Narrative:

Tower cleared me to land during a routine air ambulance transport with a patient on board. Upon reading back the landing clearance; my crew informed me that the patient 'coded' and they would need to administer cpr and chest compressions. For this to happen my crew would not be able to be seated with their seatbelts fastened for landing. I informed tower that we would not be able to land and needed some extra time in the traffic pattern. I was cleared for an extended right downwind with base leg at my discretion. Tower then cleared me to fly over the runway and to re enter a right downwind. We were on approximately a 5 mile final. My crew was not able to stop chest compressions and had no intention of letting their patient expire so we could legally land. I explained the situation to the tower controller and asked if I could declare a medical emergency. Tower said yes. I was cleared to land on the runway; landed and taxied via instructions from the tower to an area where we were met by airport emergency crews who assisted in chest compressions and overall emergency response. I understand that patient medical condition does not give authority to declare an emergency that would violate far's. I made the decision to land and taxi the aircraft with my crew out of their seats and seatbelts. I am aware that I put my crew at risk of injury. I feel that I made the right decision given the circumstances.

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Original NASA ASRS Text

Title: PC12 pilot reports landing with the crew out of their seats applying CPR to a critical patient. A medical emergency is declared.

Narrative: Tower cleared me to land during a routine air ambulance transport with a patient on board. Upon reading back the landing clearance; my crew informed me that the patient 'coded' and they would need to administer CPR and chest compressions. For this to happen my crew would not be able to be seated with their seatbelts fastened for landing. I informed Tower that we would not be able to land and needed some extra time in the traffic pattern. I was cleared for an extended right downwind with base leg at my discretion. Tower then cleared me to fly over the runway and to re enter a right downwind. We were on approximately a 5 mile final. My crew was not able to stop chest compressions and had no intention of letting their patient expire so we could legally land. I explained the situation to the Tower Controller and asked if I could declare a medical emergency. Tower said yes. I was cleared to land on the runway; landed and taxied via instructions from the Tower to an area where we were met by airport emergency crews who assisted in chest compressions and overall emergency response. I understand that patient medical condition does not give authority to declare an emergency that would violate FAR's. I made the decision to land and taxi the aircraft with my crew out of their seats and seatbelts. I am aware that I put my crew at risk of injury. I feel that I made the right decision given the circumstances.

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.