1. 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 pressurised aircraft the cabin pressure will be equivalent to an attitude of 5,000 to 7,000 feet. Although each case will be considered on its merits, the following conditions are generally considered unacceptable for air travel.
    1. Very severe and critical heart conditions (e.g. the severely decompensated cardiac patient or the patient who has sustained a recent coronary occlusion with Myocardial Infarction.) Such cases are not normally considered within two weeks of onset.
    2. Introduction of air to body cavities for diagnostic or the apeutic purposes within seven days.
    3. Mental illness without escort and sedation.
    4. Severe cases of otitis media and sinusitis.
    5. Acute contagious or communicable disease.
    6. Skin diseases which are contagious or repulsive in appearance.
    7. Fractures of the mandible with fixed wiring of the jaws.
    8. Hypertensive disease with severe complications.
    9. Peptic ulceration with haemorrhage within three weeks of intended date of travel.
    10. Post-operative cases
      1. within 10 days of simple abdominal operations.
      2. within 21 days of chest surgery.
    11. Pregnancy beyond the end of the 36 weeks.
  2. Cabin staff are trained in First Aid only and not permitted to administer any injections.
  3. Therapeutic oxygen can be provided if requested on this form.
  4. Wheelchairs can be provided at most airports if notice is given.
  5. Any fee for completion of this certificate, or for medical examination or report, will be the responsibility of the passenger.
  6. Any case which Gulf Air considers might jeopardise the safety or operation of the aircraft will not be accepted.
  7. Patients having symptoms likely to cause distress or inconvenience to other passengers, and oxygen tent cases (where the fire risk inherent in passengers smoking) will not normally be carried.
  8. Stretcher case passengers must always be accompanied by a suitably competent person.
  9. In cases where the Gulf Air Doctor's opinion is that it is in the medical passenger's interest to travel as a stretcher passenger, his decision will be final.
  10. Particular attention is drawn to the fact that the medical details given on the front of this form must be accurately typed and completed. If at the time of embarkation the condition of the passenger is worse that the details given, carriage may have to be refused.
  11. The details you give are transmitted by telex. To ensure that your patient is accepted for carriage, it is important that all medical terms are legible.
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