What happened
The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.
(-23)BWA425 was enroute from kjfk to ttpp at FL523, on A523 airway, approximately 440 miles south of Bermuda. At 1518Z, the captain advised ATC that a passenger was having a heart attack and requested a descent to FL280 and reclearance to Bermuda. The ATC controller determined that flight AA1670, a B722 enroute from tjsj to kewr to FL350, was conflicting opposite diection traffic and could not authorize the desecent. He advised BWA425 of the traffic. BWA425 reported the traffic was in sight, declared an emergency and began a descent to Bermuda after leaving FL330 and descent to FL280. BWA425 arrived at 1615Z. ALL1670 did not report seeing BWA425 or need to take evasive action.
As the FAA filed it
(-23)BWA425 WAS ENROUTE FROM KJFK TO TTPP AT FL523, ON A523 AIRWAY, APPROXIMATELY 440 MILES SOUTH OF BERMUDA. AT 1518Z, THE CAPTAIN ADVISED ATC THAT A PASSENGER WAS HAVING A HEART ATTACK AND REQUESTED A DESCENT TO FL280 AND RECLEARANCE TO BERMUDA. THE ATC CONTROLLER DETERMINED THAT FLIGHT AA1670, A B722 ENROUTE FROM TJSJ TO KEWR TO FL350, WAS CONFLICTING OPPOSITE DIECTION TRAFFIC AND COULD NOT AUTHORIZE THE DESECENT.HE ADVISED BWA425 OF THE TRAFFIC. BWA425 REPORTED THE TRAFFIC WAS IN SIGHT, DECLARED AN EMERGENCY AND BEGAN A DESCENT TO BERMUDA AFTER LEAVING FL330 AND DESCENT TO FL280. BWA425 ARRIVED AT 1615Z. ALL1670 DID NOT REPORT SEEING BWA425 OR NEED TO TAKE EVASIVE ACTION.