Passenger behavior illness requires immediate diversion to alternate.

Attributes
ACN	275649
Time
Date	199406
Day	Thu
Local Time Of Day	1801 To 2400
Place
Locale Reference	atc facility : bda
State Reference	FO
Altitude	msl bound lower : 30000 msl bound upper : 31000
Environment
Flight Conditions	Mixed
Light	Night
Aircraft 1
Operator	common carrier : air carrier
Make Model Name	B767 Undifferentiated or Other Model
Operating Under FAR Part	Part 121
Navigation In Use	Other Other
Flight Phase	cruise other other other
Route In Use	enroute : other oceanic enroute : atlantic enroute airway : zny
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : commercial pilot : flight engineer pilot : cfi pilot : atp
Experience	flight time last 90 days : 150 flight time total : 9500 flight time type : 200
ASRS Report	275649
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : atp
Events
Anomaly	altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other other spatial deviation
Independent Detector	other other : unspecified
Resolutory Action	controller : issued new clearance flight crew : declared emergency other
Consequence	Other
Supplementary
Air Traffic Incident	Pilot Deviation

Narrative:

Approaching limmi intersection, #1 flight attendant advised captain of seriously ill passenger. 2 doctors and 1 registered nurse were located and attending passenger. Captain visited cabin to ascertain passenger condition, doctor was administering 'accuchk' for blood sugar. Captain advised doctor closest point of approach to bermuda is now and ETA is 45 mins. Doctor said he would advise in a couple of mins. Next contact with doctor was that passenger was in critical need of emergency medical care. In vicinity of swapp intersection captain turned 90 degrees off airway, descended 1000 ft to FL300, turned on all lights, declared an emergency, and broadcast intentions and position on 121.5. In approximately 2 mins new york arinc advised a revised clearance reposition direct bda but clearance based on FL310. Flight climbed back to FL310 and proceeded direct bda at best forward speed.

Original NASA ASRS Text

Title: PAX BEHAVIOR ILLNESS REQUIRES IMMEDIATE DIVERSION TO ALTERNATE.

Narrative: APCHING LIMMI INTXN, #1 FLT ATTENDANT ADVISED CAPT OF SERIOUSLY ILL PAX. 2 DOCTORS AND 1 REGISTERED NURSE WERE LOCATED AND ATTENDING PAX. CAPT VISITED CABIN TO ASCERTAIN PAX CONDITION, DOCTOR WAS ADMINISTERING 'ACCUCHK' FOR BLOOD SUGAR. CAPT ADVISED DOCTOR CLOSEST POINT OF APCH TO BERMUDA IS NOW AND ETA IS 45 MINS. DOCTOR SAID HE WOULD ADVISE IN A COUPLE OF MINS. NEXT CONTACT WITH DOCTOR WAS THAT PAX WAS IN CRITICAL NEED OF EMER MEDICAL CARE. IN VICINITY OF SWAPP INTXN CAPT TURNED 90 DEGS OFF AIRWAY, DSNDED 1000 FT TO FL300, TURNED ON ALL LIGHTS, DECLARED AN EMER, AND BROADCAST INTENTIONS AND POS ON 121.5. IN APPROX 2 MINS NEW YORK ARINC ADVISED A REVISED CLRNC REPOSITION DIRECT BDA BUT CLRNC BASED ON FL310. FLT CLBED BACK TO FL310 AND PROCEEDED DIRECT BDA AT BEST FORWARD SPD.

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.