A B737 FLT CREW RPTED THAT A MEDICAL EMER NECESSITATED THE NEED TO ALLOW A PHYSICIAN ONTO THE FLT DECK TO COORDINATE WITH GND MEDICAL RESOURCES.

Date: 2004-02 · Aircraft: B737-700 · Phase: cruise

Anomalies: deviation-discrepancy-procedural-far|deviation-discrepancy-procedural-published-material-policy|flight-deck-cabin-aircraft-event-illness-injury

Synopsis

A B737 FLT CREW RPTED THAT A MEDICAL EMER NECESSITATED THE NEED TO ALLOW A PHYSICIAN ONTO THE FLT DECK TO COORDINATE WITH GND MEDICAL RESOURCES.

Narrative

MEDICAL EMER; PAX VERY SICK; 72-YR OLD MALE WITH A COLOSTOMY BAG HAD BEEN SICK FOR 4 DAYS PRIOR TO FLT. HE WAS VOMITING AND VERY DEHYDRATED; COOL AND CLAMMY TO THE TOUCH; AND HAD PASSED OUT FOR A PERIOD OF TIME; THOUGH HE WAS BREATHING. A DOCTOR WAS A PAX ON BOARD AND SHE ADMINISTERED MEDICAL ASSISTANCE TO THE MAN. DUE TO HIS DEHYDRATION SHE ATTEMPTED TO ADMINISTER AN IV. AT SOME POINT DURING THE TREATMENT; THE COLOSTOMY BAG BURST. THE EEMK; FORWARD FIRST AID KIT; UPK; AND MID-CABIN MEDICAL OXYGEN WERE USED. THE DOCTOR ADVISED THAT WE LAND ASAP. MEDICAL CONSULTANT WAS CONTACTED AND ADVISED OF THE MEDICAL EMER. COM IN THE CABIN WITH MEDICAL CONSULTANT WAS ATTEMPTED BUT NOT SUCCESSFUL. AFTER SECURING THE FLT DECK AND CABIN AND DETERMINING THAT THE DOCTOR WAS LEGITIMATE; WE BROUGHT THE DOCTOR FORWARD TO THE FLT DECK SO THAT SHE COULD COMMUNICATE DIRECTLY WITH MEDICAL CONSULTANT BASED ON THE URGENCY OF THE SIT. IT WAS AGREED WITH MEDICAL CONSULTANT AND THE DOCTOR THAT THE FLT WOULD PROCEED TO SEATTLE WITH AN UPDATE APCHING TUCSON. PAX'S CONDITION WORSENED AND THE DOCTOR RECOMMENDED LNDG AT TUCSON. WE COMMUNICATED THIS FACT TO DISPATCH OVER ACARS AND WERE DIVERTED TO TUCSON. THE PAX AND HIS WIFE WERE MET BY EMER PERSONNEL AND DEPLANED IN TUCSON. SUPPLEMENTAL INFO FROM ACN 609975: THERE WAS GREAT DIFFICULTY IN ESTABLISHING COM. COM VIA PHONE LINK WAS NOT SUCCESSFUL. IT WAS A CRITICAL MEDICAL SIT IN WHICH A PAX'S LIFE DEPENDED ON OUR ACTION SO WE DETERMINED; THAT THE SIT REQUIRED DOCTOR TO ENTER THE FLT DECK AND COMMUNICATE WITH MEDICAL CONSULTANT VIA THE FLT DECK RADIO. WE ASSESSED THE SIT AND CONCLUDED THAT SHE WAS A LEGITIMATE MEDICAL DOCTOR AND WAS NOT A THREAT TO FLT DECK SAFETY.

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Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.