|37000 Feet||Browse and search NASA's
Aviation Safety Reporting System
|Local Time Of Day||0001 To 0600|
|Locale Reference||atc facility : czqx.artcc|
|Controlling Facilities||artcc : czqx.artcc|
tower : bos.tower
|Operator||common carrier : air carrier|
|Make Model Name||B777 Undifferentiated or Other Model|
|Operating Under FAR Part||Part 121|
|Flight Phase||cruise : level|
|Affiliation||company : air carrier|
|Function||flight attendant : on duty|
|Qualification||flight attendant : currently qualified|
flight attendant aircraft qualified on : 6
|Experience||flight attendant time airline total : 27|
flight attendant time total : 27
flight attendant time type : 40
|Affiliation||company : air carrier|
|Function||observation : passenger|
|Anomaly||cabin event : passenger illness|
cabin event other
|Independent Detector||other other : cab #1|
|Problem Areas||Cabin Crew Human Performance|
Passenger Human Performance
|Primary Problem||Passenger Human Performance|
A passenger fainted innitially and was picking himself up, when I was summoned. We treated him for that and asked about his medical background. (Nothing seemed urgent at that point). The passenger fainted again and we began first aid O2 was used, a physician was paged. A physician and 2 icu nurses helped monitor the passenger. The passenger seemed stable and returned to his seat. Approximately 1 hour later the passenger's wife told us that he wasn't feeling well again. The doctor checked his pulse and said it was weak and skipping. We helped the passenger to the aft galley, where the doctor and nurses monitored him. The doctor started an iv of saline and kept him on O2. (Ambu bag, resuscitation bag, med kit, enhanced med kit and defibrillator were all brought to the passenger). The nurses were impressed with the contents of emk. They recommended another bag of saline would be helpful for future use. The passenger remained stable until landing, paramedics came on board and brought passenger to the hospital. Callback conversation with reporter revealed the following information: the reporter stated that they did not divert for further medical help, because the doctor and nurses had enough emergency supplies in the enhanced medical kit. The attending nurses thought that one bag of saline was not enough for the long haul, international flts. The reporter and the purser looked in their manuals to see what the contents were in the enhanced medical kit, but there is no information, what so ever. They can only find out what is in it when a medical doctor or nurse opens it. The kit was also packed improperly, with vials in the wrong slots, etc.
Original NASA ASRS Text
Title: CAB RPT, B777, LHR-ORD. PAX FAINTED. PAX MD, NURSES GAVE PAX SALINE IV DEFIBRILLATOR, AND OXYGEN. PARAMEDICS TOOK PAX TO HOSPITAL.
Narrative: A PAX FAINTED INNITIALLY AND WAS PICKING HIMSELF UP, WHEN I WAS SUMMONED. WE TREATED HIM FOR THAT AND ASKED ABOUT HIS MEDICAL BACKGROUND. (NOTHING SEEMED URGENT AT THAT POINT). THE PAX FAINTED AGAIN AND WE BEGAN FIRST AID O2 WAS USED, A PHYSICIAN WAS PAGED. A PHYSICIAN AND 2 ICU NURSES HELPED MONITOR THE PAX. THE PAX SEEMED STABLE AND RETURNED TO HIS SEAT. APPROX 1 HR LATER THE PAX'S WIFE TOLD US THAT HE WASN'T FEELING WELL AGAIN. THE DOCTOR CHKED HIS PULSE AND SAID IT WAS WEAK AND SKIPPING. WE HELPED THE PAX TO THE AFT GALLEY, WHERE THE DOCTOR AND NURSES MONITORED HIM. THE DOCTOR STARTED AN IV OF SALINE AND KEPT HIM ON O2. (AMBU BAG, RESUSCITATION BAG, MED KIT, ENHANCED MED KIT AND DEFIBRILLATOR WERE ALL BROUGHT TO THE PAX). THE NURSES WERE IMPRESSED WITH THE CONTENTS OF EMK. THEY RECOMMENDED ANOTHER BAG OF SALINE WOULD BE HELPFUL FOR FUTURE USE. THE PAX REMAINED STABLE UNTIL LNDG, PARAMEDICS CAME ON BOARD AND BROUGHT PAX TO THE HOSPITAL. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THAT THEY DID NOT DIVERT FOR FURTHER MEDICAL HELP, BECAUSE THE DOCTOR AND NURSES HAD ENOUGH EMER SUPPLIES IN THE ENHANCED MEDICAL KIT. THE ATTENDING NURSES THOUGHT THAT ONE BAG OF SALINE WAS NOT ENOUGH FOR THE LONG HAUL, INTL FLTS. THE RPTR AND THE PURSER LOOKED IN THEIR MANUALS TO SEE WHAT THE CONTENTS WERE IN THE ENHANCED MEDICAL KIT, BUT THERE IS NO INFO, WHAT SO EVER. THEY CAN ONLY FIND OUT WHAT IS IN IT WHEN A MEDICAL DOCTOR OR NURSE OPENS IT. THE KIT WAS ALSO PACKED IMPROPERLY, WITH VIALS IN THE WRONG SLOTS, ETC.
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.