Lesson 1Physiology of cabin altitude an' hypobaric hypoxia: effects on oxygen saturation, cardiovascular compromise, an' symptom thresholdsDescribes cabin altitude physiology an' hypobaric hypoxia, includin' typical cabin pressures, effects on oxygen saturation an' cardiac workload, symptom thresholds in healthy an' vulnerable passengers, an' implications for treatment.
Typical cabin pressure an' equivalent altitudeGas laws relevant to de aircraft cabinEffects on oxygen saturation an' dyspneaCardiovascular strain an' ischemia riskVulnerable groups an' symptom thresholdsImplications for oxygen an' diversion decisionsLesson 2Oxygen therapy titration, fluid resuscitation principles in de cabin, an' safe use of medications (aspirin, nitrates, bronchodilators, intramuscular adrenaline) wid aviation constraintsDetails oxygen titration at cabin altitude, fluid resuscitation wid limited resources, an' safe use of key drugs, integratin' contraindications, dosin', delivery routes, an' aviation safety rules for storage, labelin', an' documentation.
Oxygen delivery devices an' flow setin'sTitratin' SpO₂ targets in hypobaric hypoxiaFluid resuscitation wid limited suppliesSafe aspirin an' nitrate use in flightBronchodilators an' inhalation techniquesIntramuscular adrenaline: dose an' precautionsLesson 3Available onboard equipment an' medications: typical first-aid kit, emergency medical kit contents, oxygen delivery systems, AED, an' limitationsOutlines standard onboard medical resources, includin' first‑aid an' emergency medical kits, oxygen systems, AED capabilities, an' key limitations, highlightin' variability between airlines an' implications for clinical decisions.
Regulatory minimum first‑aid kit contentsEmergency medical kit drugs an' devicesPortable an' fixed oxygen system typesAED functions, prompts, an' safe useEquipment variability between operatorsPlannin' care around equipment limitsLesson 4Common in-flight cardiopulmonary emergencies an' differential diagnoses for sudden dyspnea an' hypotension (ACS, PE, pneumothorax, anaphylaxis, arrhythmia, syncope, hypovolemia)Reviews common in‑flight cardiopulmonary emergencies, emphasizin' pattern recognition an' differential diagnosis of sudden dyspnea an' hypotension, distinguishin' ACS, PE, pneumothorax, anaphylaxis, arrhythmias, syncope, an' hypovolemia.
Recognizin' life‑threatenin' dyspnea patternsDifferentiating ACS from pulmonary embolismIdentifyin' tension pneumothorax in de cabinAnaphylaxis versus isolated bronchospasmArrhythmias, syncope, an' hypotensionHypovolemia an' occult blood loss in flightLesson 5Criteria an' process for diversion decisions: clinical thresholds, flight phase, time to suitable diversion airport, passenger stability, an' operational/legal considerationsExplains clinical an' operational criteria for diversion, includin' instability thresholds, response to treatment, flight phase, diversion airport suitability, legal responsibilities, an' shared decision‑makin' wid de captain an' ground control.
Clinical red flags mandatin' diversionTime‑critical versus time‑tolerant conditionsAssessin' time to a suitable diversion airportCommunicatin' risk to de flight crewLegal an' liability aspects of diversionDocumentin' de diversion decision processLesson 6Immediate management algorithms for suspected acute coronary syndrome, pulmonary embolism, anaphylaxis, an' cardiogenic or hypovolemic shock in flightProvides stepwise algorithms for managin' suspected ACS, PE, anaphylaxis, an' shock in flight, adaptin' standard emergency protocols to limited diagnostics, cabin hypoxia, an' constraints on drugs, fluids, an' monitorin'.
Suspected ACS: assessment an' first‑line careManagin' suspected pulmonary embolism aloftRapid recognition an' treatment of anaphylaxisCardiogenic versus hypovolemic shock stepsUse of oxygen, positionin', an' fluidsWhen algorithms trigger diversion or CPRLesson 7Documentation steps durin' an' after de event: in-flight records, handover information for ground emergency services, incident reportin' to airline operations an' aviation medical authoritiesCovers accurate documentation durin' an' after events, includin' structured in‑flight notes, times an' treatments, concise handover to ground teams, an' mandatory reports to airline operations an' aviation medical authorities.
Essential elements of in‑flight medical notesTime stampin' assessments an' treatmentsPreparin' handover for EMS at landin'Communicatin' wid cockpit an' operationsIncident an' safety reportin' requirementsConfidentiality an' data protection issuesLesson 8Systematic in-flight assessment usin' remote medical consultation: focused history, vital sign targets, use an' interpretation of portable pulse oximetry, an' monitorin'Explores structured in‑flight assessment usin' remote medical support, emphasizin' focused history, symptom timelines, vital sign targets, pulse oximetry limits, an' ongoing monitorin' adapted to cabin altitude an' equipment constraints.
Primary survey in de aircraft cabinFocused history an' symptom timelineTarget vital signs at cabin altitudeUse an' limits of portable pulse oximetersWhen an' how to call ground medical controlContinuous monitorin' an' reassessment
