UKHRUL: A potentially serious mid-air medical emergency was averted aboard an Air India flight from Tokyo to New Delhi on February 28, 2026, following the timely intervention of an onboard doctor.
The incident occurred on Flight AI357 approximately eight hours into the journey, with nearly two hours remaining before landing. Cabin crew announced a medical emergency and called for assistance from any qualified medical professionals on board.
Responding promptly, Dr. Loni Liriina, a critical care specialist currently working at the American Oncology Institute at Babina Specialty Hospital in Imphal, stepped forward to assist. She was joined by a junior doctor of foreign nationality.
The doctors attended to a 21-year-old passenger who complained of severe chest pain and breathlessness. The patient had a history of childhood asthma but had not been on medication for several years. On examination, the patient’s condition appeared critical, with a heart rate exceeding 160 beats per minute, low blood pressure recorded at 90/60 mmHg, and oxygen saturation at 80% on room air—indicating severe respiratory distress.
Diagnosing the case as an acute asthma attack, Dr. Liriina initiated emergency treatment using the limited medical resources available on board. Oxygen support, nebulization, and necessary medication were administered. Within 30 minutes, the patient’s condition stabilized.
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The timely and effective intervention ensured that the flight continued its scheduled journey without the need for an emergency landing. The aircraft later landed safely in New Delhi, where the passenger was reported to be in stable condition.
Speaking after the incident, Dr. Liriina noted that in-flight medical emergencies are relatively common, occurring approximately once in every 600 flights, and often depend on the presence of medically trained passengers for immediate response. Experts emphasize that prompt action and basic medical care can prevent unnecessary and costly diversions.
Dr. Liriina hails from Senapati district of Manipur and is currently serving as a critical care physician in Imphal.