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Master Thesis

Urgences médicales en avion : expérience et difficultés rencontrées par les médecins généralistes libéraux de La Réunion répondant à l'appel de l'équipage lors d'un vol long-courrier desservant l'île

Abstract : Facing an increase in air traffic, in-flight medical emergencies are multiplying. Doctors who travel can then be taken to assist a sick passenger. Are they reluctant to answer the call ? Do they encounter obstacles during their intervention ? How are they affected by this experience ? The objective of this study is to characterize the problems faced by private general practitioners of Reunion that respond to the call of the crew, and try to understand their possible reluctance to intervene. The purpose of the survey is to collect their experience, expectations and possible improvements to better respond to these medical emergencies. An online questionnaire was sent to a sample of private general practitioners in Reunion Island (about 800 items) between February and April 2015, and 97 doctors responded. The results indicate that the majority of doctors are not comfortable with an in-flight medical intervention. Furthermore, they claim that the equipment on board is poorly adapted. The study shows that the positioning of the patient, coordination with crew members, and available emergency equipment have a significant impact on the confidence of the doctor. Moreover, two-thirds of the physicians ignore the law surrounding medical practice in flight. The risk of litigation is an obstacle for the other third that choose to respond to these calls. Although the results can not be generalized given the sample size, improvements can be made with the emergency kit and training of cabin crew for better coordination of care. Furthermore, training for in-flight emergencies could be offered to general practitioners in Reunion, combining both medical and essential legal information. Sixty percent of surveyed doctors say they would be interested in this type of training.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01199919
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, September 16, 2015 - 2:15:50 PM
Last modification on : Wednesday, August 23, 2017 - 4:29:54 PM
Long-term archiving on: : Tuesday, December 29, 2015 - 7:32:29 AM

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Marine Costa. Urgences médicales en avion : expérience et difficultés rencontrées par les médecins généralistes libéraux de La Réunion répondant à l'appel de l'équipage lors d'un vol long-courrier desservant l'île. Médecine humaine et pathologie. 2015. ⟨dumas-01199919⟩

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