08/11/2026
โIs there a doctor on board?โ and your stomach drops. Youโre derm. Youโre ophtho. Youโre path. Hereโs your quick playbook.
FIRST: YOU ARE NOT ALONE
Identify yourself to the crew and ask for:
โ AED
โ Emergency medical kit
โ Ground-based medical support
You are their hands and eyes. They can help guide the medical decision-making.
A โ AIRWAY
Talking? Airway is patent.
Choking? Back blows and abdominal thrusts.
Unresponsive with snoring/gurgling? Open the airway and position appropriately.
B โ BREATHING
Check rate, effort, and color. Ask for onboard oxygen early.
Wheezing โ bronchodilator.
Anaphylaxis โ IM epinephrine. Donโt delay.
Not breathing โ BVM, then move to circulation.
C โ CIRCULATION
Pulseless โ CPR + AED.
Weak, pale, diaphoretic โ lay flat, legs up, consider IV saline.
Chest pain โ aspirin; nitro if appropriate and not hypotensive.
Bleeding โ direct pressure; use a tourniquet when indicated.
Also check glucose.
Altered patient, especially with diabetes? Think hypoglycemia. Give oral sugar if they can protect their airway; IV dextrose is in the kit if needed. A glucometer may not be available.
And remember: you are not deciding whether to divert the plane. That belongs to the pilot-in-command with input from ground medical support. Your job is assessment, stabilization, communication, and handoff.
Acute care colleagues โ what would you add? ๐๐พ