

    Carry on luggage? Could save a lot of panic-induced heart attacks.

    --
    -kgj
  33. SCTV's Emergency Caterer by Latent+Heat · · Score: 2
    As a kid I like that TV show Emergency a lot: the show with those fire department paramedics who went around with well-stocked tackle boxes and who radioed EKG's back to Rampart Hospital.

    SCTV, of course, had their own show called Emergency Caterer, where the emergencies were gatherings that ran out of food and the guests collapsed from hunger. The Emergency Caterers showed up with their tackle boxes stocked with snacks, which they stuffed into unconscious party goer's mouths with what looked like oil-can funnels. Coming from an immigrant household where food hospitality was a big deal, trust me, that skit was funny.

    Of course 9-11 is an excuse for airlines not to offer more than 90 calories worth of food to anyone paying less than 2 grand for their ticket, so we need Emergency Caterer more than the medical telemetry setup.

  34. Re:New Years Eve by Anonymous Coward · · Score: 0

    For God's sake don't fall into this trap! Luring us white people into having sex with the zionists or - even worse - with the mud people is Satan's plan to corrupt and dilute the God's pure white race.

  35. Why? by JHMartin · · Score: 1

    I don't see why you need this.

    "A crew member with proper training can now take basic heart, blood, temperature and sugar level readings."

    As an EMT I do these things all the time. One doesn't need a machine to take a pulse and infact the machines are often wrong. I can see having blood pressure cuffs and a stethescope on board but again a machine will give you incorrect readings. For temperature, sure have a thermometer but how big/expensive is that really going to be? A glucometer is certainly a good idea but they are also tiny these days. What I really don't understand is why do they need a sattelite phone? Don't airliners have radios? Why not just have the nearest tower relay the info to an emergency room on the ground? EMTs have specific protocols for this kind of "on-line" medical direction.

    Really all that is needed is a small box about 12"x6"x6" and a bit of training to do everything this "briefcase" can do and it would only uses tested, reliable technology.

    1. Re:Why? by Anonymous Coward · · Score: 0

      While your POV makes as much sense as going back to having RNs on board, it would never work...there has to be more money spent to satisfy the technocrats and the legal beagles in the airlines' head offices. I suspect that, if the airlines could get away with it, most flight attendants wouldn't have much more than basic first aid training.

  36. In Junis-Run Afghanistan by Anonymous Coward · · Score: 0

    The PATIENTS evaluate the BRIEFCASE! After digging them up.

  37. Just let a sky marshal by YellowSnow · · Score: 1

    Dispense horse medicine; broken leg = shoot, toothache = shoot, splinter = shoot.

  38. One plane per day out of thousands of flights?? by Newer+Guy · · Score: 2

    Let's be conservative and say there's 10,000 flights worldwide a day. I know there's probably that many at the two Chicago airports combined, but remember we're being conservative. This means if it coast $80,000 for one of these diversions and there's one a day, then for these 10,000 flights it cost 8 bucks a flight. This is hardly a major expense for the airlines; we're talking pocket change here.

  39. I found the manual to the machine by select+*+from · · Score: 2, Funny
    Step 1: Ask passenger if they are feeling bad. If reply is "Yes," proceed to step 2. Otherwise, pat them on the head and give them a bag of pretzels.

    Step 2: Place back of hand on forehead. Does it feel warm? If so, go to step 3.

    Step 3: To take a more accurate temperature reading, the use of a rectal thermometer is recommended. Tell the passenger to "assume the position". If the passenger is flying coach, they may need to have this position explained to them. If the passenger is flying first class, they will understand right away since they bent over when they bought their tickets for this flight.

    Step 4: Was temperature reading above 98.6 F? If so, send passenger back to their seat. If not, go to step 5.

    Step 5: Evidence suggests that passenger is dead. Tell pilot to land plane immediately.

  40. In Soviet Russia.... by Anonymous Coward · · Score: 0

    Planes get sick instead of people.

  41. Airlines are cheap... by ashitaka · · Score: 2

    What makes you think they'll pay to have these on board every airliner?

    I once had to keep company with a heroin addict for the final 6 hours of a 10 hour flight from Tokyo to Vancouver. The guy had gone nuts and done the whole air rage thing, almost taking out one of the flight attendants in the process.

    Myself and a couple of Aussies managed to get him calmed down and I kept him under control by playing the understanding friend.

    Because of this the plane was able to continue direct to Vancouer instead of diverting to Anchorage as the pilot was ready to do.

    So what did JAL give me for saving them $50K-$100?

    A mini-pocketwatch worth about $20 and a couple of bottles of wine.

    Cheap bastards.

    The funny thing about the whole situation was that the addict was caucasian and when he got out of control the flight attendants were running all over looking for white people to help. This on a 747 full of asians some of whome were a hell of a lot bigger than me. Go figure.

    --
    If you don't want to repeat the past, stop living in it.
  42. this is just a marketing brochure by fermion · · Score: 3, Informative
    This sounds more like a marketing brochure than news. While the technology of such a device might be interesting, there is no mention of the technology in the article or other links. Furthermore, such remote diagnosis is nothing new. The technology that has been in the field for many years. The fact that the device just happens to cost the same as the estimate minimum loss of a diversion is just, i am sure, a coincidence.

    Also, the numbers quoted of 'one diversion per day' and the '50-100 thousand dollars' just doesn't sound significant. I am not sure how many flights are made a day, but I believe the airline revenue is in excess of 300 million dollars a day, which makes a diverted flight at most 0.03% of revenue. And what is the liability to the airline for misdiagnosis. I can't imagine that airlines are going to risk a lawsuit to keep a plane in the air. Anyone remember the guy who recently died because the train would not stop to let him go to a hospital?

    It might be nice to keep these devices on planes just in case. But is not like a defibrillator that might actually save a persons life.

    --
    "She's a scientist and a lesbian. She's not going to let it slide." Orphan Black
  43. In Soviet Russia.... by Anonymous Coward · · Score: 0

    People are moderated down, not their posts.

  44. Dodgy laywers by davidsansome · · Score: 1

    Hehe, I thought that read "Medical Briefcase For In-Flight Patent Evaluation"
    There must have been a lot of patent applications recently... ;-)

    --
    -- Wibble
  45. Re:New Years Eve by Anonymous Coward · · Score: 0

    I'd do it just to infuriate religious assholes like you!

  46. Ah.. evaLuation by joib · · Score: 2

    I read evaCuation.. stuff the patient in a "briefcase" and throw him out of the plane. Briefcase has a satellite beacon (and hopefully a parachute) so personnel on the ground can find him... Oh well...:)

  47. Be afraid to fly now by Anonymous Coward · · Score: 0
    All this box is, is an excuse for the airline to let you die during a flight if you have some distress.

    "Well, we don't want to divert and land and save the guy, but we have this box our lawyers say will save his life.... oh, he died? Oh well, at least we're off the hook and were only the standard two hours late"

  48. There are more uses by visionsofmcskill · · Score: 1

    the potential of such a device for remote medical diagnoses is incredible, depending on the expense per briefcase over time, these things could be placed in busses, homes, boats, cars, ski-lifts, and all sorts of places ... even inside hospitols themeselves.

    This is a pretty potent invention if used right, and with some slight modifications it could be used to give directions on how to perform first-aid mid-flight... If the device contanined a two-way mechanism for talking with the doctor recieving the medical data, as opposed to calling them seperatly... youd have damn near a doctor on demand... plus.. if the device could make some basic analyzations itself (in case of no access to satelite / doctor)... it could suggest some life-saving first-aid response techniques to the victim or the one helping them.

    truly a good device with great potential, i hope it doesnt fall to the wayside.

    --Enter The Sig--

    --
    --Idiots, Every single one of YOU, A flaming mass of conglomerated morons, hey wait a second, isnt that how RAID works?
  49. Oh, great... by Pig+Hogger · · Score: 2

    Now see emergency physicians sued when they decide to divert an airplane (never mind good samaritan laws; rabid lawyers will barge ahead through anything at all).

  50. Inflight Patent Examination? by Zeinfeld · · Score: 2
    Inflight patent examination? How is that meant to be an improvement?

    So you get onto a plane, hand your patent claims to the flight attendant and they give you the result before you land? Kool, I mean that is going to cut down on the number of bogus patents getting filled, at least they will have been reviewed by a flight attendant, that can only be an improvement on the current USPTO scheme.

    Oh patient examination

    --
    Looking for an Information Security student project suggestion?
    Try http://dotcrimeManifesto.com/
  51. Trains? by gaudior · · Score: 2
    Yes, trains are quite effective in getting from Chicago to London, or Paris, or Tokyo, or Sydney.

    Even within a continent, time is money, and taking a 2 hour plane flight beats a 7 hour train, if you can even get a train that goes where you need to go, when you need to go.

    1. Re:Trains? by CaptainZapp · · Score: 2
      You're generalising of course, or you live in the US, where the train system appears to be more rotten then in Rumania

      Let's see? Zurich to Frankfurt by train 4 hours. By plane 50 minutes + 30 minutes to the airport + 90 minutes in advance for check in and security + 40 minutes = 3 hrs 30 minutes. This doesn't account for delays, which you will encounter virtually by default. It doesn't account for the front seat squeezing your knee during the entire flight and it doesn't account for the fat Russian gentleman seat neighboors of yours using up half of your seat and spilling his bloody mary on your nice beige suit.

      Another example ? Brussel to Paris by Thalys. Takes 90 minutes. This can be the time you need to get to the airport via taxi, if traffic is dense.

      Another really nice option can be night trains (if you're a good sleeper that is) in luxury (sleeping car) or on the cheap (sleeperettes) you just sleep off the trip. You're welcome to try that in that overcrowded 25 years old Alitalia 747-200 that flew me to Tokyo.

      And lastly: I almost always chose the train for trips up to 8 hours. Otherwise I'm aggravated for two days and trains are nice, spacy, clean and convenient. But that of course is a matter of preference.

      --
      ich bin der musikant

      mit taschenrechner in der hand

      kraftwerk

    2. Re:Trains? by gaudior · · Score: 2
      Yes, I am in the US, and you are correct, interstate train travel is quaint, used by families who wish to do something different on holiday. The only really efficient trains run from Boston and New York to Washington DC. (I haven't first-hand experience, but have heard this is true)


      I agree that for Europe, trains are much to be preferred for many commuters, and some holiday travel. You have the advantage of many centers of population, relatively close together. This is not true for the US, Canada, and many other places with vast distances to be crossed.

  52. Just give a physician a free ticket by ramakant · · Score: 1

    Aside from the BBC's numbers being a little suspect, it seems that it would just be cheaper and more effective to put a real physician on every flight - either by giving a free ticket/incentives to doctors, or by giving flight crew members EMT training.

    I have been on 6 flights where the "is there a doctor on board" call has come. On 4 of those flights, there was a physician present. And in each of those 4 cases, the plane did not need to be diverted, and the doctor was able to make a quick diagnosis of a minor ailment (like heartburn confused to be a heart attack). On the other two flights where no physician was present, the plane was diverted and landed at the closest airport. In all cases the medical condition was trivial, but the most important element that kept the plane aloft in the first four cases was having an 'expert' there to calm the patient and reassure the flight crew. I don't think a machine can replace that.

  53. Addressing some points that have been made.... by Anonymous Coward · · Score: 3, Informative

    Lets address much of what has been said point by point. Before I get flamed, my qualifications are: eleven years in the flight operations department (ever get your flight cancelled? -- that was me). Also married to a flight attendant (she of twelve years experience, and yes, a hottie :)

    I have specifed the comment ID so you can see more context if required.

    # 4971908
    Where they currently don't have much available beyond traditional CPR now, they will be able to dispense drugs that the physician "prescribes" after doing the remote examination.

    FACT- Airliners now have `physicians medical kits` that contain prescription only drugs. It is sealed and only allowed to be used when under the supervision of an MD.

    # 4972049
    It might be nice to keep these devices on planes just in case. But is not like a defibrillator that might actually save a persons life.

    FACT- Airliners now are acquiring auto-defibrillators that are user-friendly and that the cabin crew is trained to use. These units only will provide a shock if their sensors detect a correctable anomaly.

    # 4971949
    Don't airliners have radios? Why not just have the nearest tower relay the info to an emergency room on the ground? EMTs have specific protocols for this kind of "on-line" medical direction.

    FACT- Yes, aircraft have radios. The frequencies are mightily congested, meaning that if one flight monopolizes the airwaves, other important communications get put on hold. When a plane is declaring a mechanical emergency, it makes sense to give way. But as noted, this type of event happens often , meaning that there would be too much communications disruption systemwide.

    Also, asking the tower/approach/center to proxy the messages to a hospital adds the chance for miscommunication. Further, ATC would now be 'in the loop' and would have to have plans and protocols for what to do when the crew asks for help. (Some of this may be in place now, but not to the level that you suggest). A sat-link takes all this mess away and gets the real data into the hands of someone who can interpret it.

    # 4972002
    Step 5: Evidence suggests that passenger is dead. Tell pilot to land plane immediately

    FACT- Uh, he's dead, Jim. Why in hell would you land now? As a flight chief, I say press on. Only land if other passengers are starting to freak out. Whimpy management might over-ride this call, but its the one I make.

    # 4971986
    This means if it coast $80,000 for one of these diversions and there's one a day, then for these 10,000 flights it cost 8 bucks a flight. This is hardly a major expense for the airlines; we're talking pocket change here.

    FACT- I think this $80K figure is grossly low. (Then again, so is your total worldwide flight count.)

    The downline effects of a single flight diversion can ruin an aircraft's schedule for an entire day, and the crew being out of place can affect other lines of flight. That totals possibly thousands of aggregate passengers who are now upset. Due to the cause of the diversion, the airline might choose to hold or reroute planes that were scheduled to carry the pax onboard the diverted flight, snowballing the damage to the schedule. Moreover, airlines are bleeding at the wallet currently. They can ill afford to alienate the remaining passengers who are continuing to fly.

    Also, emergency diversions such as this are often into provisional or other non-standard airports. This can create huge logistic or engineering headaches when it comes time to leave (i.e., fuel availability, runway length, local firefighting staff, etc etc.)

    Further, there may be unknown accounting benefits w.r.t these units. When a flight diverts the losses are just operational losses. These boxes likely can be acquired as a capital expense, thus subject to many accounting and financing advantages.

    Finally, there are no `co-pilots` (a non-word perpetuated by the ignorant press). There are only pilots. Some are Captains, and some are First Officers, but they can all fly the aircraft without oversight or assistance.

    Posted AC due to insider information.

    1. Re:Addressing some points that have been made.... by MAurelius · · Score: 1
      Thanks for the informative post.

      My point is this: if a patient/pax goes down in-flight, and the device is used, the financial benefit of the briefcase is lost if it simply confirms that diversion is the most appropriate action.

      It would be interesting to collect (retrospective) information to answser this question: what percentage of diversions could be avoided with the briefcase on board?

      From your experience, what fraction of diversions are later found to be for trivial reasons?

      Obviously, the device is of only limited use for the ABCs of resuscitation. Someone still has to maintain an airway, confirm ventilation and circulation. And someone still has to get IV access in order for a full-bore resuscitation to proceed, if that's required. (Some meds can be given through a tracheal tube, but intubation in flight is probably beyond what we're talking about here.)

    2. Re:Addressing some points that have been made.... by Black+Rabbit · · Score: 1

      >># 4971949
      Don't airliners have radios? Why not just have the nearest tower relay the info to an emergency room on the ground? EMTs have specific protocols for this kind of "on-line" medical direction.

      >>FACT- Yes, aircraft have radios. The frequencies are mightily congested, meaning that if one flight monopolizes the airwaves, other important communications get put on hold. When a plane is declaring a mechanical emergency, it makes sense to give way. But as noted, this type of event happens often , meaning that there would be too much communications disruption systemwide.

      >>Also, asking the tower/approach/center to proxy the messages to a hospital adds the chance for miscommunication. Further, ATC would now be 'in the loop' and would have to have plans and protocols for what to do when the crew asks for help. (Some of this may be in place now, but not to the level that you suggest). A sat-link takes all this mess away and gets the real data into the hands of someone who can interpret it.

      If I remember correctly from not only my spotter training with Civil Air Search and Rescue, but from my Amateur Radio training as well, the moment somebody broadcasts a Mayday or otherwise declares an emergency, all other traffic is supposed to shut the fuck up so that the emergency is given priority. When this happens, ATC directs other people on that frequency to some other frequency, on the chance that the emergency traffic cannot make such a change. The laws and regulations concerning radios apply to everybody, and airliners aren't treated any differently than the guy in the C152 doing his run-up on the ramp.

      Did you notice that the person making that original post identified himself as a paramedic? In other words, he's somebody who has to deal with emergency situations via a radio link every day, so probably has a better handle on that sort of thing than the guy who cancels flights, or his flight attendant wife in the back of the plane.

    3. Re:Addressing some points that have been made.... by Anonymous Coward · · Score: 0

      Re: 4974474
      (snip1)
      [T]he moment somebody broadcasts a Mayday or otherwise declares an emergency, all other traffic is supposed to shut the fuck up so that the emergency is given priority (...)

      REPLY- That's all true. My point, was that if you can avoid crews making `mayday` calls over the channel and instead get the information landside in some other way, then that benefits everyone. Only when its been ascertained that the passenger really is in dire need, THEN they crew makes the emergency declaration. In that way the channels aren't tied up just because Auntie Em feels faint.

      {snip2}
      Did you notice that the person making that original post identified himself as a paramedic? In other words, he's somebody who has to deal with emergency situations via a radio link every day, so probably has a better handle on that sort of thing.

      REPLY- I never said anything about the ability of EMT's do do their job properly or to perform well with limited information over the radio. I only said it's nice if you can/could keep ATC out of the loop. Now if a crew could get patched directly to a specialist EMT and in turn get those instructions out to the cabin in a timely fashion, I'm all for it.

      I'm glad Black_Rabbit was able to assume what I actually was thinking when I hadn't written anything explicit w.r.t. his challenges. Skills like that can take a guy far.

    4. Re:Addressing some points that have been made.... by Black+Rabbit · · Score: 1

      It's an offence to make false emergency declarations, and it's also not a pilot's job to make medical diagnoses. But if he has to make such a declaration based on info available, nobody's going to hang him for it. Sometimes shit just happens.

      >>REPLY- I never said anything about the ability of EMT's do do their job properly or to perform well with limited information over the radio. I only said it's nice if you can/could keep ATC out of the loop. Now if a crew could get patched directly to a specialist EMT and in turn get those instructions out to the cabin in a timely fashion, I'm all for it.

      Did you even read his full reply? Here's an important bit...

      >>As an EMT I do these things all the time. One doesn't need a machine to take a pulse and infact the machines are often wrong. I can see having blood pressure cuffs and a stethescope on board but again a machine will give you incorrect readings. For temperature, sure have a thermometer but how big/expensive is that really going to be? A glucometer is certainly a good idea but they are also tiny these days. What I really don't understand is why do they need a sattelite phone? Don't airliners have radios? Why not just have the nearest tower relay the info to an emergency room on the ground? EMTs have specific protocols for this kind of "on-line" medical direction.

      In other words, even in the skilled hands of somebody who uses electronic diagnostic equipment every day, they can and do produce readings that are shit! Most if not all of the readings that can be taken by these things can be done by anybody with decent first aid training, (and I would hope that cabin crew do), and it can take just as long for an ambulance to get to a location on the ground as it can for an aircraft to land at an airport with that ambulance waiting for it. So these things, IMHO aren't worth a damn.

      As for ATC being "out of the loop", is this airlinese for keeping everybody else out of the loop as well? As far as I'm concerned, that's exactly one of the reasons ATC is there, to handle emergency traffic! These people are skilled communicators, so messages would get properly passed on. Besides, can you be sure that whatever comm link for the fancy assed diag equipment would have data to find some backwoods airstrip with which to land your A310? Dollars to donuts ATC could provide local info, as well as relay any other pertinent info.

      If one of your pilots does make the call to land because somebody has a fainting spell misinterpreted as a heart attack, is the airline going to hang him out to dry? Won't that look good on the stock exchange floor!

      As for your last comment, I choose to ignore it. Now go and cancel some more flights!

  54. translated into Perl.... by cyberon22 · · Score: 2

    sub let_the_briefcase_decide {

    $chance_of_living = rand();

    if ($chance_of_living > 0.5) { print "Just heartburn!"; };
    elsif ($chance_of_living > 0.2) { print "Just heartburn!"; };
    else { print "Don't worry, just heartburn!"; }

    }

  55. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  56. Re:New Years Eve by Anonymous Coward · · Score: 0

    For them, there probably IS no tomorrow. But I agree, they are the hottest women on the planet when gorgeous. But when ugly...

  57. Wow, you guys missed by Anonymous Coward · · Score: 0

    "Please state the nature of the medical emergency."
    We need a bald guy with lots of confidence that pops out of thin air. The EMH would be great for this application. We could use the satellite link to communicate with the large ground computers that simulate the guy.

  58. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  59. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  60. Re:New Years Eve by Anonymous Coward · · Score: 0

    Repeat after me: never date someone who has a thicker, more lustrous uni-brow than yours.

  61. Re:defibrillators by neitzsche · · Score: 1

    The last time I took a 6 hour CPR course, we were given basic instructions on how to operate a public access defibrillator. IIRC, it went something like this:

    1) Open case,
    2) Follow instructions
    a) press button: machnie tells you to connect wires
    b) connect wires to machine
    c) press button: machine tells you to attach sensors
    d) attach sensors to patient; grease paddles
    e) press button: machine scans for fibrillation; if it cannot detect a valid hearbeat that is fibrilating, it turns off
    f) machine warns to prepare for first shock
    g) press button: shock administered
    (repeat e, f, g up to three times)

    The unit we were shown had cute diagrams to help you along in case you didn't speak English, etc. They seemed to have taken great pains to prevent it from firing when it is not absolutely neecessary.

    Each one cost several grand. I think they also were selling ones for individual/home use, or trying to get the license hurdles past so that they eventually can.

    --
    "God is dead." - Frederik Nietzsche
  62. Why bother to land? by CrystalToe · · Score: 1

    Seems to me if the pax no longer a problem, there is no need to inconvenience the others.

  63. Give them guns too by evilviper · · Score: 2

    I sure love where the airlines are going. The pilots will have guns, the crew are telling a person having a heart attack that he'll be okay for the next 2 hours, and the kid sitting next to you, playing a gameboy is jamming all the communication systems.

    I think I'll drive.

    --
    Slashdot gets worse every day... Pipedot: News for nerds, without the corporate slant
    1. Re:Give them guns too by Anonymous Coward · · Score: 0

      Because you can drive everywhere in the world can't you? Oh I'm sorry, yes, there is a world outside the US and it's not just called Mexico.

    2. Re:Give them guns too by evilviper · · Score: 1

      Damn trolls. Somebody needs to call in an exterminator.

      --
      Slashdot gets worse every day... Pipedot: News for nerds, without the corporate slant
  64. Which "emergency physician on the ground"?? by Anonymous Coward · · Score: 0

    A diversion is made if the emergency physician feels that the patient needs medical attention on the ground.

    Which physician? An insurance company stooge like Dr. Frist? Wrongful death lawsuits are cheaper than malpractice suits where the patient lives.

  65. Defibrillators by soramimicake · · Score: 1

    In Japan, there are no public access defibrillators. One of the relatives of the Emperor passed away suddenly this year due to heart trouble during sports. It is said that he could have been saved if a defibrillator was applied in time. They are now considering changing the law to allow non-medical-doctors to use the equipment, and to install them in public areas.

  66. Still works outside the US by Gorimek · · Score: 2

    Perhaps. Even so, most flights are outside the US, and could still use this device.

    1. Re:Still works outside the US by Anonymous Coward · · Score: 0
      Even so, most flights are outside the US, and could still use this device.

      Are you sure about that? When did it change? There is a lot of flying going on in the US, especially since there aren't any significant alternatives for moderate to long distance travel like the railways in Europe and Asia.

  67. And when they try to take it onboard... by Anonymous Coward · · Score: 0

    ...it will be confiscated as a possible terrorist weapon.

  68. I have an interesting perspective... by Anonymous Coward · · Score: 0

    ...in that I have 3 1/2 years of medical school, a degree in Anatomy with distinction and I own my own law firm and am a trial lawyer in Canada.

    Although the airlines are welcome to use these kits for diagnostic purposes, larger aircraft usually have either a physician or nurse travelling as part of the passenger list. A properly equipped emergency medical kit with catheters, scalpels, surgical garb, anaesthetics and a spectrum of drugs, including drugs used in the immediate post heart attack phase as well as the usual stethescope, sphygmomanometer and otoscope could be used by such incidental physicians, except for the fear of lawsuits. In Canada, most provinces have a "Good Samaritan" law that makes it more difficult to sue passersby, including physicians, who stop to assist without complete diagnostic and therapeutic equipment and supplies.

    The IATA signatory countries (ie every country with regular passenger aircraft scheduled) should adopt such "midair Good Samaritan" laws. As well, having such drugs onboard (narcotics could be locked in a separate cabinet with the key provided only to the chief pilot) as the immediate post-stroke drug would alleviate the situation while the affected passenger was still in the air.

    Two of my medical classmates from the University of Saskatchewan in Canada failed to help affected passengers in domestic American aircraft because they feared being sued in the U.S. Neither affected passengers on either flight died, but they both spoke to me about these incidents and about how lawyers can kill you!

    In fairness, it's not the technology or training that holds us back, but the failure of most of us to affect the laws of the societies in which we live. Which explains why I became a lawyer in Canada and both of them practice medicine in Minnesota and Illinois, I suppose.

  69. Re:New Years Eve by Anonymous Coward · · Score: 0

    For God's sake don't fall into this trap!

    For God's sake? But, why can't He take care of Himself? He's as old as Eternity, he really should be grown up by now.

    Do things for your own sake: if God can't take care of His own affairs, He's not really trying.

    Luring us white people into having sex with the zionists or - even worse - with the mud people is Satan's plan to corrupt and dilute the God's pure white race.

    If God can't deal with a few people having sex, His grand schemes are pretty fragile, aren't they?

    Don't you find that strange, given His purported infinite might and power, that a little thing like sex can weaken His grand designs? If I were God, I'd make Satan work harder for victory than that.

    --
    AC

  70. now what by s0rbix · · Score: 0

    now how about they do something about the food.

  71. Re:New Years Eve by Anonymous Coward · · Score: 0

    According to these moronic christians, this god person they love to go on about waved his magic wand and farted out everything in the universe. Therefore, he must have also created his little buddy satan. So if he's so fucking powerful that he can do this, but can't keep a tight leash on his bum-buddy satan, he's a pretty useless fucktard of an individual! If we're all headed to this hell place every time we get it on with somebody,

  72. Re:New Years Eve by Anonymous Coward · · Score: 0

    Two questions to a typical fundamentalist christian...

    1. Do you believe that your god is all loving, all forgiving and all powerful?

    Typical fundie answers Yes.

    2. Why is there a hell?

    Typical fundie is trapped in his own lies. If there's a hell that he sends people to, he's neither loving nor forgiving. If he's got no control over hell, he's not all powerful,

    Make up your mind, fundies, or get the fuck lost!

  73. Great.. by dlcantrell · · Score: 1

    "Nicolas Poirot, a doctor with French Space Agency, said: "In two minutes you have a complete examination of the patient, you send this via the computer to the doctor, who is now able to make a complete assessment of the patient's status."" Very soon they will be able to misdiagnose you at the speed of light. I wonder if the crew member doing the diagnostics will be required to have mal practice insurance. =)

  74. Last Post! by alpg · · Score: 1

    Und die Tastaturabrdücke auf Ihrer Wange unterstreichen seeeeeehr
    vorteilhaft ihr unterschütterliches Vertrauen in die moderene
    Technologie
    -- Agent Gully in "Die eXakten"

    - this post brought to you by the Automated Last Post Generator...