Medical Advisory

in someone who used to speak normally can be the result o# a stroke or metabolic disorder. Loss o# motor #unction o# a body part can be caused by a stroke or nerve root compression. Conversely, the brain.<br><br> This process may occur in passengers with pre-existing cardiovascular disease and in those passengers su##ering #rom head trauma or a ruptured aneurysm; " head injury 3 #rom a #all or #alling objects #rom overhead bins. I# serious, a head injury may cause loss o# consciousness and/or bleeding in the brain tissue, and; " hyperventilation (breathing unusually rapidly or deeply) 3 anxiety can cause numbness and tingling around the mouth and numbness in fngers and hands. Managing a neurological incident The recommended method o# managing neurological incidents is to: 1.<br><br> Assess the situation. 2. Ask the appropriate questions to the passenger or travelling companion: main symptoms/complaints; has this happened be#ore?; other medical history; current medications and allergies; what has been done so #ar?<br><br> 3. Give the passenger oxygen. 4.<br><br> Stabilise injuries i# present. 5. Initiate communication with land physicians and relay the gathered in#ormation.<br><br> The more in#ormation that telemedicine physicians have at their disposal, the #aster they can determine how to stabilise the passenger and diminish the likelihood o# complications. 22 neurological hyperactivity can cause its own set o# problems in ight 3 resulting in seizures, involuntary movements or panic. While neurological symptoms can vary #rom #ainting episodes to body weakness and speech di#fculties, the seriousness depends on the context o# that person 9s medical history and recent activity.<br><br> By understanding the processes behind the most common in ight neurological scenarios, crew can #eel more confdent in the initial management o# such events until defnitive help becomes available. The most common in ight neurological scenarios are: " weakness 3 generalised weakness is usually metabolic in origin (hypoglycaemia, hypoxia, dehydration), whereas #ocal weakness is neurological; " dizziness 3 also described as lightheadedness, vertigo (a spinning, rocking sensation or #eeling that the environment is moving), unsteadiness (gait problems) or even depression. May be caused by an endocrine disorder, inner ear in ammation, such as labyrinthitis, or stroke; " con#usion 3 causes can be metabolic (low blood sugar), toxic (drugs or medication toxicity/side e##ect) or stroke (depending on the location o# stroke, the predominant symptom may be a change in mental status or a personality change); " headache 3 an extremely common symptom.<br><br> Can be the result o# something as trivial as tension or as serious as a type o# stroke called 8subarachnoid haemorrhage 9; " seizure 3 not necessarily alarming in a passenger with a pre-existing seizure disorder but can be a new onset seizure #rom a metabolic derangement (hypoglycaemia, toxins) or stroke; " stroke 3 the sudden onset o# neurological defcits, such as the inability to move one side o# the body, can result #rom compromised blood ow or haemorrhage (bleeding) in

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