Table 6 In-flight post event medical protocol (ground/air)

Environmental observations

 • Type of aircraft.

 • When did the event occur (in-flight, stage of flight, on ground, ascent, descent)?

 • Where in the aircraft did the event occur?

 • For how long did the event continue?

 • What happened (e.g., odour, fumes, smoke)?

 • If odorous fumes, describe.

 • Who and how many (x out of y) was / were affected, when and for how long (aircrew, passengers)?

 • Record of air quality monitor recordings (if available) / maintenance history/previous events if known.

 • First aid response.

History of symptoms and measures related to the fume event

 • A detailed and carefully documented description and severity of the fume event experienced by the individual.

 • Record symptoms and progression of symptoms.

 • Record observations of others, important in assessment of affected persons

 • Record any treatment given / used.

 • Record any treatments for past exposures, if known.

 • Measure and record oximetry, if available, before oxygen administration.

 • Record whether oxygen was used (including flow rate, method of administration (for example, nasal cannulae / mask, when and duration).

 • Record any unusual behaviour.

 • If possible, record pre-existing health complaints / disorders / findings / medication.

 • Record other possible diagnoses (to be considered for differential diagnosis purposes).

Physical examination

Trained healthcare professionals may not be present to conduct a medical examination. However, observations of physical findings or behaviours should be recorded because they are helpful to future medical carers in their initial assessment and for guiding ongoing medical management. If a trained health care professional (e.g., a doctor, nurse or paramedic) is present, a physical examination is strongly recommended.