Narrative:

Received phone call from #2 flight attendant requesting I come back to aft of airplane, passenger not feeling well. Passenger appeared pale and sweating. He told flight attendant #2 he had a heart attack and did not have any medication with him. She said he was conscious and breathing the entire time. I said I would have the aed brought to us and get the oxygen. Passenger said no, he did not want that. He wanted a coke. I made a PA advising of the medical emergency and asked for a physician to identify themselves. Dr X came to help. Passenger told her he was also a doctor. That was never verified. I informed dr X of our aed and medical kit being available. Again passenger refused to have those. Passenger told dr X he had an enlarged liver and health risks. Dr X asked 'what are his health risks?' he didn't know. He complained about pain in his lower chest and stomach as well as down his left arm. He said he wanted to get off the airplane. I again asked to monitor his heart and again he refused. I notified the cockpit. The doctor continued to monitor the passenger and question him. The flight attendants were notified once I learned that we were diverting to yyz. All service items were collected, and we prepared to land. Once the emergency team boarded, both the doctor and I were with the passenger. We listened as they questioned him. There were many discrepancies of the information he gave them and what he had given us. When the medical team asked if he had any medical problems, he said no. After taking his blood pressure, it was determined that he could not fly. Passenger was taken off the airplane along with one piece of carry-on luggage. He had 2 pieces of checked luggage. The interviewing facts kept changing. Security became an issue. Both the passenger and the flight attendants were uncomfortable about this passenger being removed. I asked both the captain and the lead agent if we could have all passenger gather their carry-on items out of the overhead bins, remain on board and have security come and do a sweep. We wanted to be sure everything on board belonged to someone on board. This was agreed to. I made a PA requesting each passenger retrieve their carry-on luggage. The security came aboard and did a security sweep. The search was completed before the removed passenger's checked luggage was removed. We had 4 concerned passenger, with all their luggage, leave our flight in yyz. PA's were made to keep the passenger informed of the progress throughout the delay. We continued our flight to lhr without any other incidents. I want to compliment the entire crew for working together so well as a team. Obviously, things happened very quickly. The cockpit responded within mins of what our diversion destination would be. The flight attendants did whatever needed to be done to make a safe landing and then continued to provide service while we were on the ground.

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Original NASA ASRS Text

Title: A B777 CREW, ENRTE ORD TO HEATHROW (EGLL), HAD A MEDICAL EMER AND LANDED AT TORONTO (CYYZ).

Narrative: RECEIVED PHONE CALL FROM #2 FLT ATTENDANT REQUESTING I COME BACK TO AFT OF AIRPLANE, PAX NOT FEELING WELL. PAX APPEARED PALE AND SWEATING. HE TOLD FLT ATTENDANT #2 HE HAD A HEART ATTACK AND DID NOT HAVE ANY MEDICATION WITH HIM. SHE SAID HE WAS CONSCIOUS AND BREATHING THE ENTIRE TIME. I SAID I WOULD HAVE THE AED BROUGHT TO US AND GET THE OXYGEN. PAX SAID NO, HE DID NOT WANT THAT. HE WANTED A COKE. I MADE A PA ADVISING OF THE MEDICAL EMER AND ASKED FOR A PHYSICIAN TO IDENT THEMSELVES. DR X CAME TO HELP. PAX TOLD HER HE WAS ALSO A DOCTOR. THAT WAS NEVER VERIFIED. I INFORMED DR X OF OUR AED AND MEDICAL KIT BEING AVAILABLE. AGAIN PAX REFUSED TO HAVE THOSE. PAX TOLD DR X HE HAD AN ENLARGED LIVER AND HEALTH RISKS. DR X ASKED 'WHAT ARE HIS HEALTH RISKS?' HE DIDN'T KNOW. HE COMPLAINED ABOUT PAIN IN HIS LOWER CHEST AND STOMACH AS WELL AS DOWN HIS L ARM. HE SAID HE WANTED TO GET OFF THE AIRPLANE. I AGAIN ASKED TO MONITOR HIS HEART AND AGAIN HE REFUSED. I NOTIFIED THE COCKPIT. THE DOCTOR CONTINUED TO MONITOR THE PAX AND QUESTION HIM. THE FLT ATTENDANTS WERE NOTIFIED ONCE I LEARNED THAT WE WERE DIVERTING TO YYZ. ALL SVC ITEMS WERE COLLECTED, AND WE PREPARED TO LAND. ONCE THE EMER TEAM BOARDED, BOTH THE DOCTOR AND I WERE WITH THE PAX. WE LISTENED AS THEY QUESTIONED HIM. THERE WERE MANY DISCREPANCIES OF THE INFO HE GAVE THEM AND WHAT HE HAD GIVEN US. WHEN THE MEDICAL TEAM ASKED IF HE HAD ANY MEDICAL PROBS, HE SAID NO. AFTER TAKING HIS BLOOD PRESSURE, IT WAS DETERMINED THAT HE COULD NOT FLY. PAX WAS TAKEN OFF THE AIRPLANE ALONG WITH ONE PIECE OF CARRY-ON LUGGAGE. HE HAD 2 PIECES OF CHKED LUGGAGE. THE INTERVIEWING FACTS KEPT CHANGING. SECURITY BECAME AN ISSUE. BOTH THE PAX AND THE FLT ATTENDANTS WERE UNCOMFORTABLE ABOUT THIS PAX BEING REMOVED. I ASKED BOTH THE CAPT AND THE LEAD AGENT IF WE COULD HAVE ALL PAX GATHER THEIR CARRY-ON ITEMS OUT OF THE OVERHEAD BINS, REMAIN ON BOARD AND HAVE SECURITY COME AND DO A SWEEP. WE WANTED TO BE SURE EVERYTHING ON BOARD BELONGED TO SOMEONE ON BOARD. THIS WAS AGREED TO. I MADE A PA REQUESTING EACH PAX RETRIEVE THEIR CARRY-ON LUGGAGE. THE SECURITY CAME ABOARD AND DID A SECURITY SWEEP. THE SEARCH WAS COMPLETED BEFORE THE REMOVED PAX'S CHKED LUGGAGE WAS REMOVED. WE HAD 4 CONCERNED PAX, WITH ALL THEIR LUGGAGE, LEAVE OUR FLT IN YYZ. PA'S WERE MADE TO KEEP THE PAX INFORMED OF THE PROGRESS THROUGHOUT THE DELAY. WE CONTINUED OUR FLT TO LHR WITHOUT ANY OTHER INCIDENTS. I WANT TO COMPLIMENT THE ENTIRE CREW FOR WORKING TOGETHER SO WELL AS A TEAM. OBVIOUSLY, THINGS HAPPENED VERY QUICKLY. THE COCKPIT RESPONDED WITHIN MINS OF WHAT OUR DIVERSION DEST WOULD BE. THE FLT ATTENDANTS DID WHATEVER NEEDED TO BE DONE TO MAKE A SAFE LNDG AND THEN CONTINUED TO PROVIDE SVC WHILE WE WERE ON THE GND.

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.