This paper investigates the ethical legal issues arising from inflight medical emergency. Common inflight medical emergencies, available resources on board, the role of medical providers, and possible legal liabilities are discussed. Although doctors are not legally required to render assistance for inflight medical emergency, most physicians may feel ethically obliged to. Who volunteer for medical assistance are legally protected by Emergency Medical Service Act in Taiwan. The ethical legal considerations for "Doctor on Board Program" launched by two major airlines companies in Taiwan recently are then explored. The program starts with good intentions by offering VIP membership to those who have registered to provide inflight medical assistance. However, we argue that such pre-arranged compensation might alter the ethical value and legal responsibility of altruistic medical conducts, whose further legal effect should be noticed. Finally, practice suggestions for inflight medical emergency are summarized.
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