• K Matsumoto and D Goebert.
• Department of Psychiatry, University of Hawaii, John A. Burns School of Medicine, Honolulu 96813, USA. KM@hawaii.rr.com
• Aviat Space Envir Md. 2001 Oct 1;72(10):919-23.

BackgroundAlthough studies have been published regarding airline in-flight medical emergencies, there is a lack of any specific studies about in-flight psychiatric emergencies. This study seeks to ascertain the incidence of in-flight psychiatric emergencies, their associated factors, and outcomes.MethodsAll in-flight calls for physician consultation to MedAire, a leading medical resource for airlines, during 1997 were reviewed for psychiatric symptomatology.ResultsOf 1375 consultations, 3.5% were characterized as psychiatric, with a large majority (90%) of these cases presenting primarily as acute anxiety. Most of the psychiatric cases (69%) required arrangements for the passenger to be evaluated on arrival, and three cases required emergency flight diversion and landing.ConclusionsThis study suggests that an anxiolytic agent with a rapid onset may be indicated for the on-board medical kit.

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