An A320 flight crew declares an emergency when a passenger falls ill in the aisle. Opposite direction landing planned at msp with some reticence displayed from ATC.

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Attributes
ACN	410362
Time
Date	199808
Day	Sat
Local Time Of Day	0001 To 0600
Place
Locale Reference	airport : msp
State Reference	MN
Altitude	msl bound lower : 2000 msl bound upper : 36000
Environment
Flight Conditions	IMC
Light	Dawn
Aircraft 1
Controlling Facilities	artcc : zmp tracon : msp tower : msp tower : las
Operator	common carrier : air carrier
Make Model Name	A320
Operating Under FAR Part	Part 121
Navigation In Use	Other Other
Flight Phase	descent : approach landing other other
Route In Use	arrival other enroute : direct enroute : on vectors
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : atp pilot : flight engineer
Experience	flight time last 90 days : 75 flight time total : 10000 flight time type : 450
ASRS Report	410362
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : atp pilot : cfi
Experience	flight time last 90 days : 200 flight time total : 11000 flight time type : 800
ASRS Report	410502
Events
Anomaly	non adherence : far other anomaly other anomaly other
Independent Detector	other flight crewa other other : unspecified
Resolutory Action	controller : issued new clearance flight crew : declared emergency other
Consequence	Other

Narrative:

Medical emergency. Passenger unconscious in aisle. Doctor onboard assisted and advised immediate medical (emt) assistance. Best option was to proceed to destination (msp) at maximum airspeed. Requested opposite direction straight-in approach. Maintained approximately 300 KTS until 15 mi final. Emergency terminated at gate. Had minor difficulty getting ATC (center and approach) that we needed opposite direction straight-in approach. As a result they continued normal approachs until such time that we were 1.0 NM outside OM when reception of localizer/GS signal received. Quite dicey with WX minimums what they were.

Original NASA ASRS Text

Title: AN A320 FLC DECLARES AN EMER WHEN A PAX FALLS ILL IN THE AISLE. OPPOSITE DIRECTION LNDG PLANNED AT MSP WITH SOME RETICENCE DISPLAYED FROM ATC.

Narrative: MEDICAL EMER. PAX UNCONSCIOUS IN AISLE. DOCTOR ONBOARD ASSISTED AND ADVISED IMMEDIATE MEDICAL (EMT) ASSISTANCE. BEST OPTION WAS TO PROCEED TO DEST (MSP) AT MAX AIRSPD. REQUESTED OPPOSITE DIRECTION STRAIGHT-IN APCH. MAINTAINED APPROX 300 KTS UNTIL 15 MI FINAL. EMER TERMINATED AT GATE. HAD MINOR DIFFICULTY GETTING ATC (CTR AND APCH) THAT WE NEEDED OPPOSITE DIRECTION STRAIGHT-IN APCH. AS A RESULT THEY CONTINUED NORMAL APCHS UNTIL SUCH TIME THAT WE WERE 1.0 NM OUTSIDE OM WHEN RECEPTION OF LOC/GS SIGNAL RECEIVED. QUITE DICEY WITH WX MINIMUMS WHAT THEY WERE.

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.