Surgical and medical emergencies on board European aircraft a retrospective study of 10189 cases 英文参考文献.docVIP

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Surgical and medical emergencies on board European aircraft a retrospective study of 10189 cases 英文参考文献.doc

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Surgical and medical emergencies on board European aircraft a retrospective study of 10189 cases 英文参考文献

Available online /content/13/1/R3 Research Open Access Vol 13 No 1 Surgical and medical emergencies on board European aircraft: a retrospective study of 10189 cases Michael Sand1,2, Falk-Georges Bechara2, Daniel Sand3 and Benno Mann1 1Department of General and Visceral Surgery, Augusta Krankenanstalt, Academic Teaching Hospital of the Ruhr-University Bochum, Bergstrasse 26, 44791 Bochum, Germany 2Department of Dermatology and Allergology, Ruhr-University Bochum, Klinikstrasse 56, 44791 Bochum, Germany 3Department of Physiological Science, University of California Los Angeles (UCLA), 621 Charles E. Young Drive South, Los Angeles, CA 90095- 1527, USA Corresponding author: Michael Sand, michael.sand@ruhr-uni-bochum.de Received: 19 Oct 2008 Revisions requested: 15 Jan 2009 Revisions received: 16 Jan 2009 Accepted: 20 Jan 2009 Published: 20 Jan 2009 Critical Care 2009, 13:R3 (doi:10.1186/cc7690) This article is online at: /content/13/1/R3 ? 2009 Sand et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction In-flight medical and surgical emergencies (IMEs) onboard commercial aircrafts occur quite commonly. However, 10,189 cases of IMEs were analysed. Syncope was the most common medical condition reported (5307 cases, 53.5%) followed by gastrointestinal disorders (926 cases, 8.9%) and cardiac conditions (509 cases, 4.9%). The most common surgical conditions were thrombosis (47 cases, 0.5%) and appendicitis (27 cases, 0.25%). In 2.8% of all IMEs, an aircraft diversion was performed. In 86% of cases, a physician or medical professional was involved in providing therapy. A mean (standard deviation) of 14 (+/- 2.3, 10.8 to 16.6 interquartile range) IMEs per billion rpk was calcu