Dealing With In-Flight Incapacitation

A pilot shares his experience missing the apparent warning signals.

Monday, October 28, 2024 at 08:38 AM ET

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What do you do if a passenger or crewmember becomes incapacitated. It may have seemed to be a 'what-if' exercise. [Image: Joel Kimmel]

Key Takeaways:

Proactively monitor for subtle signs of incapacitation in crew or passengers, asking direct questions about their well-being, as early detection can prevent emergencies.
Effectively utilize all available resources during an emergency, including autopilots, electronic flight bags, and especially Air Traffic Control (ATC), to manage workload and maintain situational awareness.
Carefully evaluate diversion options beyond just proximity, considering factors like medical facilities and support services at potential landing sites.
Trust your training and maintain composure under pressure, relying on established procedures and clear-headed decision-making to safely manage critical in-flight emergencies.

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Incapacitation. Webster’s Dictionary defines it as a “prevention from functioning in a normal way.”

What does that really mean, at least in flying? How do I recognize it? How do I respond? You may have discussed this topic with your flight instructor at some point in your training—what to do if a passenger or crewmember becomes incapacitated. It may have seemed to be a “what-if” exercise.

Terry Hand

Terry Hand is a former U.S. Marine Corps helicopter and instructor pilot. His current day job for a major airline requires a type rating in the Boeing 757/767.