Originally Posted by
Radgirl
Sorry AC your first paragraph is incorrect. Decompression to 8000 feet as in FW can be a significant issue for spontaneously breathing patients and those with air inside cavities in the wrong place such as the abdomen, but below 3000 feet there is no clinical reason at all not to climb to 3000 ish. I will leave the aviation aspects to my esteemed colleagues
Many years ago, when the Earth was cooling, I was flying a casevac from Norn Iron with a life-threatening gunshot wound to the head. I picked up at Northolt and was told by the doc to proceed direct line, as low as possible to the designated hospital. When I queried this he just said “Do it!”, so I did. LHR cleared it and 20’ over Buckingham Palace at 120kts, avoiding the flagstaff was quite something - there never was a complaint.
Mog