Etihad Airways of Abu Dhabi, United Arab Emirates, is installing new technology on its long and ultralong-haul aircraft that can monitor the condition of passengers who display signs of sickness that might require immediate medical attention.
The Tempus IC system allows users to gather information about a passenger’s health quickly and efficiently. The data covers a wide range of the passenger’s ‘vital signs’, including blood pressure and an electrocardiogram (ECG). It also allows the users to take photo imagery. On Etihad’s units, the information is then to transmitted to emergency care doctors at MedAire’s MedLink Global Response Center. Following the advice from MedLink’s medical staff, the crew will take a decision about what to do next for the passenger and the flight. The device can also be configured to send data to other providers or private hospitals.
Although the device is primarily aimed at users without medical training, such as cabin crew, the makers say it can also be of benefit to medically trained staff, with the potential for use by a medical escort if their patient’s condition deteriorates unexpectedly, or if another passenger on the flight is in need of medical assistance. As a concrete example, RDT cites the case of a male diabetic with high blood pressure, cholesterol and history of heart problems, en route from India to the UK. The passenger complained of a swollen, blistered, right hand and an inability to bend his fingers. The crew used Tempus to take and transmit his vital signs (including pulse, blood pressure and picture of the hand) to the ground-based response centre. Working with MedLink, a doctor who was onboard monitored the patient’s vital signs at hourly intervals. A full 12-lead ECG was taken when the patient began to vomit and complain of stomach pains. This ruled out cardiac problems and allowed the flight to continue and the patient to be monitored for the rest of the flight.
Ninety-nine per cent of all Tempus calls are transmitted into MedLink, where the medical situation is managed by MedLink doctors.
If a medical escort uses the Tempus IC to transmit data to a telemedical provider, who is now responsible for the patient’s care and what weight do the provider’s recommendations carry? Rita Mody, MedAire training manager, explained that when it comes to a decision of whether to divert a flight, any recommendations offered by MedLink are directed to the captain of the aircraft as well as to the escorting medic. If the airline accepts MedLink’s recommendation to divert, the captain still has the final decision.
Paulo M. Alves, MedAire Inc. vice-president of aviation and maritime health, said: “Tempus IC is invaluable when remotely managing a medical situation, because it gives MedAire’s MedLink doctors the clinical-quality data needed to make a better diagnostic impression. The parameters available when taking a Tempus call are essentially the same as those one would have in most emergency rooms.”
Captain Richard Hill, Etihad Airways chief operations officer, commented: “Passenger welfare and safety is of the utmost importance to Etihad Airways, and the introduction of the Tempus IC system will ensure that when medical emergencies do occur they are evaluated quickly. This helps ensure that the passenger can receive the appropriate treatment when the aircraft lands, whether this is as a diversion or at its final destination.”
Etihad is introducing the Tempus IC technology, designed and manufactured by UK-based RDT, on its A340 and Boeing 777 aircraft and then subsequently across the remaining long and ultralong-haul fleet.