What is the likelihood that a neurologist would be asked to help manag
e an epileptic attack in one of the 500 million Americans expected to
fly next year? During a 30-year career exposure, we calculate the risk
s to vary widely between 4% and 60%, depending on plane size, the recr
eational attitudes and ages of fellow travelers, and flight durations.
Long flights with elderly travelers to small medical centers are risk
ier. We endorse samaritanism. Quick differential diagnosis may be the
most valuable contribution. We do not suggest that physicians carry an
tiepileptic medications.