Instructions For Use of the


In-Flight Passenger Illness



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5.6 In-Flight Passenger Illness

If an occupant becomes ill, the flight attendant (if carried) will administer First Aid and oxygen as necessary. If the PIC determines that an occupant needs immediate medical assistance, he/she will divert the aircraft to the closest suitable airport. Suitability of an airport, military or civilian, will depend on the nature of the illness and the medical support available.


NOTE: If oxygen is necessary, the "walk-around" bottle or therapeutic oxygen supply will be used so that 100% oxygen is available to the person. (The aircraft's diluter demand oxygen system provides very little oxygen at normal cabin altitudes through a passenger mask.)
The ATC unit may be able to assist in providing information regarding medical services available at airports within their area. ATC should be utilized to relay requests for medical assistance to the airport of intended landing. Advise ATC of the medical emergency and the nature of support required on landing.
An emergency may be declared if the PIC believes that the situation demands priority handling.
If a passenger is removed from a company aircraft for medical reasons, a crew member or other company employee should accompany the passenger to the hospital. The Flight Department Manager or Chief Pilot should be notified as soon as possible.
If the illness is other than airsickness the PIC shall advise the medical authorities the destination airport of the on-board illness prior to arrival. Such notification will normally be made through the air traffic control agency and should be done as soon as practical after the illness has been identified in order to facilitate provision for the presence of any special medical personnel and equipment necessary for medical assistance and health procedures on arrival. Upon arrival the relevant information shall be included in the General Declaration Form.
Cases of suspected death shall be handled in a similar manner.
If third party medical assistance is utilized insert the related procedures in this section.


5.7 First Aid Kits



Insert any information on the contents or use of the First Aid Kit.


5.8 Emergency/Survival Equipment



Insert any information on the contents or use of the survival equipment. The following is an example of a basic survival kit.
For flights across land areas which have been designated by the State concerned as an area in which search and rescue would be difficult, or at the pilot’s discretion, survival kits will be carried on (Company Name) aircraft so as in the event of forced landing the passengers and crew can be provided with fire, shelter, drinking water and a means of signaling. State AIPs can be accessed through the ICAO GIS Portal at http://192.206.28.84/Website/AIPS_online.html.
The following basic kit will be carried when flying across land areas where search and rescue would be difficult:

    1. waterproof matches;

    2. means of providing shelter, a six-man dome tent or survival tarpaulin;

    3. water purification tablets;

    4. signal panel;

    5. signal mirror;

    6. hand axe;

    7. survival knife;

    8. survival manual; and

    9. instructions for use of the equipment.

For flights over water where a life raft is required to be carried the following survival equipment will also be attached to the life raft:



    1. a pyrotechnic signaling device;

    2. a radar reflector;

    3. a life raft repair kit;

    4. a bailing bucket and sponge;

    5. a signaling mirror;

    6. a whistle;

    7. a raft knife;

    8. an inflation pump;

    9. a dye marker;

    10. a waterproof flashlight;

    11. a two day supply of water, calculated using the overload capacity of the raft, consisting of one pint of water per day for each person or a means of desalting or distilling salt water sufficient to provide an equivalent amount;

    12. a fishing kit;

    13. a book on sea survival; and

    14. a first aid kit containing antiseptic swabs, burn dressing compresses bandages and anti-motion sickness pills.


5.9 Search and Rescue Services

Prior to flights over remote areas the PIC shall ensure that he/she has information on the search and rescue services available or that such information is available to whoever would take the actions described in section 5.2.




5.10 Unlawful Interference

For information see chapter 10 of this manual and reference material in Jeppesen Emergency Section (ICAO) and FAR AIM 6-3-4.




5.11 Non-aviation Accidents and incidents





Include considerations and associated procedures, for non-aviation accidents and incidents that are not covered in other company documents and that may be appropriate to the operation. Some of such consideration may include:

  • Personnel injury or death not related to flight operations,

  • Natural disasters,

  • Evacuation plans,

  • Major power outages,

  • Bomb threats or similar acts,

  • Vehicle accidents, or

  • Hotel fires where employees are involved.



6Operations in International, RVSM, RNAV, MNPS or RNP Airspace




Revise this section as appropriate to reflect your company procedures. If operations are conducted in domestic airspace only this chapter may be omitted. In that case RVSM, D-RVSM, RNAV and RNP considerations would be addressed, as required, in section 4.10.



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