Robert D. Glatter, MD; Andrea Merrill, MD; Amy Ho, MD, MPH; and Lianne Mandelbaum discuss the challenges of using in-flight emergency kits.
, presyncope, GI [issues], cardiac issues, and things of that nature. Knowing that it's rare to have anaphylaxis, that's what they're quoting. These data are not up-to-date. We need to update the database to make sure that we have an accurate picture of how often anaphylaxis or severe allergic reactions happen. Lianne, I'll let you comment on this.Let's start by circling back to the FAA. The plane has to make an emergency landing or diversion for an actual report.
We aren't getting these reports. They're not required. Nobody's collecting them. If the plane doesn't make an emergency landing or somebody else's autoinjectors used , they don't want to bother the staff, because often you are taunted if you have an allergic reaction. I collect many testimonials where people have been mocked, taunted, or harassed by flight crew, so they use their autoinjector in the bathroom.
There is some reporting mostly just because there's med control. Like I mentioned, med control is often outsourced to private companies. It's often with academic emergency centers, where they'll take a call just like you take an EMS telemetry call.
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