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MEDICAL EVACUATION – State Department Guidelines for Embassies

Original Link | U.S Department of State | Foreign Affairs Manual

*FAM (Foreign Affairs Manual), This document lays out the expectations and boundaries placed on US Embassies in relation to Air Ambulance flights for Medical Evacuation for US Citizens stuck abroad.

7 FAM 361  SUMMARY

7 FAM 361.1  Patient Stabilization

(CT:CON-120;   12-06-2005)

When a U.S. citizen/non-citizen national is ill or injured abroad, the patient or the family may desire to have the patient return home immediately.  The U.S. embassy or consulate cannot make medical decisions about a patient.  Local law determines who is entitled to make decisions about the patient.  The attending physician in the host country also generally must make a determination that the patient is stable enough to travel.  Airlines and air ambulance services usually will not transport a patient if the attending physician concludes the patient’s condition would be further harmed by the flight.  Air carriers and air ambulance services may consult their own physicians to review documentation from the attending physician in the host country before undertaking to carry the patient.  7 FAM 390 provides guidance about disembarking, reception and resettlement in the United States.

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