B777 Undifferentiated or Other Model
Flight Crew Multiengine; Flight Crew Air Transport Pilot (ATP); Flight Crew Instrument
Flight Crew Last 90 Days 193; Flight Crew Total 16007; Flight Crew Type 225
Time Pressure
Flight Deck / Cabin / Aircraft Event Illness / Injury
Air Traffic Control Issued New Clearance; Flight Crew Requested ATC Assistance / Clarification
[Oceanic] Flight to ZZZ. At approximately ZZZZZ intersection just past equal time point between [departure] and ZZZ I was informed that a passenger was ill. Flight attendants surveyed passengers and enlisted the help of a registered nurse passenger; I approved release of the primary medical kit and first response kit and an initial assessment was accomplished. Assessment was relayed to me and Medlink patch via SATCOM with dispatch was accomplished. Medlink MD and on scene RN were in agreement that the passenger with previous history of Type 1 diabetes was suffering from diabetic collapse due to lack of insulin beginning with initial flight from [the previous leg] and then on to ZZZ. Blood sugar was measured in excess of 360 with chest pains. Medlink advised that the passenger needed emergency room treatment as soon as possible. We advised Oceanic and they provided present position; now approaching the ADIZ; direct to ZZZ. EMT response was coordinated to meet the aircraft upon arrival. ARTCC and TRACON provided priority handling with radar vectors and runway assignment to the ILS Runway XXL to ZZZ. A normal approach and landing was accomplished; ZZZ tower allowed us to rollout to taxiway [1] for quicker access to arrival gate. Upon arrival at gate the passengers remained seated as the EMTs entered the aircraft and took custody of the ill passenger. Passenger required EMT assistance to leave aircraft. Passengers then normally deplaned. ATC priority handling was direct routings/vectors and preferential runway assignment. They did offer 'speed at our discretion' but no speed FARs were exceeded. Due to time of day and light traffic our impact on other aircraft was minimal. Conducted debrief with full crew to resolve any questions and to ascertain any possible improvements in our own process and CRM. Aircraft maintenance was also debriefed about write ups related to use of medical kit and oxygen bottle/mask.
An Air carrier pilot reported an ill passenger. All coordination and service was accomplished appropriately.