Do doctors have to respond on planes?

Although not legally required to render assistance in the event of a medical emergency aboard an airplane, physicians have an ethical obligation to do so and should be prepared.



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A trained physician is aboard just about 11 of every 12 flights. The New England Journal of Medicine discovered that in-flight medical emergencies are rare to begin with.

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Infectious diseases – If you have the measles, flu, chickenpox, or any other infectious disease, you are advised not to fly until you have been cleared by your doctor.

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Who should not travel by air? Diseases that prevent you from boarding a plane
  • Chronic obstructive pulmonary disease (COPD)
  • A recent stroke.
  • Infectious diseases, such as chickenpox, influenza or even COVID-19.
  • A recent surgery.
  • A pregnancy of over 28 weeks.
  • Angina (chest pain at rest)


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If you have been denied a medical because of a disqualifying medical condition and are caught flying, the penalty will probably be revocation of all your airman certificates and ratings.

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The most common in-flight medical emergencies involve:
  • Seizures;
  • Cardiac symptoms;
  • Nausea or vomiting;
  • Respiratory problems and.
  • Lightheadedness or fainting.


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Most times the airline just absorbs the costs as the cost of doing business and ultimately passengers pay the costs as they will be built into ticket prices. In some cases an airline may pursue a civil case against the passenger.

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Exceptional circumstances for air passenger rights Put simply, the airline is not responsible for the delay or cancellation of the flight. For example, a medical emergency can cause delays at any time. In such cases, the airline may invoke an extraordinary circumstance.

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9 Tips for Dealing with Difficult Passengers
  1. Keep it on the down-low. If a passenger raises a concern or looks as if they're about to cause a scene, respond in a calm, quiet manner. ...
  2. Switch it up. ...
  3. Use distraction. ...
  4. Talk to a colleague. ...
  5. Show compassion. ...
  6. Stop serving alcohol. ...
  7. Answer questions. ...
  8. Be kind to parents.


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Medications for flight anxiety, like SSRIs and SNRIs, can help manage symptoms in addition to other treatments, like exposure therapy and CBT. Some medications can also help you with upsetting and sudden symptoms, including episodes of panic. It's best to talk with a doctor about your options for flight anxiety.

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This article discusses some strategies for managing panic attacks on a plane, including:
  1. Taking medication for panic attacks.
  2. Using visualization.
  3. Practicing relaxation techniques.
  4. Finding healthy distractions.
  5. Taking classes to combat fear of flying.
  6. Seeking support from other fliers.
  7. Thinking realistically.


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Airborne Illnesses “You are at greater risk if the person is seated within two rows of you. But your risk is lower if the person is seated three or more rows away.” Upper respiratory infections, such as the common cold and the flu, are the most common illnesses that air travelers might be exposed to while in flight.

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Airlines have the right to refuse to carry passengers with conditions that may worsen. If the crew believes a passenger may have serious consequences during the flight, the passenger can be stopped.

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Health experts warn it's best not to fly if you have any symptoms (and not just for selfless reasons). Not only do you risk getting the passengers around you ill, but the environment on board could make you feel even worse.

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Traditionally a pilot at a regional airline might start out earning less than $50,000 per year, but get hired on by a major airline and that goes up quickly into the six figures, and well over $300,000 for senior captains flying widebody aircraft overseas. Some earn over $400,000.

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