★The distress call was made by the crew 30 minutes after the flight took off.
★Four senior residents of AIIMS and one doctor from Institute of Liver and Biliary Sciences responded to the call.
★The child was found to be cyanotic (marked by bluish color of the skin and mucous membranes due to deficiency of oxygen in the blood).
★The doctors used various techniques to maintain the child’s airway and provide ventilation.
★They also performed chest compressions and administered emergency drugs.
★The flight was diverted to the nearest airport, Nagpur, where the child was handed over to a pediatrician.
The incident occurred on Vistara flight UK-814, which was traveling from Bengaluru to Delhi. The doctors on board, who were returning from a medical conference, immediately responded to the distress call made by the crew. The child, who had stopped breathing and turned cyanotic, was in critical condition.
The doctors explained that they used three maneuvers to maintain the child’s airway: head tilt, jaw thrust, and chin lift. They also initiated positive pressure ventilation using a face mask attached to an ambu bag and a pediatric oropharyngeal airway. Chest compressions were given according to the pediatric life support protocol.
Due to the limited availability of critical items, the doctors had to improvise. They harvested the required tubing from an on-board emergency oxygen mask to connect the oxygen cylinder to the ambu bag. An IV line was secured in the first attempt, and emergency drugs, including adrenaline, were administered every three to five minutes.
The doctors also utilized an automated external defibrillator on board to deliver a cardiac shock while continuing with CPR. After 45 minutes of CPR, the child’s pulse returned.
Since no ECG or oxygen saturation probe was available to monitor the child’s heart rate and saturation, the pilot was requested to land at the nearest airport, Nagpur. The flight landed around 10.30pm, and the child was handed over to a pediatrician with stable haemodynamic parameters.
The doctors on board the flight were identified as Dr. Navdeep Kaur, Dr. Oishika Chakraborty, Dr. Avichala Taxak, Dr. Damandeep Singh, and Dr. Rishabh Jain.
This incident highlights the importance of having medical professionals on board flights. Their quick response and expertise saved the life of the child in this critical situation.
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