ETIHAD AIRWAYS FITNESS TO FLY
GUIDELINES
October 2016
THE RESPONSIBILITY FOR MEDICAL CLEARANCE
A physician who does not specialize in or has experience with aeromedical transportation, may not be fully familiar with all the particular medical challenges involved or the stress to which a patient will be expod when travelling by air.
The decision of whether or not a guest is fit to travel, remains that of the Etihad Airways Medical Centre (EAMC).
INDICATIONS FOR MEDICAL CLEARANCE
Medical clearance is required if the guest:
1.
2.becau of the physical or behavioural condition, is likely to be a hazard or cau discomfort to other guests;
3. is considered to be a potential hazard to the safety or punctuality of the flight, including the possibility of diversion;
4.is incapable of caring for himlf and requires special assistance;
5.
6.has recently had a major medical incident;
7.
the flight, e.g. requires injections to be administered.大写千
If a guest does not fall into any of the above categories, but any doubt exists, medical clearance should be obtained.
KEY PRINCIPLES TO CONSIDER WHEN ASSESSING A GUEST’S FITNESS TO FLY经济不景气
1.
2.Reduced partial pressure of oxygen: the cabin air is pressurized to an altitude equivalent of 6000 to 8000 feet and the
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partial pressure of oxygen is approximately %20 less than on the ground. Guests with heart and lung conditions or anaemia may be at risk. They may require supplemental oxygen or may need to postpone their flight. Complex
conditions may require a high altitude simulation test (HAST).
3.The commercial aircraft cabin is not intended to replace that of a medical facility. Access to advanced medical care
is not possible and cabin crew are trained only in first aid. If a guest has a rious illness or is at risk for complications
onboard, he or she must postpone their travel arrangements or travel by air ambulance.
MEDIF (MEDICAL INFORMATION FOR FITNESS TO TRAVEL OR SPECIAL ASSISTANCE FORM)
All MEDIFs must be submitted at least 72 hours prior to departure of the flight, along with the latest medical report in English, which should be issued not more than 14 days prior to the commencement date of travel.
The MEDIF consists of three parts:
1.Part A – gives guidance for physicians to complete the form.
2.Part B – must be completed and must be signed and dated by the guest.
3.Part C – must be completed by a doctor, all fields must be completed and it must be signed and dated.
Incomplete MEDIFs cannot be accepted for asssment. Ambulance and hospital admission or transfer arrangements are the responsibilities of the guest. Etihad Airways does not make ambulance or hospital admission arrangements.
MEDICAL GUIDELINES
In reference to the IATA Medical Manual.
DIAGNOSIS ACCEPTABLE NOT ACCEPTABLE COMMENTS CARDIOVASCULAR, CIRCULATORY AND BLOOD DISORDERS
Angina Stable and no angina at rest.Unstable angina or
angina with minimal
exertion MEDIF if control recently achieved (within 14 days).
属兔男和属龙女相配吗Myocardial infarction≥ 10 days if uncomplicated <10 days or high risk
(EF<%40, cardiac
failure, pending further
investigation or
revascularization therapy)MEDIF required up to 21 days. Asss individually.
Serious arrythmia>7 days≤7 days MEDIF required up to 21 days.
Cardiac failure Controlled and stable .Acute or uncontrolled
cardiac failure. Adequate control is the ability to walk 50m on room air at normal pace or climb a flight of stairs without dyspnoea, otherwi must get oxygen. Asss individually.
Congenital cyanotic heart dia Asss all individually and consider oxygen.
Cardiac surgery>14 days14 days or CABG, valve surgery, ASD, VSD,
etc. MEDIF required up to 21 days. Angiography>24 hours if original condition is
stable.
<24 hours
Angioplasty (with or
without stent)
≥3 days 2 days or less MEDIF required up to 21 days.
Pacemaker≥2 days if no pneumothorax and
rhythm stable.
<48 hours MEDIF required up to 7 days. Ablation therapy ≥2 days<48 hours High risk for DVT up to 1 week.
DVT≥5 days if asymptomatic 4 days or less Stable on anticoagulants., ASD,
ASD, VSD.
required up to 21 days.
PE≥5 days 4 days or less Stable on anticoagulants,
asymptomatic and normal pO2
on room air. MEDIF required up
to 21 days.
通用的英文
Anaemia≥9.5, unless due to chronic
dia.<9,5, unless due to chronic
dia (then asss
individually, may accept
粉红色孔雀up to 8,5 if proven chronic)
If acutely anaemic, Hb level
should be assd more than
24 hours after last blood loss,
which must have cead.
Sickle cell dia (HbSS)10 days and more following the
last sickling crisis.
Sickling crisis in previous
9 days.
Always requires supplemental
oxygen. Guest must be
encouraged to drink plenty of
water to remain well hydrated.
Sickle cell trait (HbS) all
acceptable and does not require
supplemental oxygen.
Beta-thalassaemia, combined haemoglobin sickle cell dia Requires supplementary oxygen to be available on aircraft.
Thrombocytopaenia Platelets >40x109/L Platelets <40x109/L or
unwell.Must comply with haemoglobin rules. Asss individually for underlying dia.
RESPIRATORY
Pneumothorax7 days after full inflation, 14
days after inflation of traumatic
pneumothorax.Chest XR and MEDIF required up to 21 days after full inflation.
Chest surgery>14 days≤14 lobectomy, pleurectomy,
open lung biopsy. MEDIF
required up to 28 days or with
any symptoms or complications. Pneumonia Fully resolved. Acute, with symptoms.Must be fully resolved or, if
X-ray signs persist, must be
asymptomatic. MEDIF required
up to 7 days of resolution, if
complications or ongoing
symptoms.
Tuberculosis After at least 2 weeks of
treatment and asymptomatic.If infectious, untreated
or in the first 2 weeks of
treatment.
MEDIF required for all cas.
Must NOT be cleared for travel
until treating physician can
confirm that pasnger is not
infectious (Negative sputum ZN).
COPD, emphyma, pulmonary fibrosis, haemothorax Exerci tolerance >50m without
dyspnoea, full recovery if
recent exacerbation, no current
infection. Asss individually if
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supplemental O
2
required.
Within 7 days of recent
exacerbation, cyanosis
on the ground despite
supplementary oxygen.
Altitude simulation tests
may be required. MEDIF
required if unstable, poor
exerci tolerance of less than
50m, recent exacerbation or
supplemental oxygen required.
Asthma Asymptomatic and no infection.Recent vere attack
within 48 hours.Must be stable and have medication with them onboard. MEDIF required if hospitalization or vere episode within 48 hours.
Obstructive sleep apnoea (OSA)Isolated, controlled OSA.Asss individually. Must travel
with CPAP device in cabin if
long-haul flight and history of
significant desaturation. Device
must be FAA approved. Requires
MEDIF clearance. Must avoid
drinking alcohol before and
during flight.
Cystic Fibrosis No current infection.Asss individually , (especially if
FEV
1
<%50 at ground level). May
request PFT. MEDIF required for
all cas.
Bronchiectasis No current infection.Asss individually. MEDIF
required for all cas.
Neuromuscular Dia Asss individually. MEDIF required for all cas.
Cancer Asymptomatic Haemoptysis Asss individually if receiving
active treatment (radio- or
dyspnoeic at ground level.
安慰女生的话MEDIF required in all cas. NEUROLOGICAL
TIA>2 days after proper investigation≤2 days MEDIF required up to 7 days. CVA>7/4. ≤4 days Within first 52/2 must
have supplemental O
2
. If
uncomplicated recovery, no
nur escort, otherwi nur
escort day 14-5. MEDIF required
up to 14 days.
Epilepsy / izure disorder >24 hours after a izure, if
generally well controlled.
<24 hours
Cranial surgery≥10 days<10 days Cranium must be free of air.
MEDIF required up to 21 days. GASTROINTESTINAL
Gastrointestinal haemorrhage If 9-1 days, can travel if normal
endoscopy or other clear
evidence of healing, (i.e. rising Hb
to indicate bleeding has cead).
<24 hours
travel. MEDIF required up to 14
days.
Major abdominal surgery ≥10 days<10 bowel rection, open
hysterectomy, renal surgery, etc.
required up to 14 days or if
complications persist.
