brand logo

Am Fam Physician. 2021;104(5):443

Original Article: In-flight Medical Emergencies

Issue Date: May 1, 2021

See additional reader comments at:

To the Editor: We commend Drs. Hu and Smith for their article. The authors note that the Aviation Medical Assistance Act of 1998 protects the Good Samaritan health care professional because there has not been a court case for in-flight medical emergency care. We agree that litigation against physicians who provide in-flight medical emergency care is rare,1 but physicians should not underestimate the potential for lawsuits. The Aviation Medical Assistance Act does not prevent a passenger or family member from initiating a lawsuit for their in-flight medical emergency care; subsequently, for the Aviation Medical Assistance Act's indemnity, physicians must demonstrate that they provided the standard of medical care. In one lawsuit for an in-flight medical emergency that the court dismissed, the physician acknowledged the personal financial losses, time to review documents, deposition session, and most of all, the significant stress related to the litigation.2

Airline companies in the United States are ambivalent about providing legal assistance for an in-flight medical emergency, and a physician's malpractice policy may not provide support for a legal defense.3,4 Good Samaritan status could also be jeopardized if the physician accepts any compensation from the airline, including nonmonetary gifts such as mileage points, seat upgrades, and travel vouchers.5

There is a moral obligation to treat an ill passenger during a commercial air flight; however, physicians should be aware of the extent and limitation of the indemnity provided by the Aviation Medical Assistance Act, airlines, and malpractice policies.

Editor's Note: This letter was sent to the authors of “In-flight Medical Emergencies,” who declined to reply.

Email letter submissions to Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for publication in AFP must not be submitted to any other publication. Letters may be edited to meet style and space requirements.

This series is coordinated by Kenny Lin, MD, MPH, deputy editor.

Continue Reading

More in AFP

More in PubMed

Copyright © 2021 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See permissions for copyright questions and/or permission requests.