Jumping From A Plane After Stroke: Is It Possible?

There are many factors to consider when it comes to flying after experiencing a stroke, and it's a common concern for survivors. The Stroke Association recommends waiting at least two weeks, but some airlines advise waiting 10 days after a TIA or 21 days after a stroke. If you've experienced a haemorrhagic stroke, it's usually advised to wait six weeks. This is because of the increased risk of a second stroke, and the potential for new post-stroke medical conditions to arise. However, jumping from a plane is not advised, as it would not improve your chances of survival.

Flying after a stroke: Is it safe?

Flying after a stroke is a common concern for many stroke survivors. While there is no formal medical guidance on how long to wait after a stroke before flying, there are several factors to consider to ensure a safe journey.

Firstly, it is important to understand the type of stroke experienced. Most strokes (about 85%) are caused by a blood clot blocking an artery supplying the brain, while some are caused by bleeding into the brain. A Transient Ischemic Attack (TIA), or "mini-stroke", is a warning sign of stroke risk and typically resolves within 24 hours without permanent brain damage. The Stroke Association recommends waiting at least two weeks before flying after a TIA, as there is an increased risk of a second stroke during this period. For more severe strokes, patients may need to wait up to three months. If the stroke was caused by bleeding into the brain, it is usually advised to wait six weeks before flying.

Secondly, it is crucial to consider the potential risks associated with flying after a stroke. Flying can increase the tendency for blood clot formation, particularly in individuals with hypercoagulability, a condition that increases the likelihood of blood clots. Long flights can elevate clot risk by 26%, and inactivity in cramped spaces can lead to deep vein thrombosis (DVT), which can cause life-threatening conditions such as pulmonary embolism or stroke if the clots travel to the lungs or brain. Additionally, the lower oxygen levels and reduced air pressure in an airplane can be concerning for stroke survivors, as strokes are a result of reduced oxygen to the brain. However, if an individual can walk 50 meters without getting breathless or climb a flight of stairs without getting breathless, they will likely tolerate the lower oxygen levels on a flight.

Thirdly, it is essential to consult with a doctor before booking any travel. Every stroke is unique, and a doctor can determine if an individual is medically stable enough for air travel. A doctor can also advise on any necessary precautions or medical treatments required for a safe journey.

Lastly, there are several tips for safe travel after a stroke. It is recommended to contact the airline in advance to arrange special assistance, such as vision or hearing assistance, wheelchair service, or medical device transport. Traveling with a companion can also provide assistance and peace of mind. Additionally, it is crucial to have adequate travel insurance, carry necessary medications in hand luggage, and keep important medical documentation on hand. Staying hydrated, avoiding excessive salty snacks, and wearing compression socks can also help reduce the risk of blood clots during the flight.

In conclusion, while flying after a stroke can be safe, it is important to carefully consider the type of stroke, potential risks, and individual circumstances. Consulting with a doctor and taking appropriate precautions can help ensure a safe and comfortable journey.

The impact of reduced oxygen levels on stroke survivors

Oxygen plays a crucial role in a person's recovery from a stroke. A stroke occurs when the blood supply to the brain is interrupted, often by a blood clot, which can lead to brain damage or death. Therefore, providing oxygen to reduce potential damage seems logical. However, studies have shown that routinely giving oxygen to stroke patients does not improve outcomes.

Oxygen treatment is widely used after a stroke as it is cheap, easily administered, and available in all hospitals. It is believed to slow down the process of ischemic necrosis and can increase the time window for thrombolysis. Additionally, increased oxygen availability can promote healing and regeneration of neural connections, which may lead to improved functional movement and cognitive function.

However, oxygen treatment may also have adverse effects. High levels of oxygen can constrict blood vessels, reduce blood flow to the brain, damage the lungs, and restrict mobility. This can lead to further damage to the brain, especially during reperfusion. Oxygen treatment can also impede early mobilisation and pose an infection risk.

The Stroke Oxygen Study (SO2S) is one of the largest studies on stroke treatment, involving over 8,000 patients admitted to hospitals in the UK. The study found that oxygen supplementation did not improve functional outcomes at 90 days when compared to a control group. Even patients who were considered most likely to benefit, such as those with lower baseline oxygen levels or more severe strokes, did not show improved outcomes with oxygen treatment.

The current guidelines from the National Institute for Health and Care Excellence (NICE), the British Thoracic Society, and the Royal College of Physicians recommend that stroke patients should not be routinely given oxygen unless their oxygen levels drop. These guidelines are supported by robust UK data, which shows that monitoring oxygen levels and providing supplemental oxygen when medically necessary is more effective than routine oxygen supplementation.

While oxygen treatment may not provide additional benefits for stroke patients, it is important to monitor oxygen levels to ensure that patients do not develop hypoxia, which can have adverse effects on the ischemic brain.

Deep Vein Thrombosis (DVT) and flying

Deep Vein Thrombosis (DVT) is a blood clot in a vein, usually in the leg. DVT can be dangerous, and if you think you have it, you should seek medical help as soon as possible. The symptoms of DVT include throbbing pain in one leg, swelling in one leg, warm skin around the painful area, red or darkened skin around the painful area, and swollen veins that are hard or sore to the touch. These symptoms can also occur in your arm or stomach if that is where the blood clot is.

DVT is a known complication of flying, as inactivity in cramped spaces on flights can lead to blood clots developing in the legs. The longer the flight, the higher the risk of developing a clot. Flights lasting 8 to 10 hours or longer pose the greatest risk.

If you are planning to fly, there are several things you can do to reduce your risk of developing DVT:

• Move around as much as possible during the flight. Walk around the plane every few hours and change positions in your seat.
• Choose an aisle seat, as this will make it easier to move around during the flight.
• Avoid placing cabin baggage where it will restrict your leg movement.
• Stay well-hydrated. Dehydration increases the risk of DVT.
• Avoid excessive alcohol consumption, as this may discourage you from moving around.
• Wear compression socks or stockings, as these improve circulation in the legs and prevent blood clots from forming.

If you have had a stroke, you may be at an increased risk of developing DVT during air travel, especially if the stroke has left you with mobility difficulties. It is important to discuss any travel plans with your doctor, as they can determine if you are medically stable enough to fly.

Hypercoagulability and flying

Hypercoagulability, or excessive blood clotting, is a condition that increases the tendency of blood clot formation. It is a serious concern for those who have suffered a stroke, as most strokes are caused by an interruption of blood flow due to a blood clot in the brain.

The reduced air pressure in an aeroplane cabin leads to hypoxia, or reduced oxygen in the blood. This, along with the cramped and immobilised conditions of air travel, can slow blood flow and increase the risk of blood clot formation. This risk is further elevated for those with hypercoagulability, and these clots can lead to deep vein thrombosis (DVT) and pulmonary embolism (PE), which may be fatal.

To prevent blood clots during air travel, it is recommended to wear compression socks, which improve blood circulation in the legs. Choosing a spacious seat, moving around the cabin, and staying hydrated can also help.

For those with hypercoagulability, it is best to consult a doctor about airplane travel and any special precautions that may be needed.

Tips for flying after a stroke

Flying after a stroke is a common concern for many stroke survivors. While there is no formal medical guidance on how long to wait after a stroke before flying, it is important to consider your unique circumstances and consult with a doctor to determine if you are medically stable enough to fly. Here are some tips to help you prepare for air travel after experiencing a stroke:

• Consult with your doctor: Before booking any travel plans, it is crucial to consult with your doctor to assess your health condition and determine if it is safe for you to fly. They will consider the type of stroke you had, the severity, and any potential risks associated with flying.
• Understand the risks: Flying can increase the risk of blood clot formation, especially in individuals with hypercoagulability (excessive blood clotting). Long flights can elevate clot risk, and cramped spaces can lead to deep vein thrombosis (DVT). Additionally, reduced oxygen levels in the plane may be a concern, especially for those with breathing difficulties or heart conditions. Discuss these risks with your doctor and decide on appropriate precautions.
• Arrange special assistance: Contact your airline in advance to request special assistance. Most airlines offer services such as vision assistance, hearing assistance, wheelchair service, and mobility and medical device transport. Airports also have assistance points where you can request transportation help if needed.
• Travel with a companion: Consider travelling with a companion or professional assistant, especially if you have limited mobility or are concerned about the risks of flying. Having someone accompany you can provide peace of mind and assist you if needed.
• Get travel insurance: Ensure you have adequate travel insurance that covers pre-existing medical conditions, including stroke. Medical care abroad can be expensive, and travel insurance will protect you in case of unexpected emergencies.
• Allow extra time at the airport: Give yourself plenty of time at the airport to navigate the terminal, checking in any necessary baggage or equipment. The stress of rushing to catch your flight can elevate your blood pressure, so a relaxed pace is advisable.
• Keep medication easily accessible: Always carry your medication in your hand luggage or carry-on bag. Ensure you have enough medication for your entire trip, and be sure to declare it upon arrival at your destination, following the specific requirements of the country you are visiting.
• Wear compression socks: Compression socks improve circulation in your legs and help prevent blood clots from forming. Opt for knee-high compression socks with adequate compression, typically in the range of 20-30mmHg.
• Stay active during the flight: Move around the cabin when it is safe to do so. If you cannot walk, perform leg exercises while seated, such as marching in place, extending your knees, or pumping your ankles. Movement helps prevent blood clotting and improves circulation.
• Maintain hydration: Keep yourself well-hydrated before and during the flight. Avoid excessive salty snacks, as these can elevate your blood pressure. Staying hydrated will help you feel better and reduce the risk of blood clots.
• Monitor your diet: Be mindful of your food and drink intake, as it can directly affect your blood pressure, a crucial factor in stroke risk. Avoid excessive alcohol consumption, as it causes dehydration and increases the risk of clot formation.

Remember, every stroke is different, and the decision to fly should be made in consultation with your doctor. These tips will help you prepare for air travel and make your journey as safe and stress-free as possible.

Frequently asked questions