Narrative:

En route from clo to mia first class passenger became ill. The passenger was traveling with her husband and 2 children in row X. The #1 flight attendant said that she had vomited and the husband indicated that she had a history of a heart condition. A nurse and an emt were found onboard to assist ms X. I went back to talk to the emt and mr X. I told the emt that we would be in mia in about 1 1/2 hours or we could be in kin in about 20 mins. The emt felt that it would be best to divert to kin for medical help. I asked the husband what he wanted and he also felt that going to kin would be best. So, we declared a medical emergency with mkjk control and proceeded direct to myl VOR. We landed 3000 pounds overweight with a smooth touchdown. An ambulance was waiting for us upon arrival to transport ms X to the hospital in kingston. On the ground in kin I had a chance to talk to the emt again. She said that the onboard hear defibrillator was never needed but they had it standing by. I later learned that ms X did have a heart attack either at the hospital or on the way there so the divert was the right decision and may have saved her life. In kin we refiled, refueled and had maintenance sign off the logbook for the overweight landing. We departed kin about 1 hour after landing. Upon arrival in mia we received a message from dispatch informing us that ms X had left a carry-on bag aboard with $5000 cash. We called the #1 flight attendant and asked him to look for the bag, saying nothing about the money. The bag was brought to the cockpit and as soon as we arrived at the gate a passenger service agent met us to escort the bag through customs. In the presence of agent, the copilot and I looked through the bag for the money. We found a large wad of bills but didn't count it. Agent took the bag but returned about 10 mins later with some airport police saying that there was only $900 cash. I asked her if there was anything that she needed from us and she said no. In summary, I feel that the decision to divert to kin was the only choice we had and as for the missing $4100, I don't think that there was any theft involved but probably some confusion as to the amount.

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Original NASA ASRS Text

Title: A B757-200 ENRTE TO MIA DIVERTS TO KINGSTON AND PERFORMS AN OVERWT LNDG DUE TO A PAX MEDICAL EMER.

Narrative: ENRTE FROM CLO TO MIA FIRST CLASS PAX BECAME ILL. THE PAX WAS TRAVELING WITH HER HUSBAND AND 2 CHILDREN IN ROW X. THE #1 FLT ATTENDANT SAID THAT SHE HAD VOMITED AND THE HUSBAND INDICATED THAT SHE HAD A HISTORY OF A HEART CONDITION. A NURSE AND AN EMT WERE FOUND ONBOARD TO ASSIST MS X. I WENT BACK TO TALK TO THE EMT AND MR X. I TOLD THE EMT THAT WE WOULD BE IN MIA IN ABOUT 1 1/2 HRS OR WE COULD BE IN KIN IN ABOUT 20 MINS. THE EMT FELT THAT IT WOULD BE BEST TO DIVERT TO KIN FOR MEDICAL HELP. I ASKED THE HUSBAND WHAT HE WANTED AND HE ALSO FELT THAT GOING TO KIN WOULD BE BEST. SO, WE DECLARED A MEDICAL EMER WITH MKJK CTL AND PROCEEDED DIRECT TO MYL VOR. WE LANDED 3000 LBS OVERWT WITH A SMOOTH TOUCHDOWN. AN AMBULANCE WAS WAITING FOR US UPON ARR TO TRANSPORT MS X TO THE HOSPITAL IN KINGSTON. ON THE GND IN KIN I HAD A CHANCE TO TALK TO THE EMT AGAIN. SHE SAID THAT THE ONBOARD HEAR DEFIBRILLATOR WAS NEVER NEEDED BUT THEY HAD IT STANDING BY. I LATER LEARNED THAT MS X DID HAVE A HEART ATTACK EITHER AT THE HOSPITAL OR ON THE WAY THERE SO THE DIVERT WAS THE RIGHT DECISION AND MAY HAVE SAVED HER LIFE. IN KIN WE REFILED, REFUELED AND HAD MAINT SIGN OFF THE LOGBOOK FOR THE OVERWT LNDG. WE DEPARTED KIN ABOUT 1 HR AFTER LNDG. UPON ARR IN MIA WE RECEIVED A MESSAGE FROM DISPATCH INFORMING US THAT MS X HAD LEFT A CARRY-ON BAG ABOARD WITH $5000 CASH. WE CALLED THE #1 FLT ATTENDANT AND ASKED HIM TO LOOK FOR THE BAG, SAYING NOTHING ABOUT THE MONEY. THE BAG WAS BROUGHT TO THE COCKPIT AND AS SOON AS WE ARRIVED AT THE GATE A PAX SVC AGENT MET US TO ESCORT THE BAG THROUGH CUSTOMS. IN THE PRESENCE OF AGENT, THE COPLT AND I LOOKED THROUGH THE BAG FOR THE MONEY. WE FOUND A LARGE WAD OF BILLS BUT DIDN'T COUNT IT. AGENT TOOK THE BAG BUT RETURNED ABOUT 10 MINS LATER WITH SOME ARPT POLICE SAYING THAT THERE WAS ONLY $900 CASH. I ASKED HER IF THERE WAS ANYTHING THAT SHE NEEDED FROM US AND SHE SAID NO. IN SUMMARY, I FEEL THAT THE DECISION TO DIVERT TO KIN WAS THE ONLY CHOICE WE HAD AND AS FOR THE MISSING $4100, I DON'T THINK THAT THERE WAS ANY THEFT INVOLVED BUT PROBABLY SOME CONFUSION AS TO THE AMOUNT.

Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.