Medical Evacuation: Saving lives, helping families

Chris Hutton and his wife Julie 

A first-year med student didn’t know that his family membership with AirMed would come into play one day in early 2014

Sandy Kinkade Hutton has been an AirMed member for the past eight years. When she married Kevin Hutton in 2011, she added both her husband and stepson, Chris, onto her membership.

Chris Hutton is a first year med student at American University of the Caribbean located on Saint-Martin island in the Caribbean. Chris had experienced inability to urinate for several days, and finally made a decision along with his wife, Julie, who is a French citizen, to go to the local hospital to be checked by a doctor.

During what would be fairly routine treatment in any metropolitan medical center, the island medical staff was unable to place a catheter and traumatized Chris’s urethra. Then they managed to slice off a segment of a plastic catheter inside Chris’ bladder. His situation went from bad to worse within hours with concerns of peritonitis mounting. “The island surgeon said he had sliced off the tip of the catheter.” It wasn’t until we were back in the U.S. that the urologist told us it was a foot long piece of catheter,” Sandy said.

After the “oops” moment with the catheter, the Hutton’s knew they needed to get Chris off that island and to a higher level of medical care back in the United States. Sandy told him to make the call to AirMed.

Once the call to AirMed was made, AirMed put its operation in motion. “We talked to AirMed the entire time. We heard from them through email and through phone calls, they kept us informed every step of the way,” Sandy recalls.

Chris states "Lying in pain in a bed at night there at the island's hospital, it was the worst feeling, to feel a million miles away from home. Once the crews arrived, everything changed. I knew from the instant they walked in that I was safe, and on the road to recovery."

AirMed arrived, and Chris was transported to the University of Miami Hospital early the next morning. Because it was an international flight, U.S. Customs came to the ramp to check all passports. Chris was transported by ambulance to the hospital. “AirMed even arranged for a taxi to take Julie to the hospital when she was finished with Customs. It was just a level of completeness—AirMed saw to it that nobody was left stranded.” said Sandy.

Chris was taken into surgery in Miami to remove the catheter and assess the situation. A new catheter was inserted and remained in place for 3 days. It was removed, and Chris and Julie were able to return to St. Martin to resume his medical school studies with a new understanding of what it is like to be the patient.

Kevin and Sandy Kinkade Hutton

“The thing that makes this entire event even more remarkable,” Sandy continued, “is that I was a flight nurse for 13 years, and Kevin was a flight physician. I am a past President of the Association for Air Medical Services (AAMS), and Kevin is the current Chairman of MedEvac Foundation International. We really know this industry, inside and out. Neither of us ever, in a million years, thought we’d need to use our AirMed membership. It was SUCH a relief knowing that one call took care of everything.”

“As a flight nurse, I remember arriving at hospitals and the sigh of relief on people’s faces when the flight crew would show up,” Sandy said. “For the first time, I was on the other end of that scenario. I was on the patient side, and I knew professionals were on their way to get Chris off the island and that they were fully able to take care for him. It was such a relief once I knew the medical crew was on that island.”

Dr. Kevin Hutton added, “We want to really stress the fact that you never think it’s going happen to you. You simply never know when something like this will happen. Had we not had the AirMed membership, we’re not sure how this whole thing would have transpired.”

Sandy said, “I’ve seen so many times where people think their health insurance will cover this type of thing and it doesn’t. I’ve kept my AirMed membership all this time because you’d like to think that healthcare is good everywhere, especially on an island known for attracting tourists, but it is not.”

Chris and his family knew that AirMed had their back. Since he’s been back at school, Sandy has helped Chris write a protocol for the medical school he attends to try and put some sort of medevac membership policy in place. “ In the event of a medical emergency such as this, being prepared is the key,” she said. Chris commented, "I don't know what we would have done without AirMed membership. I am so grateful that my family is covered for the future."

Kevin added “We will NEVER be without an AirMed card.” Several of the Hutton’s family members are also new AirMed members.

Be Safe During Spring Break. A Guide for Parents and Students

From Moxie Health

While the biggest problems facing most of the thousands of spring breakers headed to the beach in the next few weeks will be hangovers and sunburn, things can happen, and kids and parents should be prepared.

Before anyone takes off for South Padre Island, Lake Havasu or Cancun, it’s a good idea to set some up some safeguards — and have a plan if something does go wrong. Communication is the first to-do on most spring break safety lists. Know when your kid is leaving, where they’re staying and who they’re going with, and ask them to check in by phone on a pre-arranged schedule.

 If you are the spring breaker, have everyone program the emergency contact information for each member of your group into their phones to avoid panic and delay if something does happen.

Be insured for health emergencies

This is especially important if kids are traveling out of the United States. Many student health insurance plans will not cover injuries sustained out of the country and worse, medical evacuation is incredibly expensive, as much as $100,000 for an international airlift by jet and $50,000 domestically. You can buy both health insurance and medical evacuation insurance to cover travel health emergencies.

“We have a great product we hope you will never have to use,” says Sarah Hanley, director of corporate communications for AirMed. With one call, AirMed will dispatch a medically-equipped jet to evacuate an injured kid back home, not just to the nearest acceptable facility, from anywhere on the globe. The company also has a 24/7 medical logistics team that can give referrals, consultations and prescription assistance for sick or injured people abroad. AirMed also provides transport between domestic hospitals and specialty facilities for treatment. AirMed offers short- and long-term student, individual, and family coverage, with costs ranging from $115-$400.

Read the complete Spring Break Safety article at Moxie Lady Online.

When a business trip turns deadly: how one man made it home alive

Cliff Hawk, owner and president of Texas company KnightHawk Engineering shares the remarkable story of his near-death experience and the AirMed transport that helped get him the care he desperately needed.

"WHERE AM I?"

I suddenly awoke in a hospital bed and immediately noticed everyone was speaking in a language I did not understand. Then to my surprise my two boys and wife gathered around the bed side. I was on a ventilator and could not speak. My wife and sons started relaying the events that had occurred, starting with:

“You are in Seoul, South Korea in the University Hospital.” The story unfolded over the next week, and to this day, I can’t believe the story was about me and the struggle my family had.

Mr. Hawk shared this photo of him being taken aboard
AirMed's Hawker medical jet en route to Seoul, South Korea

Traveling for my company, Knighthawk, I arrived in Ulaanbaatar, Mongolia (UB) the capital city, at Genghis Khan Airport, then boarded a company plane for a 2.5 hour flight out into the Great Gobi Desert. The job site was at one of the largest copper and gold mines in the world. I started feeling under the weather, and the next morning I decided I better go to the site clinic. Within a matter of hours I had high fever, and it was decided that I must be air evacuated to a major clinic.

"I GOT WORSE."

All of my major organs began to shut down. The Mongolians called the U.S. embassy to start paperwork to transport my body to Houston. They told my wife and sons that I would die, but my wife and family refused to accept it.

My wife injected her knowledge with the help of Houston doctors into the situation.

Changes were made and against the Mongolian doctors’ advice, my wife and sons made the prayerfully thought out decision to life flight me via AirMed to Seoul, South Korea.

GETTING HOME VIA AN AIRMED PLANE

I arrived into Seoul at death’s door, and was immediately taken to the Seoul National University Hospital and put into the Intensive Care facility. I made it through the night and in four days had another major surgery. Soon, my vital signs went to normal, and the doctors said I could be medically evacuated back to Houston.

The last conversation with the doctors in Seoul the night before I left was surreal. “We have no idea why you are still on this earth and how you recovered.”

After six ambulance trips, two major surgeries and two air evacuations, I made it home to Houston alive. Study my story and realize that things can change in a moment. Thank you to AirMed and the rest of the people who helped to save my life.  --Cliff Hawk

Transporting a comatose patient, complicated issues arise

DULUTH, Minn. -- Pakistani officials agree with the family of comatose Pakistani student Muhammad Shahzaib Bajwa that he should remain at Essentia Health-St. Mary's Medical Center for treatment.

"That's what we have said is give this boy a chance, because definitely the medical facilities here are much better than in Pakistan," said Faisal Niaz Tirmizi, the Pakistani general consul in Chicago.

But as of Friday, exactly two weeks before Bajwa's student visa will expire, the U.S. State Department still hadn't answered the consulate's request that Bajwa's stay be extended until his condition stabilizes, Tirmizi said.

The recovery to that point could take more than a year, said Bajwa's brother, Shahraiz Bajwa, in an interview earlier this week.

Shahraiz, 22, who immediately flew to the United States from Pakistan after learning about the accident, wants his brother kept at St. Mary's because of the superior quality of care here, he said this week. But he's also concerned that his brother might not survive the long flight.

That's possible, an official for a company that specializes in such flights said.

"We don't have data about deaths in flights, but it has happened, yes," said Sarah Hanley, director of corporate communications for Alabama-based AirMed International.

AirMed, which transfers all international patients for the Mayo Clinic, has transported patients who were in comas, Hanley said. And distance is not an issue.

"We have transported patients from Minnesota to places such as Pakistan, or vice versa," Hanley said. "It is possible and done quite often, transports of that long-distance scope."

Read reporter John Lundy's Full Article here.

Travel and Health News, the latest issue is out

AirMed is there not only when you need us, but where you need us.

In this issue of Travel+Health, AirMed's member newsletter:

• How does AirMed work?
• A CEO's business trip turns terrifying
• The Number One Traveler's Health Issue 
• Our members sound off, and more!
  

Follow this link to see the full AirMed News. 

Why CVS Isn't Selling Cigarettes Anymore

CVS/Caremark announced this morning that it will stop selling tobacco products starting October 1. 

The pharmacy chain said selling cancer-causing products was incompatible with its overall mission of improving health, both through its pharmacies and its MinuteClinic walk-in primary care centers. 

The company will forgo $2 billion in annual tobacco sales by no longer carrying the number-one cause of preventable death. 

"We have about 26,000 pharmacists and nurse practitioners helping patients manage chronic problems like high cholesterol, high blood pressure, and heart disease, all of which are linked to smoking," Larry J. Merlo, chief executive of CVS, told the New York Times. "We came to the decision that cigarettes and providing healthcare just don't go together in the same setting."

Read the Full Story of this important health decision by a major pharmacy chain in The Atlantic.

What if you need medical evacuation?

There isn't a traveler alive who thinks they will be calling an air ambulance at the beginning, middle or end of their trip.  Whether it's a business trip or a bucket list vacation, no one expects to have an accident or be struck with a serious illness while they are away from home. That is where AirMed comes in.

Your health and safety means the world to us

If you become ill or injured while traveling, AirMed will safely deliver you to the hospital of your choice. If you receive a serious health diagnosis and don’t know where to turn, AirMed is there for you, coordinating every aspect of a medical or second opinion referral. This and so much more is the assurance AirMed offers to our members. We strive to be more than just a card in your wallet; we are your peace of mind.

• We cover every trip you take even domestically.
• You don’t have to be critically ill or injured to qualify for a flight.
• There are no deductibles, claim forms or out of pocket expenses.
• Pre-existing conditions are accepted.
• There are no financial limitations for medical transports.

More than simple travel insurance

AirMed is an important enhancement to existing health and travel insurance. Most insurance policies focus on trip cancellation and lost luggage. AirMed focuses on taking care of your healthcare when you need us most. In other words, we save lives, not luggage.

AirMed memberships protect your most important asset: your health. In the midst of an emergency or serious medical diagnosis, reliability and cost should be your last concern. AirMed provides you access to an unsurpassed quality of care, every day of the year.  Find out more about air medical memberships that cover you for one trip or all year at airmed.com 

Winter Driving Tips, Surviving Jet Lag, the Smallest Heart Patient and More

The latest AirMed Travel + Health News is full of great information for all of your travel and health needs this holiday season.  Jet lag? No problem. We've got ways to combat it.  Read all about one of our smallest and most miraculous patients and so much more. 

Click this link to read all the AirMed News and even get a discount code to Give the Gift of AirMed to the travelers in your life!

Visit us anytime at airmed.com to find our more about our life-saving air medical memberships with great benefits such as Second Opinion Referrals, 24/7 Medical Services Hotline and more.

How to Prevent a Cold

Prevention Magazine has a terrific feature called "How to Prevent Anything."  From hangnails to Lyme Disease, they outline it all for you.  Now that winter is fast upon us, here are a few tips from the section on How to Prevent a Cold.

1. Practice Tai Chi
This Eastern exercise rev’s your body's cold-fighting defenses by as much as 47% and even triples the protection you get from a flu shot. 

2. Wash Your Hands
Every time you push an elevator button, clutch a treadmill handle, or twist open a doorknob, your hands get populated by tons of germs. That’s why washing your hands is the single best way to keep from getting sick, say experts. Scrub with soap and hot water for 20 seconds, and don't forget between your fingers and under nails. When you can’t get to a sink, use an alcohol-based hand sanitizer, says Allison Aiello, PhD, a professor of epidemiology at the University of Michigan School of Public Health.”

3. Store Toothbrushes Separately
If someone in your house has come down with a case of the sniffles, it may seem inevitable that you will start sneezing, too. One trick to avoid catching their germs: Keep your toothbrushes separate. Don't store your family's toothbrushes together in a glass.

Read the entire article and search for How to Prevent much more at the Prevention website.





Prevent air medical transport costs from catching you off guard by becoming an AirMed member today!

Philippine Typhoon is "Unprecedented Disaster"

© Erik de Castro/Reuters, Courtesy Trust.org

Doctors Without Borders/Médecins Sans Frontières (MSF) emergency coordinator in the Philippines Dr. Natasha Reyes describes the devastation brought by Typhoon Haiyan and what the medical needs are now. 

“Right now we’re operating in a relative black hole of information. We know from the very little we can see that the situation is terrible. But it’s what we don’t see that’s the most worrying. The reports we’re receiving from Tacloban are that the entire city of 400,000 people has been devastated. But there are hundreds of other towns and villages stretched over thousands of kilometers that were in the path of the typhoon and with which all communication has been cut. 

To be honest, no one knows what the situation is like in these more rural and remote places, and it’s going to be some time before we have a full picture. 

Unprecedented Disaster 

This sort of disaster is unprecedented in the Philippines. The effect is something like a massive earthquake followed by huge floods. 

...Our priority is to address the urgent and immediate medical needs, of which we are sure there are many. After that, really it’s everything – shelter, water, food. They’ve lost everything. 

At this early stage, the big issue for us is moving people and aid supplies to the affected area. Tacloban itself has limited capacity for flights, but we are doing our best to get our teams up and running. 

See the full story at the Doctors without Borders site. 

Transporting the Smallest Critical Patients

A Heart Full of Love and Hope

One of our tiniest and most critically ill patients teaches us all a lesson of the human spirit

In October of 2010, AirMed met a miracle.

Alexis Cormier of Hazel Green, Alabama, was born with HLHS, a rare congenital heart defect in which the left side of the heart is severely underdeveloped. It stands for Hypoplastic Left Heart Syndrome. At age 3, she underwent a third surgery to help her symptoms, but after this complicated surgery, her entire heart was damaged beyond repair. She was immediately put on ECMO.

ECMO is a highly specialized treatment that stands for Extracorporeal Membrane Oxygenation. It is similar to a heart-lung machine and in effect, it removes the blood from the patient,

The tiny patient seen among her life saving equipment
before the first air medical ECMO transport

oxygenates it outside of the body (removing carbon dioxide and adding oxygen) and then replaces it back into the patient. AirMed has the capability of transporting ECMO patients and all of the complicated equipment from one hospital to another’s critical care program. AirMed is one of only a handful of air ambulance programs in the world capable of this type of transport for both pediatric and adult patients.

After being placed on ECMO, Alexis’ hospital in Memphis requested she be moved to Vanderbilt University Hospital in Nashville, and AirMed’s ECMO transport team was called into action.

Just four days after her first ECMO transport flight, it was decided that Alexis needed to be transported again, this time to UAB Hospital in Birmingham, Alabama, where she would receive a Berlin (artificial) heart.

Once more, the AirMed teams transported Alexis with their specialized ECMO equipment to UAB. This 3 year old who had struggled so much already in her short lifetime looked so small and helpless amidst all of the equipment. Her family held out for a miracle, but her will was strong and would not be denied.

Only four weeks later, members of the AirMed transport team traveled to UAB Hospital to find Alexis standing, smiling, brushing her teeth and splashing in the water at her hospital room sink. The only outward signs of any illness were a small feeding tube and two catheters under her clothing, connected at her lower abdomen. These catheters supply blood to her Berlin heart and return it to her circulatory system.

The Berlin heart device works by helping the right ventricle of the heart to pump blood to the lungs and the left ventricle to pump blood to the body. The bulk of the device is extracorporeal (outside the body); only the tubes are implanted. They emerge from small openings to enter the pump, a small round chamber, and the system is run by a laptop computer. 

The Berlin Heart is intended to be used as a bridge to recovery or as a bridge to a transplant, which Alexis required. She was listed as 1-A on the nationwide heart recipient list, meaning she was among the top pediatric priorities. 

Within a year, Alexis was undergoing a full blown heart transplant and now, in 2013, she is a thriving and active first grader. 

Every one of us at AirMed International is grateful to be able to touch a life such as Alexis Cormier’s during our day to day duties.

Become an AirMed member and visit airmed.com. 

Flu Shots, Flu Season, Know What's What

Don't get your flu shot too early!!  Visit airmed.com to find out about medical evacuation assistance from the leading air ambulance in North America.

Concussions and Concussion Symptoms

Concussions and Concussion Symptoms

Team sports from grade school to high school and even through college and into professional sports have put a new national spotlight on the dangers of concussions, especially for children.

Children's Hospital of Philadelphia has created an informative web page full of helpful facts about concussions, concussion symptoms, what causes them, as well as many myths that go along with them.

Easy-to-print, two-page fact sheets put concussion facts at your fingertips allowing you to log symptoms and providing you with information on how to treat a concussion.  

See the full Concussion Educational Page by visiting the Children's Hospital of Philadelphia's website.  

Find out more about travel assistance at airmed.com. 

Medical Transportation to Cincinnati Children's Hospital

Medical Transportation to Cincinnati Children's Hospital

AirMed serves as the primary fixed wing vendor for the acclaimed Cincinnati Children's Hospital, which provides a wide range of clinical services and pediatric care specialists dedicated to improving the health of children.  Our fixed wing medical aircraft is available to them as they transport young patients from across the United States to their facilities.

Their pediatric urgent care specialists are nationally recognized for medical excellence; U.S. News & World Report ranked Cincinnati Children’s No. 3 in the nation in the magazine’s 2013-2014 list of the best children’s hospitals.

Shown here is one of Cincinnati Children's isolettes used in transport flights.

"We appreciate the professionalism displayed by everyone at the AirMed organization. Your attention to even the smallest details during flight operations is invaluable to our teams. As the primary vendor for Cincinnati Children's Hospital Medical Center (CCHMC), AirMed continues to meet and exceed our standards of service,"  a quote from the clinical director CCHMC Transport Program.

The critical-care transport team uses the most up-to-date equipment, including invasive and non-invasive cardio-respiratory monitoring, transport nitric oxide, newborn and pediatric ventilators, emergency medications, chest drainage systems and cervical spine immobilization equipment. 

CCHMC teams train alongside AirMed medical and flight staff on fire safety, water safety, altitude physiology and stressors of flight which provides much needed communication to keep every transport running smoothly.

Travel, Health, AirMed's Latest Newsletter

In this issue of AirMed News, we spotlight some of the best travel apps for smart phones to help your travel worries be few and far between. Also, one of AirMed's own staff recalls the reason she supports organ donation in a heartbreaking and uplifting story. 

Check out the member questions, a professional racecar driver's AirMed transport story, and so much more.

Travel Health News from AirMed - 2013

Chancellor Health Trust and AirMed Announce Alliance

Chancellor Health Trust will include AirMed memberships in exclusive suite of benefits. 

Chancellor Health Trust’s impressive list of clients, both corporate and individual, will now receive annual AirMed member benefits along with Chancellor’s existing suite of service offerings. Benefits include worldwide medical jet transportation, domestic transport to specialty hospitals or clinics, medical and second opinion referrals, up-to-date U.S. State Department travel warnings and more.

Read the full story.

How many travelers require emergency care?

It Happens More Than You Would Think

AirMed is an important enhancement to existing health and travel insurance. Most insurance policies focus on trip cancellation and lost luggage. AirMed focuses on taking care of your family when you need us the most. In other words, we save lives, not luggage.

As an AirMed member, you will receive air medical transportation from any point on the globe if you are ill or injured while away from home. Find out complete details for your family, at airmed.com. 

Worldwide Heart Attack Stats

Heart Failure Can Happen Anywhere

AirMed memberships will bring you home to the hospital of your choice if you are hospitalized while away from home. Find out complete details for your family, at airmed.com. 

Being a Flight Nurse Saved My Life

"Love and compassion know no language, no one country."

Thibault, seen here on a desert tour in Abu Dhabi.

Jenni Thibault was a registered nurse in a small town. When she became a flight nurse for AirMed International, her world changed forever. She shares her well-traveled story with us.

Coming from a small, Southern town of less than 13,000 people was a blessing and a curse. I woke up everyday surrounded by the most amazing family and friends, worked in a hospital beside people I had trusted my entire life, some of them were the nurses and doctors who cared for my mother following my birth. Life was easy. Hardly exciting, but it was picturesque and representative of every small town and the slow paced life it has to offer.

Now the curse: 13,000 people. I repeat, 13,000 people. There are apartment complexes in Hong Kong with ten times that many people in a city block or two. How do I know this? Because my ever-moving, ever-changing family lives there. The adventurous side of the family, anyway.

It only took one time visiting to fall in love with Asia. The many cultures represented by the melting pot of nationalities and cultures in Hong Kong blew me away. I would go home to 13,000 people and want more, and then one day opportunity knocked. So, I packed my bags, went through training, and moved to Hong Kong to become a flight nurse with AirMed. I knew that if I didn't go, I’d regret it.

Wait. I'm the team?

Thibault's extraordinary photo of Big Ben

During my flight nurse training, I was reminded of things I hadn't reviewed since nursing school and scared mindless at the possibility of someone crashing on me at 40,000 feet and with no “code team.” 

Wait. I’m the team? Me and just one other person? I quickly learned to love the thrill and the opportunity to restore a person’s faith over an ocean, on their way home, and often following a tragic event.

After coming out of the initial, almost immobilizing, fear of being “alone” in the sky with a critical patient, I started to see the world. In one year, I filled an entire passport. A few months later, my extra pages were a quarter of the way filled.

I've ridden camels in Abu Dhabi, seen Big Ben at a very late evening sunset, stood at the base of a 112 foot tall bronze Buddha in Hong Kong, gotten a sunburn in the Philippines, and stood in front of Vasco de Gama’s tomb in historic Belem, Portugal. That is just off the top of my head. The countries and cities visited are too many to list.

Left: Lantau Peak in Hong Kong;  Right: Fenway Park in Boston

So, as if being a nurse wasn’t enough of a rewarding career, I get to see the world at the same time. In any setting I find myself in, I get to be the person that patients trust. I am able to be a part of their lives when they are most vulnerable, and they want me there. Most people cannot even say that about loved ones or family members, and I get to say it about complete strangers every single time I go to work. 

It quickly becomes evident that there are no strangers on medical flights, not for long anyway.

As an international flight nurse, I see the world through the love of a Muslim for his child, the patience of a Buddhist when travel logistics aren’t perfect, and the empathy of Christian giving up her seat for a sicker person. People say it is such a big world, that people are so different. Maybe we aren’t all that different. 

Thibault (left) and colleague
in Lisbon, Portugal.

I’ve come so far from my 13,000 person town, but I know that when things go wrong, love and compassion know no language, no religion and no one country.

---------------

Jenni Thibault, RN
AirMed International Flight Nurse

Find out more about AirMed memberships which get you home if you are ill or injured while traveling anywhere in the world at airmed.com. 

Respiratory Illness striking some in the Middle East

More information about Middle East Respiratory Syndrome (MERS)

July, 2013 --  MERS is the term for a new severe respiratory illness very similar to SARS. This disease was first reported in 2012 in Saudi Arabia and has been confirmed to be caused by a new species of coronavirus . 

The virus itself has evolved from a species that is known primarily in bats. Since most patients with confirmed MERS have not had close contact with bats, it is thought that transmission is through an as-yet unknown vector (i.e. mosquitoes).

There are only very few cases where disease has been attributed to human-to-human transmission. For this reason, this new coronavirus is NOT considered a “human coronavirus”, and should not be referred to as such. The World Health Organization and the Saudi Ministry of Health have agreed upon the term “MERS-CoV” to refer to this new virus, and this is how it will be referred to by the CDC and other health agencies around the world.

MERS presents as a nonspecific but severe respiratory illness. A patient should be considered highly suspicious for MERS if they meet the following criteria:

• Acute onset of respiratory infection with fever (38C/100.4F) and cough

          AND

• Suspected pulmonary parenchymal disease (i.e. pneumonia, ARDS) with consolidation on chest xray

          AND

• History of travel from the Arabian Peninsula within the last 14 days

If any other source of fever is identified (UTI, other known community-acquired pneumonia, wound infection, etc…), the concern for MERS is significantly lessened.

Arabian Peninsula Most at Risk at This Time

Almost all cases of MERS have been in patients who are from or have recently traveled from or live in the Arabian Peninsula (Saudi Arabia, Jordan, the UAE, Qatar). The few cases diagnosed outside of this area (specifically in the UK) were in patients who had either recently travelled from the Arabian Peninsula or in prolonged close contact with someone who met this criteria. No cases have been identified in the U.S.

At this time, no agency (CDC, WHO, etc.) has recommended restricted travel for individuals or denying entry to ill passengers. However, personal protection to prevent viral transmission is recommended for all travelers.

The usual handwashing and droplet prevention (i.e. covering mouth and nose when sneezing or coughing) is important. Also, individuals who are already ill should postpone travel plans. 
http://www.cdc.gov/coronavirus/mers/index.html.

--Dr. Beth Phillips, MD
AirMed Director of Medical Operations