If you observe a medical condition on a passenger during flight, who should you notify in addition to following procedures?

• A. Notify the Purser and Captain, assess if medical equipment is needed, and follow medical emergency procedures.
• B. Notify only the Purser and continue service.
• C. Ignore until landing.
• D. Notify the Captain and evacuate the passenger.

Answer: (A)

When a passenger shows a medical issue on board, the priority is rapid, coordinated action with the flight crew. The key is to involve both the Purser and the Captain right away while you follow the established medical emergency procedures. The Purser leads the cabin response, communicates the situation to the Captain, and helps organize any on-the-spot support from medical-trained passengers or professionals on board. The Captain has the authority to make safety decisions, including whether to request outside medical assistance, adjust the flight plan, or divert if needed. By notifying both, you ensure the appropriate medical response is mobilized quickly and the flight remains aligned with safety decisions.

After alerting them, assess whether onboard medical equipment is needed—such as the medical kit, oxygen, or an AED—and act according to the medical emergency procedures. The other options miss critical steps: continuing service without involving the Captain delays required action; waiting until landing can endanger the passenger; and evacuating isn’t appropriate unless the Captain determines it’s necessary for safety.