Narrative:

After entering russian airspace en route nrt, 200 NM west of liski intersection, passenger had epileptic seizure. Emt onboard examined patient. Phone patched with medical clinic through HF radio in cockpit. Determined patient must be on ground and receive medical attention as soon as possible. Company dispatch concluded divert to fai, ak, necessary. Route being flown was A218. Left turn of 180N degrees to a south offset 25 NM completed, descended 500 ft. Several attempts made to contact russian ATC schmidta, due to extreme difficulty of both crew and ATC controller unable to understand each other due to language barrier, not sure if russian ATC understood or cleared the flight to divert. Proceeded along offset until in united states airspace. Contacted anc control and proceeded to fai. Patient delivered to medical care. Flight was dispatched to nrt without problem. Note: company has no guidance or specific procedures regarding divert in russian airspace.

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Original NASA ASRS Text

Title: B747-200 CREW, DURING CRUISE, EXPERIENCED A PAX MEDICAL EMER REQUIRING A LNDG SHORT OF DEST.

Narrative: AFTER ENTERING RUSSIAN AIRSPACE ENRTE NRT, 200 NM W OF LISKI INTXN, PAX HAD EPILEPTIC SEIZURE. EMT ONBOARD EXAMINED PATIENT. PHONE PATCHED WITH MEDICAL CLINIC THROUGH HF RADIO IN COCKPIT. DETERMINED PATIENT MUST BE ON GND AND RECEIVE MEDICAL ATTN ASAP. COMPANY DISPATCH CONCLUDED DIVERT TO FAI, AK, NECESSARY. RTE BEING FLOWN WAS A218. L TURN OF 180N DEGS TO A S OFFSET 25 NM COMPLETED, DSNDED 500 FT. SEVERAL ATTEMPTS MADE TO CONTACT RUSSIAN ATC SCHMIDTA, DUE TO EXTREME DIFFICULTY OF BOTH CREW AND ATC CTLR UNABLE TO UNDERSTAND EACH OTHER DUE TO LANGUAGE BARRIER, NOT SURE IF RUSSIAN ATC UNDERSTOOD OR CLRED THE FLT TO DIVERT. PROCEEDED ALONG OFFSET UNTIL IN UNITED STATES AIRSPACE. CONTACTED ANC CTL AND PROCEEDED TO FAI. PATIENT DELIVERED TO MEDICAL CARE. FLT WAS DISPATCHED TO NRT WITHOUT PROB. NOTE: COMPANY HAS NO GUIDANCE OR SPECIFIC PROCS REGARDING DIVERT IN RUSSIAN AIRSPACE.

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.