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Emergency medical kit for commercial airlines

Emergency medical kit for commercial airlines
Medications Equipment
  • Epinephrine 1 mg/mL for IM injection – for allergic emergencies
  • Epinephrine 1 mg/10 mL for IV/IO/ET use – for cardiac arrest
  • Antihistamine*
  • Dextrose 50% 50 mL (or equivalent)
  • Nitroglycerin tablets or spray
  • Major analgesic, injectable or oral
  • Sedative anticonvulsant*
  • Antipsychotic (eg, haloperidol)
  • Antiemetic, injectable or oral dissolvable (eg, ondansetron)
  • Bronchial dilator inhaler with spacer
  • Atropine*
  • Adrenocortical steroid, injectable or oral absorption equivalent*
  • Diuretic*
  • Sodium chloride 0.9% (1000 mL recommended)
  • Acetylsalicylic acid for oral use
  • Oral beta blocker
  • List of medications – generic name, plus trade name if indicated on the item
  • Stethoscope
  • Sphygmomanometer (electronic preferred)
  • Airways, oropharyngeal (appropriate range of sizes)
  • Syringes (appropriate range of sizes)
  • Needles (appropriate range of sizes)
  • IV catheters (appropriate range of sizes)
  • Antiseptic wipes
  • Gloves (disposable)
  • Sharps disposal box
  • Urinary catheter with sterile lubricating gel
  • System for delivering intravenous fluid
  • Venous tourniquet
  • Sponge gauze
  • Tape adhesive
  • Surgical mask
  • Flashlight and batteries (operator may decide to have one per aircraft in an easily accessible location)
  • Thermometer (non-mercury)
  • Emergency tracheal catheter (or large gauge intravenous cannula)
  • Umbilical cord clamp
  • Bag-valve mask
  • List of equipment
  • Basic and Advanced Life Support cards
  • Some kits may include: epinephrine auto-injector, glucagon, naloxone, ondansetron (oral), and/or injectable diazepam.
  • When available, auto-injectors can be used by the cabin crew of some airlines under order from a ground medical advisor if there are no health professionals on board.
  • Alternative methods of administration (eg, nasal spray, sub-lingual spray, oral-dissolving tablet) may replace injections in order to facilitate treatment by a volunteer, including personnel who are not trained to use this method (eg, cabin crew), under direction from a ground medical advisor or based upon a standing order from the airline.
  • Ampules of epinephrine 1 mg/mL were previously labeled as 1:1000, and ampules of epinephrine 1 mg/10 mL were previously labeled as 1:10000, but to help prevent medication errors, ratio expressions were removed from epinephrine labels in the United States in 2016.

IV: intravenous; IM: intramuscular; IO: intraosseous; ET: endotracheal.

* Injectable.
Reproduced with permission from: Medical Emergencies: Managing In-flight Medical Events. Aerospace Medical Association 2016. Available at: https://www.asma.org/asma/media/AsMA/Travel-Publications/Medical%20Guidelines/In-flight-medical-events-guidance-document-revised-July-2016.pdf (Accessed on February 1, 2017).
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