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:

Pilots must be vigilant for subtle behavioral or physical changes in crew members or passengers, as early detection of distress signals (e.g., fatigue, lack of appetite, unusual quietness) can be crucial in preventing an in-flight incapacitation emergency.
When faced with an incapacitated crew member, prioritize a structured emergency response by communicating immediately with ATC, carefully evaluating diversion options based on available medical and logistical support, and utilizing all aircraft automation (e.g., autopilot) to minimize workload during single-pilot operations.
Maintain clear and controlled communication with ATC and passengers, providing updates to instill confidence, and trust your training and judgment to manage the situation and safely land the aircraft.

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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.