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Pulmonary embolism and medical repatriation by flight

Pulmonary embolism and medical repatriation by flight require more than a normal return journey.

Pulmonary embolism and medical repatriation by flight

This page specifically addresses pulmonary embolism and medical repatriation by flight. The information supports the preparation of an individual transport dossier and does not replace assessment or treatment by the responsible physician.

Current stability after pulmonary embolism

For pulmonary embolism and medical repatriation by flight, current stability after pulmonary embolism is assessed as a separate decision point. The departure team asks who confirms this, how current the information is, and what practical or medical action is still required.

The outcome regarding current stability after pulmonary embolism is recorded with its source and time. If the condition, route, or waiting time changes, a new assessment follows instead of automatically adhering to the previous plan.

For this aspect, it is clear who remains responsible during transport and who receives the information in Belgium. The patient departs only when the next safe care link is actually available.

Oxygen requirement and cardiopulmonary observation

For pulmonary embolism and medical repatriation by flight, oxygen requirement and cardiopulmonary observation are assessed as a separate decision point. The departure team asks who confirms this, how current the information is, and what practical or medical action is still required.

The outcome regarding oxygen requirement and cardiopulmonary observation is recorded with its source and time. If the condition, route, or waiting time changes, a new assessment follows instead of automatically adhering to the previous plan.

For this aspect, it is clear who remains responsible during transport and who receives the information in Belgium. The patient departs only when the next safe care link is actually available.

Medication and anticoagulation regimen

For pulmonary embolism and medical repatriation by flight, medication and the anticoagulation regimen are assessed as a separate decision point. The departure team asks who confirms this, how current the information is, and what practical or medical action is still required.

The outcome regarding medication and the anticoagulation regimen is recorded with its source and time. If the condition, route, or waiting time changes, a new assessment follows instead of automatically adhering to the previous plan.

For this aspect, it is clear who remains responsible during transport and who receives the information in Belgium. The patient departs only when the next safe care link is actually available.

Assessment of sitting and exertion

For pulmonary embolism and medical repatriation by flight, assessment of sitting and exertion is assessed as a separate decision point. The departure team asks who confirms this, how current the information is, and what practical or medical action is still required.

The outcome regarding assessment of sitting and exertion is recorded with its source and time. If the condition, route, or waiting time changes, a new assessment follows instead of automatically adhering to the previous plan.

For this aspect, it is clear who remains responsible during transport and who receives the information in Belgium. The patient departs only when the next safe care link is actually available.

Choice between a scheduled flight and higher-acuity transport

For pulmonary embolism and medical repatriation by flight, the choice between a scheduled flight and higher-acuity transport is assessed as a separate decision point. The departure team asks who confirms this, how current the information is, and what practical or medical action is still required.

The outcome regarding the choice between a scheduled flight and higher-acuity transport is recorded with its source and time. If the condition, route, or waiting time changes, a new assessment follows instead of automatically adhering to the previous plan.

For this aspect, it is clear who remains responsible during transport and who receives the information in Belgium. The patient departs only when the next safe care link is actually available.

Stop criteria in the event of new shortness of breath

For pulmonary embolism and medical repatriation by flight, stop criteria in the event of new shortness of breath are assessed as a separate decision point. The departure team asks who confirms this, how current the information is, and what practical or medical action is still required.

The outcome regarding stop criteria in the event of new shortness of breath is recorded with its source and time. If the condition, route, or waiting time changes, a new assessment follows instead of automatically adhering to the previous plan.

For this aspect, it is clear who remains responsible during transport and who receives the information in Belgium. The patient departs only when the next safe care link is actually available.

Six separate practical checks

Practical check 1: current stability after pulmonary embolism

Current stability after pulmonary embolism is assigned its own responsible person and review time in this dossier. The information is verified directly with the competent source before staff or transport is deployed definitively.

If current stability after pulmonary embolism changes during the route, the corresponding decision is made again. The accompanying professional records the change, the response selected, and the person who was informed in Belgium.

There is also an alternative for current stability after pulmonary embolism if the initial plan proves unfeasible. This means the patient does not have to continue travelling unsafely solely to maintain an earlier schedule.

Practical check 2: oxygen requirement and cardiopulmonary observation

Oxygen requirement and cardiopulmonary observation are assigned their own responsible person and review time in this dossier. The information is verified directly with the competent source before staff or transport is deployed definitively.

If oxygen requirement and cardiopulmonary observation change during the route, the corresponding decision is made again. The accompanying professional records the change, the response selected, and the person who was informed in Belgium.

There is also an alternative for oxygen requirement and cardiopulmonary observation if the initial plan proves unfeasible. This means the patient does not have to continue travelling unsafely solely to maintain an earlier schedule.

Practical check 3: medication and anticoagulation regimen

Medication and the anticoagulation regimen are assigned their own responsible person and review time in this dossier. The information is verified directly with the competent source before staff or transport is deployed definitively.

If medication and the anticoagulation regimen change during the route, the corresponding decision is made again. The accompanying professional records the change, the response selected, and the person who was informed in Belgium.

There is also an alternative for medication and the anticoagulation regimen if the initial plan proves unfeasible. This means the patient does not have to continue travelling unsafely solely to maintain an earlier schedule.

Practical check 4: assessment of sitting and exertion

Assessment of sitting and exertion is assigned its own responsible person and review time in this dossier. The information is verified directly with the competent source before staff or transport is deployed definitively.

If assessment of sitting and exertion changes during the route, the corresponding decision is made again. The accompanying professional records the change, the response selected, and the person who was informed in Belgium.

There is also an alternative for assessment of sitting and exertion if the initial plan proves unfeasible. This means the patient does not have to continue travelling unsafely solely to maintain an earlier schedule.

Practical check 5: choice between a scheduled flight and higher-acuity transport

The choice between a scheduled flight and higher-acuity transport is assigned its own responsible person and review time in this dossier. The information is verified directly with the competent source before staff or transport is deployed definitively.

If the choice between a scheduled flight and higher-acuity transport changes during the route, the corresponding decision is made again. The accompanying professional records the change, the response selected, and the person who was informed in Belgium.

There is also an alternative for the choice between a scheduled flight and higher-acuity transport if the initial plan proves unfeasible. This means the patient does not have to continue travelling unsafely solely to maintain an earlier schedule.

Practical check 6: stop criteria in the event of new shortness of breath

Stop criteria in the event of new shortness of breath are assigned their own responsible person and review time in this dossier. The information is verified directly with the competent source before staff or transport is deployed definitively.

If stop criteria in the event of new shortness of breath change during the route, the corresponding decision is made again. The accompanying professional records the change, the response selected, and the person who was informed in Belgium.

There is also an alternative for stop criteria in the event of new shortness of breath if the initial plan proves unfeasible. This means the patient does not have to continue travelling unsafely solely to maintain an earlier schedule.

Frequently asked questions

Often yes, but the form of transport depends on medical stability, distance, documents, route and available guidance. Sometimes a patient can travel with a medical escort on a scheduled flight, while in other cases stretcher transport, ambulance or an air ambulance is required.

Usually diagnosis, medical report, medication, mobility, oxygen requirements, infection status, pain level and destination are needed. Airline medical clearance and fit-to-fly information can also be important during a flight.

Sometimes yes. This depends on the chosen form of transport, medical occupancy, airline rules, available places and the condition of the patient. If family cannot travel, communication can be clearly coordinated along the way.

Air ambulance is mainly considered in case of instability, ventilation, intensive monitoring, high oxygen shortage or when a commercial flight is not medically justified. In stable patients, it is first examined whether a less intensive solution is safe.

This could be at home, but also a hospital, rehabilitation center, residential care institution or other care location. The destination is coordinated in advance so that the transfer takes place safely upon arrival.

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