Aircraft landed without clearance because of medical emergency on board aircraft.

Attributes
ACN	161402
Time
Date	199010
Day	Tue
Local Time Of Day	1201 To 1800
Place
Locale Reference	atc facility : dfw
State Reference	TX
Altitude	msl bound lower : 800 msl bound upper : 800
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	tower : dfw
Operator	common carrier : air carrier
Make Model Name	Medium Large Transport, Low Wing, 2 Turbojet Eng
Navigation In Use	Other
Flight Phase	landing other
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : atp
Experience	flight time last 90 days : 230 flight time total : 12000 flight time type : 1600
ASRS Report	161402
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : atp pilot : flight engineer
Experience	flight time last 90 days : 220 flight time total : 5000 flight time type : 1800
ASRS Report	161404
Events
Anomaly	non adherence : clearance
Independent Detector	other controllera
Resolutory Action	controller : issued new clearance other
Consequence	Other
Supplementary
Primary Problem	ATC Human Performance
Air Traffic Incident	Intra Facility Coordination Failure Pilot Deviation

Narrative:

We advised approach that we had a medical emergency on board. Received expedited handling by approach for visibility runway 17R. Apparently no coordination between approach and tower as tower was not expecting us at handoff. Tried to contact tower several times to report position on final but the tower operator was giving crossing instructions nonstop west/O hesitation to several aircraft. 2-3 mi out on final, tower cleared 2 airline jets to cross runway 17R downfield at T29/31. Jets were halfway across runway when he saw us. At this point we were approximately 500' on final. Tower seemed excited and told us to go around, but jets were clear of runway more than 1 1/2 mi away from us. We were at 200', so we told tower that the runway was clear and we were landing. No comment from tower or ground controller. No traffic conflict occurred.

Original NASA ASRS Text

Title: ACFT LANDED WITHOUT CLRNC BECAUSE OF MEDICAL EMERGENCY ON BOARD ACFT.

Narrative: WE ADVISED APCH THAT WE HAD A MEDICAL EMER ON BOARD. RECEIVED EXPEDITED HANDLING BY APCH FOR VIS RWY 17R. APPARENTLY NO COORD BTWN APCH AND TWR AS TWR WAS NOT EXPECTING US AT HDOF. TRIED TO CONTACT TWR SEVERAL TIMES TO RPT POS ON FINAL BUT THE TWR OPERATOR WAS GIVING XING INSTRUCTIONS NONSTOP W/O HESITATION TO SEVERAL ACFT. 2-3 MI OUT ON FINAL, TWR CLRED 2 AIRLINE JETS TO CROSS RWY 17R DOWNFIELD AT T29/31. JETS WERE HALFWAY ACROSS RWY WHEN HE SAW US. AT THIS POINT WE WERE APPROX 500' ON FINAL. TWR SEEMED EXCITED AND TOLD US TO GO AROUND, BUT JETS WERE CLR OF RWY MORE THAN 1 1/2 MI AWAY FROM US. WE WERE AT 200', SO WE TOLD TWR THAT THE RWY WAS CLR AND WE WERE LNDG. NO COMMENT FROM TWR OR GND CTLR. NO TFC CONFLICT OCCURRED.

Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.