Narrative:

Shortly after leveling off at FL370, we experienced a loss of aircraft pressurization. I maintained control of the aircraft. We both donned our oxygen masks, established communications and completed our QRH (checklist) tasks. We immediately asked ATC for a descent and started down. At first it looked like we would be able to control the cabin altitude. It then became apparent that we could not control the cabin, and we increased our descent. With loss of pressurization control, I decided to divert to clt. After we advised the flight attendants that they could come off of oxygen and attend to the passenger, the lead attendant came to the cockpit to advise us that they had a passenger with a history of heart trouble that was having difficult breathing. They had administered oxygen and there was a doctor attending to him. I advised her that we were going direct to clt. The doctor asked for the emergency medical kit in order to take the passenger's blood pressure and reported that it was ok and he was stable. We called ahead to have emt's standing by in clt. Clt approach was notified that we had a medical emergency and we were vectored for the ILS runway 36L approach. The landing was uneventful.

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Original NASA ASRS Text

Title: PLT RPT, B737-400, LOSS OF CABIN PRESSURE, PAX OXYGEN MASKS DROPPED, PAX COULDN'T BREATH. PAX MEDICAL DOCTOR INTERVENTION. EMER CLRNC. DIVERT TO CLT.

Narrative: SHORTLY AFTER LEVELING OFF AT FL370, WE EXPERIENCED A LOSS OF ACFT PRESSURIZATION. I MAINTAINED CTL OF THE ACFT. WE BOTH DONNED OUR OXYGEN MASKS, ESTABLISHED COMS AND COMPLETED OUR QRH (CHKLIST) TASKS. WE IMMEDIATELY ASKED ATC FOR A DSCNT AND STARTED DOWN. AT FIRST IT LOOKED LIKE WE WOULD BE ABLE TO CTL THE CABIN ALT. IT THEN BECAME APPARENT THAT WE COULD NOT CTL THE CABIN, AND WE INCREASED OUR DSCNT. WITH LOSS OF PRESSURIZATION CTL, I DECIDED TO DIVERT TO CLT. AFTER WE ADVISED THE FLT ATTENDANTS THAT THEY COULD COME OFF OF OXYGEN AND ATTEND TO THE PAX, THE LEAD ATTENDANT CAME TO THE COCKPIT TO ADVISE US THAT THEY HAD A PAX WITH A HISTORY OF HEART TROUBLE THAT WAS HAVING DIFFICULT BREATHING. THEY HAD ADMINISTERED OXYGEN AND THERE WAS A DOCTOR ATTENDING TO HIM. I ADVISED HER THAT WE WERE GOING DIRECT TO CLT. THE DOCTOR ASKED FOR THE EMER MEDICAL KIT IN ORDER TO TAKE THE PAX'S BLOOD PRESSURE AND RPTED THAT IT WAS OK AND HE WAS STABLE. WE CALLED AHEAD TO HAVE EMT'S STANDING BY IN CLT. CLT APCH WAS NOTIFIED THAT WE HAD A MEDICAL EMER AND WE WERE VECTORED FOR THE ILS RWY 36L APCH. THE LNDG WAS UNEVENTFUL.

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.