Manipur Doctor Averts Crisis in Mid-Air Medical Emergency on Air India Flight
A potentially life-threatening mid-air medical emergency was expertly handled aboard an Air India flight traveling from Tokyo to New Delhi, thanks to the swift actions of an onboard critical care specialist, Dr Loni Liriina from Manipur. The incident highlights the crucial role of medically trained passengers in ensuring flight safety and continuity.
Timely Intervention by Onboard Specialist
Dr Loni Liriina, a critical care physician at the American Oncology Institute, Babina Speciality Hospital in Imphal, was among the passengers on Flight AI357 when the emergency unfolded approximately eight hours into the journey on February 28 this year, as confirmed by an institute statement released on Thursday. With nearly two hours remaining before the scheduled landing in New Delhi, the cabin crew announced a medical emergency and urgently requested assistance from any qualified medical professionals on board.
Responding immediately, Dr Liriina, alongside a junior doctor of foreign nationality, attended to a 21-year-old passenger who presented with severe chest pain and breathlessness. The patient had a documented history of childhood asthma but had not been on any medication for several years, complicating the situation.
Diagnosis and Emergency Treatment
Upon thorough examination, the patient was found to be in a critical state, exhibiting a heart rate exceeding 160 beats per minute, dangerously low blood pressure at 90/60 mmHg, and oxygen saturation levels of only 80% on room air. These symptoms clearly indicated a severe episode of respiratory distress. Dr Liriina diagnosed the condition as an acute asthma attack and promptly initiated emergency treatment using the limited medical resources available on the aircraft.
The intervention included administering oxygen support, performing nebulisation, and providing necessary medication to alleviate the symptoms. Within just 30 minutes of observation and continuous care, the patient's condition stabilized significantly, showcasing the effectiveness of the medical response.
Prevention of Emergency Landing
Due to Dr Liriina's effective and timely intervention, the flight was able to continue its scheduled journey without the need for an emergency diversion or landing. This not only ensured the safety of the affected passenger but also prevented potential disruptions and additional costs associated with unscheduled landings.
In reflections on the incident, Dr Liriina noted that in-flight medical emergencies are relatively common, occurring approximately once in every 600 flights. She emphasized that such situations often depend on the presence of medically trained passengers for immediate care, as prompt response and basic medical interventions can frequently avert the necessity for costly and logistically challenging emergency diversions.
Safe Arrival and Background of the Hero
The Air India flight ultimately landed safely in New Delhi, with the 21-year-old passenger reported to be in stable condition upon arrival. Dr Loni Liriina, hailing from the Senapati district of Manipur, is currently employed at the American Oncology Institute, Babina Speciality Hospital in Imphal, where her expertise in critical care proved invaluable in this high-pressure scenario.
This incident serves as a powerful reminder of the importance of having skilled medical professionals available during air travel and underscores the potential for ordinary passengers to make extraordinary differences in emergency situations.



