> focusing too much on the dying/not dying distinction. Well, my point is that if they aren’t so bad, they don’t need IV fluids, and you can give them some jui

> focusing too much on the dying/not dying distinction. Well, my point is that if they aren’t so bad, they don’t need IV fluids, and you can give them some juice with pretty much the same effect (I expect normal GI function). > improve their comfort and reduce anxiety The Lufthansa kit is great in that respect. Lots of Valium and Haldol to make plenty of passengers calm and happy. > "Lots of fluid" really isn't generally the standard of care for severe hemorrhage anymore. I know. That’s been the usual swinging pendulum through the years : give fluids, don’t give fluids, give just a little bit. I highly doubt all this matter except in a few situations in which the patients is pretty much assured to die on the plane: septic choc, severe bleeding, severe fluids loss (on flight cholera?). Seriously, I’ve never seen an acutely sick patient who needed 500 of saline now. They either can wait till next week, or need 2L STAT. Now, the situation is completely different with the chronic/elderly patients slowly deteriorating during the course of many hours/days, and arriving in extremis, and being resuscitated with a little bolus. However, you don’t see those patients in planes because they don’t let them fly!