B737-700
Flight Crew Multiengine; Flight Crew Instrument; Flight Crew Air Transport Pilot (ATP)
Flight Crew Last 90 Days 229
Workload; Communication Breakdown
Deviation / Discrepancy - Procedural Published Material / Policy; Flight Deck / Cabin / Aircraft Event Illness / Injury
General None Reported / Taken
Human Factors
We received a call from the cabin that we had a Passenger with chest pains. The Captain called ARINC and dealt with communications with STAT-MD; I worked ATC and flew the aircraft. I was preparing to divert when the Captain decided to continue on. STAT-MD at that point asked for us to call them back in 30 minutes. The Nurse Practitioner inserted an IV; and did other procedures. She also said if we run out of IV fluid; then the Passenger would go into cardiac arrest. About fifteen minutes later; the Cabin Crew called again and requested STAT-MD again. The Nurse Practitioner and Doctor onboard wanted to administer more medication. The Flight Attendants were told to prepare to do CPR and to get the AED out. I; again; expected to divert and got ready for a suitable airport nearby. After the conversations between the cabin and STAT-MD; the Captain told me he wanted to continue on to destination; but to expedite. He said STAT-MD said to expedite. I told him this sounded dire and we may want to think about diverting. The Captain said no; he will notify ATC as an emergency and continue on to our destination. I told him I was NOT comfortable identifying as a medical emergency and not treating it as one! If he believed this was a medical emergency; like I did; then we need to treat it as such and get on the ground and get this Passenger help. He ignored me; and there was zero CRM performed. We continued on to destination; and an ambulance met the aircraft and treated the Passenger. After debriefing with the Cabin Crew; it came to my attention that the Nurse Practitioner and the Doctor were angry that we weren't getting on the ground and kept asking the Flight Attendants why we weren't on the ground yet. The Flight Attendants wanted to divert also. Better CRM between Captain and Cabin Crew; and Captain towards First Officer. Better policies for medical situations. Change medical advisory companies; possibly back to [previous medical service provider].
First Officer reported proceeding to destination despite an in flight medical emergency.