Narrative:

Approximately 35-40 minutes from landing; I noticed the first officer appeared to be stretching with his arms raised about chest high. A slight groan was heard. Within a few more seconds; the groans became more pronounced and I asked if he was ok. No response. He was vomiting and then leaned forward onto the yoke. I responded quickly to get the first officer off the yoke. His entire body felt stiff. Upon gaining distance between his body and the control column; I called back to the #1 flight attendant and requested immediate assistance. The #1 flight attendant entered the flight deck with an additional flight attendant to help remove the first officer from his seat. There was some initial difficulty to remove the first officer due to the angle he was seated. I made sure any part of his body did not contact the control column. I contacted ATC and stated we had a medical emergency. The first officer appeared to be disoriented and wasn't responsive to simple questions. The flight attendants placed the first officer in the cabin. I requested the assistance of a commuting pilot. Although the commuting pilot wasn't qualified on the 757/767; he was a tremendous help with radio calls and a quick review of all appropriate checklists. During the initial part of the descent; the #1 flight attendant solicited medial help in the cabin and found a paramedic onboard to assist. I told the flight attendant to let the paramedic help until the 'prepare for landing' PA was made. Upon completion of the parking checklist; I went on the jet bridge and spoke briefly with the paramedics and the in-flight paramedic. The first officer was placed on the gurney. The in-flight paramedic stated that the first officer's blood pressure was extremely high. The paramedics took the first officer up the jet bridge and I assumed he was being taken to the local hospital. As the commuting pilot and I gathered up all the belongings; we noticed the first officer was walking back down the jet bridge; followed by a paramedic. The paramedic stated the first officer did not want medical attention. I asked him if he was ok. He stated a friend was picking him up. Upon exiting the terminal; I asked again if he was ok and he stated yes. I suggested he call for some medical guidance.

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Original NASA ASRS Text

Title: An Air Carrier Captain reported that his First Officer became incapacitated during cruise. Flight Attendants removed the pilot and a Commuting Pilot assisted through landing.

Narrative: Approximately 35-40 minutes from landing; I noticed the First Officer appeared to be stretching with his arms raised about chest high. A slight groan was heard. Within a few more seconds; the groans became more pronounced and I asked if he was OK. No response. He was vomiting and then leaned forward onto the yoke. I responded quickly to get the First Officer off the yoke. His entire body felt stiff. Upon gaining distance between his body and the control column; I called back to the #1 Flight Attendant and requested immediate assistance. The #1 Flight Attendant entered the flight deck with an additional Flight Attendant to help remove the First Officer from his seat. There was some initial difficulty to remove the First Officer due to the angle he was seated. I made sure any part of his body did not contact the control column. I contacted ATC and stated we had a medical emergency. The First Officer appeared to be disoriented and wasn't responsive to simple questions. The Flight Attendants placed the First Officer in the cabin. I requested the assistance of a Commuting Pilot. Although the Commuting Pilot wasn't qualified on the 757/767; he was a tremendous help with radio calls and a quick review of all appropriate checklists. During the initial part of the descent; the #1 Flight Attendant solicited medial help in the cabin and found a Paramedic onboard to assist. I told the Flight Attendant to let the Paramedic help until the 'Prepare for Landing' PA was made. Upon completion of the parking checklist; I went on the jet bridge and spoke briefly with the paramedics and the in-flight Paramedic. The First Officer was placed on the gurney. The in-flight Paramedic stated that the First Officer's blood pressure was extremely high. The paramedics took the First Officer up the jet bridge and I assumed he was being taken to the local hospital. As the commuting pilot and I gathered up all the belongings; we noticed the First Officer was walking back down the jet bridge; followed by a Paramedic. The Paramedic stated the First Officer did not want medical attention. I asked him if he was OK. He stated a friend was picking him up. Upon exiting the terminal; I asked again if he was OK and he stated yes. I suggested he call for some medical guidance.

Data retrieved from NASA's ASRS site as of April 2012 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.