Author Response

Authors’ Response

Authors: Pascal Joseph de Caprariis, MD, Angela de Caprariis-Salerno, RPh, MS


To the Editor: Mr. Ho and Dr. Ware suggested advising an ill airline passenger regarding the Health Insurance Portability and Accountability Act of 19961 (HIPPA) protection of his or her health information “if circumstances permit” and/or with a surrogate “when feasible.” ” We agree with this recommendation; however, during an in-flight medical emergency (IME), it is imperative that critical information be obtained and the passenger be examined as quickly as possible.

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1. US Department of Health and Human Services. HIPAA administrative simplification. March 26, 2013, Accessed February 27, 2019.
2. Federal Aviation Administration. Advisory Circular AC No. 121-34B. Accessed February 27, 2019.
3. Department of Transportation, Part III. 14 CFR Parts 121 and 135. Emergency medical equipment final rule. Published April 12, 2001. Accessed February 27, 2019.
4. International Air Transport Association. Medical manual. Published June 2018. Accessed February 27, 2019.
5. US Department of Health and Human Services. Summary of the HIPAA Privacy Rule. Accessed February 27, 2019.