What Happens During a Medical Emergency on a Plane and How MedAire Supports

Written by Admin | Feb 19, 2026 8:48:52 AM

In Summary

When a passenger becomes sick or injured in flight, cabin crew use a structured response to assess the passenger, provide first aid, use onboard medical equipment, and contact a ground-based medical team for real-time physician guidance. MedAire is the leading provider of this service for commercial airlines and private jets, helping crews and pilots make safe, time-critical decisions in-flight.

Step-by-step: How cabin crew typically respond to an in-flight medical emergency

Most airlines train crew to follow a consistent, repeatable process. Details vary by operator, but the flow is similar.

1) Recognize the problem and start a rapid assessment Crew will quickly determine: Is the passenger awake and able to speak? Are they breathing normally? Are there signs of severe illness (confusion, chest pain, severe shortness of breath, uncontrolled bleeding)?

2) Contact MedAire for guidance (MedLink) This is the part many passengers do not realize is happening. For airlines that use MedAire, the crew can connect to MedLink, a 24/7 medical advisory service staffed by physicians who guide care in real time.

3) Ask for medically trained volunteers (when appropriate) Depending on the airline's specific procedures, you may hear an announcement asking for a doctor, nurse, or paramedic. Volunteers can help with assessment and hands-on care, but the crew remain in charge of liaising with MedAire.

4) Use onboard supplies and equipment MedAire medical kits help MedLink give clear guidance to the crew, such as directing them to the correct pouch for needed medication. The crew also have access to oxygen and often an AED if cardiac arrest is suspected.

5) Coordinate landing and handoff, if needed MedAire provide their clinical evaluation and if the passenger needs urgent evaluation on the ground, crew and flight deck coordinate medical handoff plans so local medical services can meet the aircraft.

What problems happen most often in flight? (MedAire data)

133,886 Total Calls in 2024

59,131 Medical Cases

160+ Cases Per Day

Based on MedAire's in-flight cases, the most common event categories were:

Category (MedAire in-flight cases)	Share of cases
Neurological	37%
Gastrointestinal	23%
Respiratory	7%
Cardiovascular	6%
Injury / External	5%

What this means in plain language: More than one-third of all in-flight medical cases are neurological events, primarily fainting, dizziness, and altered mental status. Nearly a quarter involve gastrointestinal issues like nausea, vomiting, and abdominal discomfort. Respiratory complaints (breathing difficulty, asthma-like symptoms) and cardiovascular concerns (chest pain, heart-related symptoms) together account for 13% of cases, while injuries from falls or other trauma make up the remaining 5%.

Cardiac arrest on a plane: why speed matters

Cardiac arrest is one of the most time-critical emergencies in aviation medicine. Cabin crew are trained to:

Start CPR immediately
Apply the AED quickly and follow its prompts

For airlines supported by MedAire, MedLink physicians can also help the crew and cockpit coordinate next steps during and after resuscitation efforts, including planning the most appropriate landing and medical handoff.

When would a flight divert for a medical emergency?

Diversions are uncommon relative to total events, but they happen when the passenger's condition is time-critical and cannot be managed safely until the planned destination.

MedAire's role is to help the crew and pilots make decisions using:

The passenger's symptoms and vital signs
Response to onboard interventions
Time to definitive care
Operational constraints (route, alternates, terrain, fuel, weather)

This is not "medicine versus operations." It is a coordinated safety decision.

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Next time you fly, remember that you’re supported by a dedicated team of nurses and doctors on the ground - experts who handle hundreds of calls every day to help keep you safe in the air.

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