B757-200 CREW HAD A DISRUPTIVE AND ILL PAX ON THE FLT TO CVG.

Narrative

PRIOR TO TOP OF DSCNT THE HEAD FLT ATTENDANT RPTED A STRESSED; DISRUPTIVE; ABUSIVE PAX WHO HAD COMPLAINED ABOUT A CRYING CHILD SEATED BEHIND HIM. HE WANTED A SEAT CHANGE BUT THE FLT WAS FULL SO THIS WAS NOT POSSIBLE. THE PAX COMPLAINED ABOUT BEING MISTREATED AND IGNORED; DEMANDED TO BE FIRST OFF THE PLANE AND UPGRADED ON THE NEXT FLT. AS IT PROGRESSED HE STARTED COMPLAINING OF A HIGH HEART RATE AND HEADACHE. HIS PROBS SEEMED SELF INDUCED BUT WE COULD NOT IGNORE THAT HE MIGHT REALLY HAVE MEDICAL PROBS. WE ADVISED ATC OF A MEDICAL SIT. THE HEAD FLT ATTENDANT WENT BACK AGAIN AND THIS TIME HE 'DID NOT LOOK GOOD' SO SHE ADMINISTERED OXYGEN. WE DECLARED MEDICAL EMER AND ASKED FOR PARAMEDICS TO MEET THE FLT. OUR HANDLING INTO CVG WAS EXPEDITIOUS. PARAMEDICS MET THE FLT AND HE WALKED OFF TO THEIR AMBULANCE. HE CONTINUED ON WITH HIS NEXT FLT. PAX NOW CLAIMS NEGLIGENCE/INJURY DUE TO OUR HANDLING. IT WAS ONLY ABOUT 1/2 HR FOR ENTIRE EVENT. ONLY THING WE WOULD DO DIFFERENTLY WOULD BE TO SEE IF A DOCTOR WAS ONBOARD. UNFORTUNATELY OUR MINDSET WAS MORE HOW TO HANDLE A DISRUPTIVE PAX RATHER THAN A MEDICAL PROB. THE TRANSITION WAS DIFFICULT TO MAKE.