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A B763 captain reported a passenger illness during which a passenger physician reversed his request that the captain divert over brazil after speaking with a company physician via satcom in the flight deck.
| Attributes | |
| ACN | 589374 |
| Time | |
| Date | 200307 |
| Day | Wed |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | atc facility : sbbs.artcc |
| State Reference | FO |
| Altitude | msl single value : 31000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Dusk |
| Aircraft 1 | |
| Controlling Facilities | artcc : sbbs.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | B767-300 and 300 ER |
| Operating Under FAR Part | Part 121 |
| Flight Phase | cruise : level |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| ASRS Report | 589374 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Events | |
| Anomaly | non adherence : company policies non adherence : far non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : anomaly accepted |
| Consequence | other |
| Supplementary | |
| Problem Areas | Passenger Human Performance Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
Narrative:
After reaching cruise altitude, we had a medical emergency which had the potential for a diversion. Doctor, a cardiologist, made the recommendation to divert. After consulting with the doctor, I sensed he would change his divert recommendation if he could consult with the medical doctor on call. In an effort to avoid a maximum landing weight/high elevation airport situation and the potential safety issues, I used my emergency authority/authorized to have the doctor consult with air carrier's doctor using the cockpit satellite radio. This decision led to the reversal of the doctor's recommendation to divert. I felt my emergency authority/authorized action produced a safer outcome of the flight.
Original NASA ASRS Text
Title: A B763 CAPT RPTED A PAX ILLNESS DURING WHICH A PAX PHYSICIAN REVERSED HIS REQUEST THAT THE CAPT DIVERT OVER BRAZIL AFTER SPEAKING WITH A COMPANY PHYSICIAN VIA SATCOM IN THE FLT DECK.
Narrative: AFTER REACHING CRUISE ALT, WE HAD A MEDICAL EMER WHICH HAD THE POTENTIAL FOR A DIVERSION. DOCTOR, A CARDIOLOGIST, MADE THE RECOMMENDATION TO DIVERT. AFTER CONSULTING WITH THE DOCTOR, I SENSED HE WOULD CHANGE HIS DIVERT RECOMMENDATION IF HE COULD CONSULT WITH THE MEDICAL DOCTOR ON CALL. IN AN EFFORT TO AVOID A MAX LNDG WT/HIGH ELEVATION ARPT SIT AND THE POTENTIAL SAFETY ISSUES, I USED MY EMER AUTH TO HAVE THE DOCTOR CONSULT WITH ACR'S DOCTOR USING THE COCKPIT SATELLITE RADIO. THIS DECISION LED TO THE REVERSAL OF THE DOCTOR'S RECOMMENDATION TO DIVERT. I FELT MY EMER AUTH ACTION PRODUCED A SAFER OUTCOME OF THE FLT.
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.