nervousness, restlessness or irritability, shivering or trembling, abdominal cramps, weakness and increased blood pressure.
Check your onboard medical kit. Most are coming standard with this life saving medication. Training in the use of the nasal inhaler will be provided as part of your training.
EMERGENCY SUBSTANCE ABUSE
Substance abuse is considered a pattern of use of a particular chemical. Abuse does not necessarily mean dependence on that substance. The term usually has a negative connotation. Common chemicals most often associated with substance abuse include alcohol, amphetamines, barbiturates, cocaine and others.
Passengers under the influence of particular substances may present a threat to flight crews or other passengers. Notify the PIC immediately if you or other crew members feel threatened or unsafe. Sometimes just acknowledging the behavior is all it takes to make it stop. In more severe circumstances, passenger restraint may be needed. Always make sure your safety is the number one priority.
OPIOID OD
In March of 2023, the U.S. Food and Drug Administration approved Narcan, 4 milligram (mg) naloxone hydrochloride nasal spray for over-the-counter (OTC), nonprescription, use – the first naloxone product approved for use without a prescription. Naloxone is a medication that rapidly reverses the effects of opioid overdose and is the standard treatment for opioid overdose. This action paves the way for the life- saving medication to reverse an opioid overdose to be sold directly to consumers in places like drug stores, convenience stores, grocery stores and gas stations, as well as online.
The use of Narcan nasal spray in individuals who are opioid dependent may result in severe opioid withdrawal characterized by body aches, diarrhea, increased heart rate (tachycardia), fever, runny nose, sneezing, goose bumps, sweating, yawning, nausea or vomiting,
88 Other Medical Emergencies
CHILDBIRTH The conception and birth of a baby is truly one of life’s greatest miracles. Rarely will you be called upon to assist with the field delivery as the vast majority of babies are delivered in a hospital. In addition, most births are routine and trouble-free, requiring no emergency care for either mother or baby. However, when problems do occur during birth, they need to be addressed quickly as they may put both mother and child at risk.
STAGES OF LABOR
After approximately 9 months of growth and development, the fetus is ready to leave the protective confines of the womb. With the onset of labor, the delivery process begins. Labor is divided into three stages:
Stage 1 - From first contraction to full dilation of the cervix.
Stage 2 - Cervical dilation to delivery of the baby. Stage 3 - Delivery of baby to delivery of the placenta.
During the first stage of labor, there is usually ample time to get the mother to a hospital. This is even more of a truism for the first time mother as many hours may pass before the cervix is fully dilated and the delivery begins. If you experience a passenger going into labor, notify the PIC immediately. A plan to divert to a closer site may be needed. Aircare Access can provide the best option for you.
After the cervix dilates fully and the top of the baby’s head is showing (crowning), birth is imminent. If an OB kit is available, access it immediately. Put on gloves and create a sterile field between the mother’s legs with sterile towels. If an OB kit is not available, try to place a clean sheet or blanket between the mother’s legs.
Once labor has started, you can not slow it down, nor stop it. Do not try to hold the patient’s legs together
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