Guidelines for assessing guest‘s fitness for travel
When assessing a patient‘s fitness for air travel, the effects of reduced atmospheric pressure and consequent reduction in oxygen tension must be considered. Even in pressurized aircraft, the cabin pressure will be equivalent to an altitude of 5000-8000 feet. Although each case will be considered on its merit, the following guidelines are laid for the treating physician‘s reference:
- An introduction of air into body cavities for diagnostic/therapeutic purposes are allowed to fly only after 7 days following the procedure.
- Critical heart and respiratory conditions (e.g. decompensate cardiac patients/patients with severe valvular disease/unstable angina/significant cardiac arrhythmias/severe asthma) are usually not permitted to fly. Patients with recent coronary occlusion with myocardial infarction are normally not permitted to fly within 3-6 weeks of onset. Patients who have undergone angioplasties are usually allowed to fly only after 4-7 days. Cases of uncontrolled severe hypertension are not allowed to fly. Patients with severe bronchitis and other conditions where the respiratory exchange is compromised or may be affected by the hypoxia are permitted to fly only if arrangements are made for supplemental oxygen for in- flight use and are accompanied by a medical escort. Patients with active open tuberculosis/untreated pneumothorax are not permitted to fly. Cases with tracheotomies are permitted to fly only if accompanied by a medical escort and suitable equipment.
- POP casts should be bivalved in case flying is required within the first 48 hours of their application.
- Peptic ulceration with haemorrhage – not permitted within 2-3 weeks of onset, except when permitted by the treating consultant. Flying may be permitted after 2-3 weeks of a MINOR laparoscopic procedure.
- Cases of psychiatric disorder are allowed to fly only if sedated and accompanied by a medical escort.
- Patients with acute contagious/communicable diseases are not allowed to fly.
- Patients with fractures of the Mandible with fixed wiring of the jaws are not allowed to fly.
- Mentally challenged/Autistic patients are permitted only with medical clearance and a medical attendant.
- CVA / Head injury – permitted only after 2-3 weeks.
- Severe cases of acute Otis Media/Sinusitis/post middle ear surgery permitted to fly only after 2-3 weeks.
- Post-operative cases are usually not permitted to fly within Patients with severe Anaemia are not permitted to fly Patients with uncontrolled Diabetes Mellitus are not permitted to fly. Flying is not permitted for 3-6 weeks following surgery for Retinal detachment
- 10 days of abdominal operations
- 21 days of chest surgery
- Patients with impaired mobility should be provided with diapers/condom/indwelling catheters.
- Guests are allowed to fly after 48 hours of normal delivery provided they have medical clearance. Newborns are not allowed to fly in the first 7 days of life unless they are medically cleared by the treating neonatologist and are accompanied by at least an MBBS doctor.
- Patients with Deep Vein Thrombosis should not fly till the patient is stabilized on anticoagulant therapy and there are no pulmonary complications.
In all cases where your fitness to fly is in doubt, please consult your treating physician prior to making the reservation. Full consultation with the airline‘s medical department well before the flight is important if inconvenience/health risk to the patient/others is to be avoided. Knowledge of the principles involved & the facilities available, combined with co-operation between the guest, his/her treating physician and the airline‘s medical department will ensure that almost all such guests travel safely & with minimum inconvenience.
- Pregnant ladies may be accepted for travelling in Kairali Airlines before 28th week of pregnancy if provided that she is in possession of fitness to fly certificate from her treating obstetrician, specifying the number of weeks of pregnancy. They are not permitted to travel after 28th week.
- Special Note: Duly completed MEDIF Forms should be forwarded to our Regional Medical Department 24-48 hrs prior to the date of flight. A MEDIF FORM that has been filled more than 2 days prior to date of flight will usually not be accepted. Kairali Airlines doctor‘s decision regarding the fitness of guests to fly/requirement of the medical escort will be final. If at the time of embarkation the condition of the guest has further deteriorated, the carriage may be refused. Any case, which Kairali Airlines feels might jeopardize the safety or operation of the aircraft, will not be accepted. Patients with symptoms likely to worsen during flight/cause distress or inconvenience to other guests will not be accepted. MEDIF Forms for all medical cases will have to be sent to our Medical Department for approval.
- The attendant should ensure that all items/medical equipment brought on the aircraft by the patient (needles, syringes, and unused medication) are removed at the time the patient is disembarked from the aircraft.
- Inform our reservation staff at the time of reservation that the guest travelling is a medically ill guest. The MEDIF Form has to be filled by the doctor treating the guest. Click here to down load the MEDIF form.
- The completed MEDIF FORM and a detailed certificate from the doctor, certifying other relevant medical information of the patient‘s illness/condition should be faxed/emailed to firstname.lastname@example.org.
- In the case of uncertainty, the Kairali Airlines doctor/other doctor nominated by the company may require to examine the guest and evaluate his medical records prior to giving his final decision on fitness to fly.
- Guests are requested to carry all medications that they may require inflight in their hand luggage. Guests who have a medical condition are also requested to carry all details regarding their illness (including hospital discharge cards, treatment details, relevant medical history details, doctor‘s certificates, etc) as well as the recommended treatment in case of an anticipated emergency, in their hand luggage. It is not possible for cabin crew to refrigerate guest’s medications, & if this is required, guests should carry their own cool bag or vacuum flask.
- Approval of the MEDIF FORM is to be obtained from our doctors at the nearest office.
Only after obtaining clearance from our Kairali Airlines doctors can the guest be booked and then accepted for travel. Click on the relevant form to download them.
MEDA passengers will be accepted for travel only if found “fit to travel” at the time of check-in. Prior clearance does not guarantee carriage if the condition of the guest has deteriorated after clearance has been obtained.
|Request for Oxygen on Board
Cases requiring uplift of additional oxygen cylinders should submit the duly filled MEDIF form at least 48–72 hours in advance so that the necessary arrangements can be made. Personal oxygen cylinders are not permitted on the aircraft however, ventilators/oxygen concentrators may be permitted on the aircraft after acquiring prior engineering and security clearances.
- Only In-Flight oxygen will be provided; guests will have to make their own arrangements for oxygen on-ground/in transit.
- This is applicable only on Kairali Airlines flights. For interline and code share, the Operating Carriers’ rules will apply.
- Due to security reasons, personal oxygen cylinders will not be carried on board the aircraft.
- Cases requiring oxygen should be accompanied by an escort who is familiar with the procedure of administering oxygen, or by a qualified nurse/doctor.
- The attendant should ensure that all items/medical equipment brought on the aircraft by the patient (needles, syringes, and unused medications) are removed at the time the patient is disembarked from the aircraft.
- Limited numbers of oxygen cylinders are available in the aircraft for use in emergencies. Additional therapeutic oxygen can be provided on request only if 48-72 hours advance notice is given.
Note: However, the aircraft oxygen cylinders can deliver oxygen only at fixed flow rates of 2 or 4 litres/minutes.
|Travelling on a Stretcher
Kairali Airlines accepts guests travelling on a stretcher on Kairali Airlines operated flights only. Travel on a stretcher is subject to prior approval.
Minimum reservation time for stretchers is 24 hours from metro cities, 48 hours for other stations.
Cases requiring uplift of additional oxygen cylinders should submit the duly filled MEDIF form at least 48–72 hours in advance.
Clearance from Medical Department
- A fresh MEDIF form on the day of travel may be asked for in select cases. If the guest’s medical condition has deteriorated at the time of departure, permission to fly may be refused. In all cases, the decision of the Kairali Airlines’ medical department regarding the fitness of guest to fly and the type of escort required will be final.
- The MEDIF Form should be complete, accurately and legibly filled by the patient‘s treating doctor and faxed / emailed to the appropriate Kairali Airlines Medical Department at least 48-72 hours prior to the flight. All medical details asked for must be completed. The guest must produce a certificate from his/her treating doctor certifying that he is fit to travel by air and is free from any contagious disease as well as a detailed medical report from the treating doctor. These documents should be also faxed/emailed to the Medical Department for approval.
- Guests travelling on a stretcher must be accompanied by a medical escort (doctor, with minimum MBBS) or paramedical escort (registered nurse) or non-medical escort, as per the decision of the medical department.
- On the day of travel, a fresh MEDIF form may be asked for in certain cases. If the guest’s medical status is noted to have deteriorated, as compared to the details provided in the MEDIF form, permission to fly may be refused.
- Kairali Airline’s doctor on duty will certify that the guest is fit to travel and fax/email the MEDIF form back to the departure station.
- 1 hour prior to departure of the flight.
- Relatives and guest must also request their treating physicians to refer to the ‘GUIDELINES‘ printed on the MEDIF Form. Kindly note the following:
- No medical support will be provided by Kairali Airlines. The guest will have to be accompanied by a qualified medical escort, i.e. a doctor (minimum Indian degree equivalent MBBS or US degree equivalent MD). A registered nurse or non-medical escort may be permitted in rare cases, solely at the discretion of the medical department.
- Due to safety reasons, personal oxygen cylinders will not be carried on board the aircraft.
- Cabin Staff are trained in first aid only and are not expected to render special nursing care to critically ill cases. Cabin crew is not permitted to administer injections or open physician kits, which contain life-saving drugs and equipment. These kits can be opened only under instructions of Registered Medical Practitioners.
- Guest needs to liaise with respective Airport Manager for ambulift facilities well in advance.
- Ground and Transit oxygen arrangements are to be made by the guest in conjunction with the Airport manager or ground staff in liaison with AAI or the local airport governing authority.
- The attendant should ensure that all items/medical equipment brought on the aircraft by the patient (needles, syringes, and unused medications.) are removed at the time the patient is disembarked from the aircraft.
Kairali Airlines would be responsible only for the transport of the guest by air from one sector to another. Arrangements for and cost of all equipment/medications/accompanying medical escorts/ambulift facility, urine bags, drapers etc., would have to be borne by the guest.
- Only one stretcher case per aircraft will be permitted.
- Stretcher cases will be accepted on all non-stops, direct and connecting flights provided all the flights involved are on the same ticket and are operated by Kairali Airlines.
- The stretcher is installed as per the manufacturer‘s recommendations and we regret that individual requests for any alteration in installation cannot be met.
CARRYING LIFE-SAVING EQUIPMENT ON BOARD
Carriage of Life Saving and other Medical Equipment on Board will be permitted only after getting clearances from Engineering and Security Departments.
Manufacturers’ technical details regarding equipment, safety precautions if any, procurement source, manufacturers contact details etc. should be submitted at least 72 hrs prior to flight.
All equipment on board must be secure.
The Treating Physician should give a certificate stating that:
- All equipment are battery operated (dry, non-spillable, sealed batteries only).
- The battery does not need to be recharged in-flight (no recharging facilities are available on-board).
- The equipment is life-saving and will be required in-flight.
- It will not emit any electromagnetic radiation which could interfere with the communication/navigation of the aircraft or aircraft equipment.
- There is an adequate supply of fully charged batteries, i.e., sufficient for 150% of maximum expected flight duration. Additional batteries must be packed as per IATA DGR.