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Airline Travel Remans the Safest Form of Travel in the World

by Lux Joseph 17. August 2014

The Ebola virus outbreak, the political unrest in Israel, and the storms surfacing around Hawaii in the past several weeks may have travelers questioning the safety of air travel during this time. While there may have been different passenger plane crashes and other critical situations surround air travel, airline travel still is the safest form of travel in the world.

At Commercial Medical Escorts we primarily transport patients around the world on a commercial airline however, we also have completed a variety of medical evacuations by train, ground transportation (limo and ambulance), and even by boat. When travelers read the newspaper or watch the news and listen to air-related travel situations their views of air travel sometimes change. There were three (3) passenger planes that have crashed in July, but when you look at each of these crashes they are were the result of different circumstances. One was due to typhoon on Taiwan, one was shot done over Ukraine, and another one was due to stormy weather. When we look at travel by car on a daily basis, the crash investigations throughout the country vary and the rate is significantly higher than traveling by air.

Some individuals will hold onto their belief that flying is dangerous, but there are safety facts and statistics that will prove that belief is not 100% accurate.  Dr. Arnold Barnett, of the Massachusetts Institute of Technology, is a researcher that has studied the field of commercial flight safety. He found that over the fifteen years between 1975 and 1994, the death risk per flight was one in seven million. This statistic is the probability that someone who randomly selected one of the airline's flights over the 19-year study period would be killed in route. That means that any time you board a flight on a major carrier in this country, your chance of being in a fatal accident is one in seven million. It doesn't matter whether you fly once every three years or every day of the year.

When an individual gets into a car to go to work every day there are safety guidelines that the operator is supposed to do including checking the air pressure in the tires, check the fuel and fluid levels, check your lights and signals to ensure they are functional, and make sure emergency equipment is functional. Do you do this? How many drivers to you think actually do this every day? Individuals fear the possibility of a plane crashing, but the flying public may not understand how precisely-engineered each piece of critical avionics must be in order to satisfy FAA regulations for a "safety of life" application and the rigorous process each plane goes through prior to leaving the gate. Aviation and national security expert Carl Rochelle states, “The most dangerous part of your airline flight is the trip to the airport.”

Safety is our top priority at Commercial Medical Escorts and to ensure you are safe while traveling alone we recommend the following safety tips:

Fly on Nonstop Routings

Most airliner accidents happen during the takeoff, climb, descent, and landing phase of flight, so the easiest way to reduce your chance of getting in an accident is to take fewer flights. If you have a choice, and there isn't much difference in price, flying nonstop would not only reduce exposure to the most accident prone phases of flight, but it will probably take quite a bit of time off your trip too.

Choose Larger Aircraft

Currently, aircraft with more than 30 passenger seats were all designed and certified under the strictest regulations. Also, in the unlikely event of a serious accident, larger aircraft provide a better opportunity for passenger survival. If you review AirSafe.com's list of fatal airline passenger events by aircraft model, you'll see that larger aircraft models tend to have better survival statistics.

Pay Attention to the Preflight Briefing

Although the information seems repetitious, the locations of the closest emergency exits may be different depending on the aircraft that you fly on and seat you are in. Some passenger safety briefings include a few words about the position to take in an emergency landing, and AiSafe.com has put together a video below that goes into much greater detail, showing six common crash positions.

Keep the Overhead Storage Bin Free of Heavy Articles

Overhead storage bins may not be able to hold very heavy objects during turbulence, so if you or another passenger have trouble lifting an article into the bin, have it stored elsewhere. A heavy bag falling out of an overhead bin can cause a serious injury, so if one is above your head, try to move the bag or change your seat.

Keep Your Seat Belt Fastened While You are Seated

Keeping the belt on when you are seated provides that extra protection you might need to help you avoid injuries from flight turbulence.

Listen to the Flight Attendants

The primary reason flight attendants are on an aircraft is for safety, so if one of them asks you to do something like fasten your seat belts, do it first and ask questions later. You can also take other steps to improve your safety and comfort in the cabin like wearing comfortable clothes. You should also get up a walk around on longer flights to help avoid problems like deep vein thrombosis.

Don't Bring Any Hazardous Material

There are rather long lists of hazardous materials that are not allowed, but common sense should tell you that you shouldn't bring gasoline, corrosives, poisonous gases, and other such items on the aircraft unless they were allowed by the airline and shipped in a proper container. While the list of banned materials is too long to remember, you should take the time to find out about the most common prohibited and hazardous items you should not bring on board.

Let the Flight Attendant Pour Your Hot Drinks

Flight attendants are trained to handle hot drinks like coffee or tea in a crowded aisle on a moving aircraft, so allow them to pour the drink and hand it too you.

Don't Drink Too Much

The atmosphere in an airliner cabin is pressurized to about the same altitude as Denver, so any alcohol you consume will affect you more strongly than at sea level. Moderation is a good policy at any altitude, and in the air limiting your drinking is a good way to reduce the chance of an air rage incident involving you or someone else. Also, you may want to find out more about the long-term effects of alcohol abuse.

Remain Calm

In the unlikely event that you are involved in an emergency situation such as a precautionary emergency evacuation, follow the directions of the flight attendants and flight crew and exit the aircraft as quickly as possible. 

Tips courtesy of AirSafe.com

Hottest Domestic and International 2014 Summer Destinations

by Lux Joseph 9. August 2014

The summer is coming to an end, but there is still time to enjoy some of the hottest travel destinations of 2014. Orlando and Las Vegas are the top two most popular summer destinations according to the 2014 Hot Spots for Summer survey. Orlando came out on top with a 17 percent share of responses and Las Vegas maintained the second spot with 14 percent.

“Orlando and Las Vegas remain on top as affordable, family-friendly and fun destinations," said Zane Kerby, ASTA President and CEO. "They are also the type of destinations where a travel agent can enhance your trip from helping navigate Orlando’s theme parks, to making sure you pick the right Vegas hotel that matches your unique needs."

Following Orlando and Las Vegas, the other top ten domestic cities are Miami (4 percent), San Francisco (4 percent), Los Angeles (3 percent), New York City (2 percent), San Diego (2 percent), Honolulu (2 percent), Washington DC (2 percent) and New Orleans (2 percent).  New Orleans is new to the list, moving Seattle out of the top ten.

While remaining at the top, Orlando and Las Vegas have been slowly decreasing in response share for several years, as have most of the other top ten destinations. Ten years ago the top ten destinations represented 75% of the responses, and today it represents 51 percent. This year, over 100 different domestic destinations received at least one vote as a hot summer destination, reflecting the consumer trend for more unique vacation experiences.

When asked about 2014 state destinations, Florida again topped the list for the 2014 summer season with a 23 percent response rate. Rounding out the top five state destinations for summer travel are Nevada (13 percent), California (12 percent), New York (11 percent) and Hawaii (11 percent). As with the cities, the percentage share of responses is down for the top states, except for Hawaii which had modest growth in response share.

Do you have more than a few days free this summer? Are you looking to travel abroad? London and Rome as the two most popular summer destinations according to the annual Hot Spots for Summer survey. London received a 9 percent share of votes followed by Rome with an 8 percent share.

 Over 150 cities made the hot list, with the top ten cities accounting for 37 percent of the responses. Beyond the typical tourist cities, travel agents say they are also planning many trips to many unique destinations like Yerevan, Armenia and Johannesburg, South Africa for this summer with both cited by agents as hot locations.

In addition to London and Rome, Paris (8 percent), Cancun (5 percent), Punta Cana (3 percent), Barcelona (1 percent), Riviera Maya (1 percent), Amsterdam (1 percent), Madrid (1 percent), and Montego Bay (1 percent) round out the top ten international cities. Amsterdam and Madrid are new to the top ten pushing out Venice and Athens.

For countries/regions, Italy remains at the top with an 18 percent share of the votes. Mexico (11 percent) moves up to second place after two years in third and fourth place. The other countries/regions in the top five include France (11percent), United Kingdom (11 percent) and the Caribbean (8 percent). The same five countries/regions have remained in the top five for over eight years and represent 61% of the votes.

Commercial Medical Escorts utilizes a travel agent to make all their travel arrangements. We believe this adds cost savings to our clients, the most up to date travel information, and an educated individual in the area of medical escorts. We encourage travelers who would like to experience these hot spots to find a helpful travel agent who specializes in the destinations that they dream of visiting.

The Importance of Direct Patient Care

by Lux Joseph 1. August 2014
Nursing care differs all around the world. From the United States to Africa to China, a registered nurse may have different responsibilities, guidelines, and even patient care protocols. In the United States, hospitals are now starting to shift the nurse’s focus to where it should have been a long time ago: patient care. A variety of hospitals and medical centers look at patient care as medication administration, dropping off meals, filling out shift paperwork, looking for missing test results, and searching for supplies. But out of all of those tasks, do any of them focus 100% on the care of the patient? The answer is, no! For years nurses have been trained to focus on the operations of the hospital, but Commercial Medical Escorts knows that patient care is our top priority.
 
Research has found that the more dedicated time nurses spend  at the bedside of their patients, the less likely patients are to suffer falls, infections and medication errors, and the more likely they are to be satisfied with their care. Commercial Medical Escorts designed its program to be patient focused from the initial point of contact and throughout the entire transport. We believe that this concentrated focus on the patient improves their morale, reduces any anxiety about flying, and improves their overall transport experience. In the hospital setting, studies have shown that nurses may spend less than two hours of a 12-hour shift in direct patient care. Individuals want to be loved and cared for. For some patients, the hospital staff is their only human contact they experience on a daily basis if they don’t have family or friends visiting. It is important that this shift in patient care continue amongst hospitals worldwide.
 
It is critical for organizations to recognize the talents and abilities of their employees and contractors and use them to their advantage. Why is a nurse hunting down a battery for a piece of equipment in a hospital when their time could be better spent comforting and caring for a patient? Every organization has positions for individuals and there are tasks that relate to some positions better than others. For those working in hospitals, there are certified nurse assistants and other less highly skilled staffers that can be looking for that battery and the nurse can focus on patient care. At Commercial Medical Escorts, our nurses and physicians focus on patient care 100% of the time. When they get to the airport, porters push the wheelchair while the nurse assists the patient into the wheelchair, comforts them, and ensures their medical needs are cared for. By shifting tasks to the more appropriate personnel it reduces the number of inefficient processes.
Some hospitals have started to transition to a more patient focused atmosphere by having pharmacists deliver medications to patient floors, locating common patient supplies within the patient rooms, and even placing tablets and computers in the patient room so the nurse can fill out the patient medical chart while still interacting and being close to the patient; not behind the nurses station away from the patient. Some of these changes seem small, but the impact on patient care is huge. As nurses have more time to spend with the patient and their families, they are able to care for the patients more closely and educate them on follow-up care once they leave the hospital.
At CME, there are numerous times that our nurses arrive to hospitals and the nurse senses the patient is being “pushed out” of the facility. An aging population means sicker patients with more complex needs, yet hospital stays are much shorter than in the past. Patients are getting discharged sooner than usual and their follow-up care is more complicated. Nurses focused on patient care are what are important to the healthcare industry, the hospital, and more importantly the patient. Nurses want to be doing what they entered the profession for, not doing inefficient things that any individual could do.
Patricia Rutherford, a nurse and vice president at the Institute for Healthcare Improvement says “We shouldn’t’ be using expensive professional nursing time doing unnecessary and inefficient things when that time could be reinvested in direct patient care.” Increased direct patient care allows the nurses to be an advocate for the patient. The nurses and patients are able to establish and create a bond that has a positive impact on the patient. At CME we believe patient care is the number one priority. Patients should be able to feel comfortable communicating their needs and concerns. Every patient CME transfers, the nurse visits the patient prior to the transport to complete a full assessment, get to know the patient, and create that connection that will ensure 100% positive patient care. 

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