Airline decisions during an in-flight medical emergency could cost you your life

The headline on a recent article in the Nevada State Board of Medical Examiners Newsletter seizes your attention.

Do Flight Attendants Treat Heart Attacks?

What you realize after reading the piece by Dr. Pam Wible, who interviewed pilots, flight attendants, passengers and physicians, is that the airline industry still needs help in learning how to handle a medical crisis in the sky.

For instance, if more than one physician aboard a plane offers to help out in an emergency, flight attendants, rather than doctors, are often deciding who’s most qualified.

Wilbe said her survey showed that 70 percent of the time flight attendants selected the physician who volunteered first.

“That makes no sense,” Wible told me last week.

She said the doctors who volunteer should be allowed to “assemble themselves” and decide whose expertise best fits the problem.

Do you want a rheumatologist, a dermatologist or an emergency room physician working on a someone who’s had an apparent heart attack?

“Health care works best through teamwork,”she said.

Dr. Dale Carrison, the head of emergency at University Medical Center and a physician who’s volunteered to help in several in-flight emergencies, agrees with Wible’s position.

But he also noted he has the type of personality that won’t let flight attendants make what amounts to a medical decision.

After a call goes out for help on the plane, he finds out what the situation is with the patient and lets other doctors on hand know his emergency specialty. When they find out, he generally takes over.

A spokesman for Airlines for America (A4A), a trade organization for leading U.S. airlines, said airline crews have been well trained to respond to in-flight emergencies.

Wible notes there are times when flight attendants shy away from the first medical volunteer and the fastest care — when that volunteer is a female physician of color.

It was Wible, an Oregon family physician who investigates human rights violations in medicine, who wrote a guest column in The Washington Post in October shortly after a Facebook post by Dr. Tamika Cross went viral.

In that post, Cross, a Detroit physician who is black, said emergency care for an unconscious man was delayed aboard a Delta flight because the flight attendant didn’t believe she could be a doctor.

Wible noted Cross wasn’t the only female physician of color who said she experienced such behavior when offering to help during in-flight emergencies on other airlines. In her Post column, she presented examples of several other female doctors who she said were bypasssed in favor of white nurses, pharmacists or doctors.

Delta announced in January that it would broaden “inclusion training” for employees dealing with customers, including flight attendants, and it stopped requiring medical professionals to furnish credentials, as was asked of Cross, before assisting passengers. Not only is there not a legal reason for doing so, but credentials can easily be found online, the airline said.

The former head of the American College of Physicians told Delta he was never asked to show credentials before assisting passengers on flights.

Surely, I told Wible, flight attendants have to know there are female black doctors.

“When you’re at 20,000 feet,” she said, “the pressure of an emergency may intensify underlying implicit bias — a deep seated, unconscious prejudice which affects behavior.”

Paul Harasim’s column runs Sunday and Tuesday in the Nevada section and Monday in the Health section. Contact him at pharasim@reviewjournal.com or 702-387-5273. Follow @paulharasim on Twitter.

ad-high_impact_4
News
Thunder Mountain monument stands as a tribute to Native American culture
Caretaker Fred Lewis talks about Thunder Mountain monument in central Nevada, made from concrete and found items. The five-acre site is a tribute to Native Peoples of the West. (K.M. Cannon/Las Vegas Review-Journal)
New CCSD superintendent Jesus F. Jara aims for 1st in the nation
On his third day as Clark County School District superintendent, Jesus F. Jara talks about his vision for the future during a visit to Del Sol Academy of the Performing Arts on Thursday, June 21, 2018, in Las Vegas. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
Ceremony Recognizes Refugee Students, Graduates
Rosy Mibulano, a graduate of Las Vegas High School who came to America from the Congo in 2015, was recognized in a ceremony for refugee students in Clark County. Like many other students relocated to Las Vegas from countries around the world, Rosy had a challenging high school experience, from learning English to adjusting to American customs and taking care of her family. On top of that, she wants to go to school to become a nurse so she can take care of her mother, who suffers from diabetes. The annual Refugee Recognition Ceremony celebrates the enormous lengths these young adults go through to create a new life for themselves. (Madelyn Reese/Las Vegas Review-Journal)
Paul McCartney is worth over $1 billion
Sir Paul McCartney is one of the most celebrated and accomplished musicians in history. He just turned 76 on June 18. McCartney grew to international fame with the Beatles and went on to become a wildly successful solo musician. Paul McCartney’s net worth is estimated at $1.2 billion, according to Celebrity Net Worth. In 2017, McCartney landed the No. 13 spot on Forbes’ list of the world’s highest-paid musicians, earning $54 million for the year. On Thursday, June 20, McCartney will release a double A-side single featuring two new songs, "I Don't Know" and "Come On to Me." McCartney has yet to announce a title of his new album or when it will be released. Th album is expected to be released before he headlines the Austin City Limits Music fest in October.
Water leak at Mandalay Bay convention center
The convention center area of Mandalay Bay in Las Vegas experienced major flooding Tuesday afternoon. Credit: Melinda Cook
Hollywood Memorabilia Up For Grabs at Las Vegas Auction
Elvis Presley's car, Marilyn Monroe's bras, Han Solo's blaster, and Jerry Lewis's "Nutty Professor" suit are just some of the items that are up for auction at Julien's Auctions at Planet Hollywood June 22 and 23. The auction's viewing room at Planet Hollywood is open to the public 11 a.m. to 6 p.m. daily through Saturday at Planet Hollywood. (Madelyn Reese/Las Vegas Review-Journal)
Indoor farming in Southern Nevada
Experts discuss Nevada's indoor farming industry. (Bailey Schulz/Las Vegas Review-Journal)
Former Fontainebleau could have become a Waldorf Astoria
Months after developer Steve Witkoff bought the Fontainebleau last summer, he unveiled plans to turn the mothballed hotel into a Marriott-managed resort called The Drew. But if Richard “Boz” Bosworth’s plans didn’t fall through, the north Las Vegas Strip tower could have become a Waldorf Astoria with several floors of timeshare units. (Eli Segall/Las Vegas Review-Journal)
New Springs Preserve Exhibit Shows Off "Nature's Ninjas"
"Nature's Ninjas" arrives at the Springs Preserve, in an exhibit and live show featuring critters that come with natural defenses, from armadillos to snakes, poison dart frogs to scorpions and tarantulas (Madelyn Reese/Las Vegas Review-Journal)
CrossRoads of Southern Nevada psychiatric urgent care to open in Las Vegas
Jeff Iverson, who operates the nonprofit sober living facility Freedom House, is opening a private addiction treatment center that will operate a detoxification center and transitional living for substance users trying to recover. (K.M. Cannon/Las Vegas Review-Journal)
Metro Capt. Jaime Prosser gives update of officer-involved shooting
Metro Capt. Jaime Prosser provides an update about an officer-involved shooting at Radwick Drive and Owens Avenue in the northeast Las Vegas on Thursday. A robbery suspect was shot and killed. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
Wayne Newton surprises burglars
Wayne Newton and his wife, Kathleen, arrived at their southeast Las Vegas home shortly before midnight on Wednesday to find two burglars inside their house. The burglars fled and were seen heading north through the property. Las Vegas police quickly set up a perimeter and launched an extensive search of the area, but the suspects were able to escape. It was unclear if the burglars got away with anything of value. Several items, under the watchful eyes of the police, were seen on the ground near the home's main driveway. Neither Newton, nor his wife, were injured. The Newtons were not available for comment.
Police Officers Turn Off Body Cameras
In four separate body camera videos from the Route 91 Harvest festival shooting released Wednesday, officers in a strike team are instructed to turn their body cameras off and comply with the request.
Debra Saunders reports from Singapore
Las Vegas Review-Journal White House correspondent talks about the historic summit between President Donald Trump and North Korea's leader Kim Jong Un.
How long will North Korea's denuclearization take?
In Singapore, Las Vegas Review-Journal White House correspondent Debra Saunders asks President Donald Trump how long North Korea's denuclearization will take. White House video.
LVCVA purchase of gift cards hidden
A former LVCVA executive hid the purchase of $90,000 in Southwest Airlines gift cards in records at the agency. Brig Lawson, the senior director of business partnerships, said the money was for promotional events and did not disclose that it was for gift cards. Lawson also instructed Southwest employees to submit invoices without mentioning the purchases were for the cards. More than $50,000 of the cards cannot be accounted for. The convention authority is publicly funded . Lawson recently resigned.
Kim Jong Un visits Marina Bay Sands in Singapore
North Korean leader Kim Jong Un and his entourage visited the Marina Bay Sands in Singapore briefly Monday night, local time. (Video by Philip Chope)
Coca-Cola Bottle Purse Has 9,888 Diamonds
Designer Kathrine Baumann and jeweler Aaron Shum set the Guinness World Record for most diamonds (9,888) set on a handbag. The Coca Cola bottle-shaped purse was on display at the Coca Cola Store on the Strip. (Madelyn Reese/Las Vegas Review-Journal)
Sentosa Island a pleasure resort with a pirate past
The site of Tuesday's U.S.-North Korea summit is known for theme parks and resorts. But before that, it was known as a pirate island. (Debra Saunders/Las Vegas Review-Journal)
Judge Sandra Pomrenze's comment about girl's hair
Nevada Races Full of Women From Both Sides
It's already been a historic election season for women in politics. Record numbers of women are running for political office all over the country - including Nevada. (Madelyn Reese/ Las Vegas Review-Journal) @MadelynGReese
East Las Vegas home damaged by fire
Clark County Fire Department crews responded to a house fire in east Las Vegas Thursday morning. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
911 call: Mom tries to get to son shot at Route 91
A woman stuck on the interstate during the Route 91 Harvest festival shooting on Oct. 1, 2017, in Las Vegas, tries to get to her son. 911 call released by Las Vegas police.
Las Vegas 911 caller reports people shot on Oct. 1
A 911 caller on Oct. 1, 2017, reports several people shot at the Route 91 Harvest festival in Las Vegas.
911 call from woman under stage in Las Vegas shooting
A 911 call from a woman underneath the stage at the Route 91 Harvest festival during the Oct. 1, 2017, Las Vegas shooting.
LVCVA facing scandal over gift cards
LVCVA is facing a growing scandal over airline gift cards. LVCVA bought $90,000 in Southwest Airline gift cards between 2012 and 2017. Now auditors can’t account for more than $50,000 of the cards. CEO Rossi Ralenkotter and his family used $16,207 in gift cards on 56 trips. Brig Lawson, the senior director of business partnerships, was responsible for buying and distributing the cards. He recently resigned.
Siblings separated in the foster care system get a day together
St. Jude's Ranch for Children and Cowabunga Bay Cares program partnered to bring 75 siblings together for the day to play on the water slides and in the pools at the Henderson water park. (K.M. Cannon/Las Vegas Review-Journal)
People flee the Route 91 Harvest festival on Oct. 1, 2017
Las Vegas police released footage from a camera on Mandalay Bay of the Route 91 Harvest festival on Oct. 1, 2017
Aaliyah Inghram awarded medal of courage
Aaliyah Inghram, a 10-year-old girl who was shot while protecting her 18-month-old brother and 4-year-old cousin during a shooting on May 8, awarded medal of courage. Bizuayehu Tesfaye/Las Vegas Review-Journal @bizutesfaye
Las Vegans Pack Public Lands Open House
A crowd filled the Clark County Library conference room Tuesday afternoon where Clark County officials hold their first -- and possibly only -- public meeting on plans to open almost 39,000 acres of federal land for development just outside the Las Vegas metropolitan area. County commissioners are set to vote June 19 on a potentially controversial resolution seeking federal legislation that would set aside tens of thousands of acres for conservation while giving Nevada’s largest community more room to grow. (Madelyn Reese/Las Vegas Review-Journal)
TOP NEWS
News Headlines
ad-infeed_1
ads_infeed_2
Local Spotlight
Home Front Page Footer Listing
Circular
You May Like

You May Like