Narrative:

Had just briefed plan for arrival, secured food trays. Heard loud bang like queen cart falling over against forward portion of cabin. Had first officer observe through peephole to ascertain if there was a problem. He saw flight attendant helping fallen passenger. I contacted flight attendant and she advised passenger had fainted and fallen. I sent ACARS to dispatch for a heads up and notified ATC of a potential need for emergency handling. With further contact she advised us a neurologist was onboard, credential check confirmed, and she would relay information soon. Passenger was very large man and unable to be moved. Passenger was male, collapsed into flight attendant's seat area head first. Doctor advised passenger must not be moved and recommended expeditious flight to medical assistance. Notified dispatch of request, review emergency section of operations manual and gave book to first officer for review. Notified ATC we needed priority handling due to medical emergency. My call. I heard the level of his impact on the forward area, got medical evaluate from doctor, observation from flight attendant through cognitive accumulation of pertinent information felt passenger needed our expeditious entry to sfo. Flight attendant stated passenger immobile. Flight attendant sat with passenger on floor for landing. I asked if passenger could be moved to seat by other passenger but doctor said must not move. Both medical kits were being used. Had dispatch get paramedics for our arrival. SOP followed. Great inquiry on passenger and procedure. Discussed landing with flight attendant on floor with passenger. Flight attendant was jump seating and volunteered her help. Normal approach and landing (smooth) and taxi to gate. Again all SOP followed and well done by crew.

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Original NASA ASRS Text

Title: A320 CREW HAD A PAX PASS OUT AND FALL IN CABIN.

Narrative: HAD JUST BRIEFED PLAN FOR ARR, SECURED FOOD TRAYS. HEARD LOUD BANG LIKE QUEEN CART FALLING OVER AGAINST FORWARD PORTION OF CABIN. HAD FO OBSERVE THROUGH PEEPHOLE TO ASCERTAIN IF THERE WAS A PROB. HE SAW FLT ATTENDANT HELPING FALLEN PAX. I CONTACTED FLT ATTENDANT AND SHE ADVISED PAX HAD FAINTED AND FALLEN. I SENT ACARS TO DISPATCH FOR A HEADS UP AND NOTIFIED ATC OF A POTENTIAL NEED FOR EMER HANDLING. WITH FURTHER CONTACT SHE ADVISED US A NEUROLOGIST WAS ONBOARD, CREDENTIAL CHK CONFIRMED, AND SHE WOULD RELAY INFO SOON. PAX WAS VERY LARGE MAN AND UNABLE TO BE MOVED. PAX WAS MALE, COLLAPSED INTO FLT ATTENDANT'S SEAT AREA HEAD FIRST. DOCTOR ADVISED PAX MUST NOT BE MOVED AND RECOMMENDED EXPEDITIOUS FLT TO MEDICAL ASSISTANCE. NOTIFIED DISPATCH OF REQUEST, REVIEW EMER SECTION OF OPS MANUAL AND GAVE BOOK TO FO FOR REVIEW. NOTIFIED ATC WE NEEDED PRIORITY HANDLING DUE TO MEDICAL EMER. MY CALL. I HEARD THE LEVEL OF HIS IMPACT ON THE FORWARD AREA, GOT MEDICAL EVAL FROM DOCTOR, OBSERVATION FROM FLT ATTENDANT THROUGH COGNITIVE ACCUMULATION OF PERTINENT INFO FELT PAX NEEDED OUR EXPEDITIOUS ENTRY TO SFO. FLT ATTENDANT STATED PAX IMMOBILE. FLT ATTENDANT SAT WITH PAX ON FLOOR FOR LNDG. I ASKED IF PAX COULD BE MOVED TO SEAT BY OTHER PAX BUT DOCTOR SAID MUST NOT MOVE. BOTH MEDICAL KITS WERE BEING USED. HAD DISPATCH GET PARAMEDICS FOR OUR ARR. SOP FOLLOWED. GREAT INQUIRY ON PAX AND PROC. DISCUSSED LNDG WITH FLT ATTENDANT ON FLOOR WITH PAX. FLT ATTENDANT WAS JUMP SEATING AND VOLUNTEERED HER HELP. NORMAL APCH AND LNDG (SMOOTH) AND TAXI TO GATE. AGAIN ALL SOP FOLLOWED AND WELL DONE BY CREW.

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.