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Paramedic First Response on Commercial Airlines

Question# 20

Capacities On International flights and domestic. Often paramedics may be called for help on the plane. Apparently it happens quite frequently. Just happened to me. What capacities do we have? Air Canada has their own Doctor on Call through a sat phone and sometimes he can ask us to perform delegated acts. Heard they'll ask paramedics for pronouncements or help with treatment. Do we take directions from them? They'll ask for our OASIS & contact you afterwards apparently. I would assume we act under good samaritan act since we're off-duty. They do have a pelican case full of equipment for vitals and looks to be about 20-30 vials of drugs. Is it under your license, their docs license or Good Samaritan? It's a grey area and a weird situation where we might not know what to do and how you want us to act? Can you explain in detail all that we may encounter and what we should do? International flights in other countries? Thank you for your time.

Answer:

Healthcare providers may be requested to render care outside of their usual clinical environment. In such circumstances, they are typically afforded legal protection under the Good Samaritan Act within the prevailing jurisdiction. For paramedics, certification and delegation from the Northwest Region Prehospital Care Program are specifically limited to services rendered within the 911 emergency response system. Any instructions or directives received from an airline physician would fall under that physician's medical license and professional responsibility. From a physician's perspective, recommendations from the Canadian Medical Protective Association (CMPA) or similar professional bodies often advise physicians to provide the highest possible standard of care given the environmental constraints. Furthermore, it is recommended that physicians document the event comprehensively and securely for future reference or legal requirements. It is generally understood that healthcare providers on a flight have limited autonomy, with ultimate decision-making authority typically resting with the airline physician. In summary, should one elect to provide care during a flight, it is advisable to adhere to one's training to the fullest extent possible within the given environment. Comprehensive documentation of the event is also recommended for personal records, serving as an account should any questions arise regarding the circumstances.

Medical Directive Category

Miscellaneous

ALSPCS Version

Views

4

Please reference the MOST RECENT ALS PCS for updates and changes to these directives.