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:

The author emphasizes the critical importance of recognizing subtle signs of incapacitation in fellow crew members or passengers, having missed several such cues before his co-pilot suffered a severe seizure mid-flight.
When faced with incapacitation, the author successfully managed the emergency by taking decisive action, utilizing all available resources like ATC and automation (autopilot), and strategically planning a diversion to a well-equipped airport.
Key lessons include being vigilant for physical and behavioral changes, using all available tools to minimize workload during a single-pilot emergency, and carefully evaluating diversion options for medical and logistical support rather than just choosing the nearest airport.
Effective communication with ATC, company, flight attendants, and passengers is crucial for managing an in-flight emergency, ensuring everyone is informed and that the situation feels controlled despite its seriousness.

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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.