What is the appropriate initial response to a passenger who faints?

• A. Lay flat if possible, raise legs (unless injurious), check breathing, call for medical help, monitor
• B. Sit them up and check blood pressure
• C. Move them to a chair
• D. Leave them to recover on their own

Answer: (A)

Fainting is usually caused by a temporary decrease in blood flow to the brain, so the first goal is to restore and protect brain perfusion and ensure the airway remains clear. Place the passenger flat on their back if possible and raise their legs to improve venous return to the heart and brain. Check that they are breathing and responsive, and monitor their condition closely. Call for medical assistance and alert the cabin crew so professional help can arrive. Keep them in this position and reassess regularly until they recover. Avoid sitting them up or moving them to a chair, as that can reduce blood flow to the brain and delay recovery, and don’t leave them alone if there are any signs of injury or if symptoms persist.