# Final NTSB investigations: Medical event

NTSB aviation accident and incident investigations since 1962: the probable cause, findings, aircraft, crew, weather and docket of each, linked to the FAA registry and the FAA’s own reports.

## Latest cases

- [NTSB ERA26LA005](https://openairdocs.org/ntsb/ERA26LA005.md): Bellanca 7GCBC · Reedville, VA · Accident · Minor injuries · Class 3 · Limited · Final report · Oct 4, 2025 · N289PS · Substantial damage
  > The pilot’s sudden incapacitation by an episode of abnormal heartbeat due to heart disease during a takeoff attempt, which resulted in a loss of directional control and runway excursion.
- [NTSB WPR25FA062](https://openairdocs.org/ntsb/WPR25FA062.md): American Eurocopter AS350B3 · Potrero, CA · Accident · 1 fatal · Class 3 · Field · Final report · Dec 16, 2024 · N617GC · Substantial damage
  > The pilot’s loss of control during cruise flight due to incapacitation for reasons that could not be determined.
- [NTSB ERA25LA019](https://openairdocs.org/ntsb/ERA25LA019.md): Cessna 150 · Gainesville, GA · Accident · 1 fatal · Class 3 · Limited · Final report · Oct 18, 2024 · N11519 · Substantial damage
  > The pilot’s sudden incapacitation due to an in-flight cardiac arrest, which necessitated a landing by a non-pilot passenger and resulted in a hard landing and collapse of the nose landing gear.
- [NTSB WPR25LA003](https://openairdocs.org/ntsb/WPR25LA003.md): Raytheon C90A · Bakersfield, CA · Accident · 1 fatal · Class 3 · Limited · Final report · Oct 4, 2024 · N6077X · No damage
  > The pilot’s incapacitation by an in-flight cardiac event that led to cardiac arrest.
- [NTSB CEN24FA089](https://openairdocs.org/ntsb/CEN24FA089.md): Cessna 310R · Poolville, TX · Accident · 3 fatal · Class 3 · Field · Final report · Jan 14, 2024 · N252DL · Destroyed
  > Pilot incapacitation for undetermined reasons which resulted into controlled descent into terrain.
- [NTSB WPR24LA003](https://openairdocs.org/ntsb/WPR24LA003.md): Cessna 340A · Hayward, CA · Accident · No injuries · Class 3 · Limited · Final report · Oct 2, 2023 · N121CB · Substantial damage
  > The pilot’s sudden incapacitation from effects of a previously undiagnosed underlying heart disease, which resulted in his loss of control of the airplane and subsequent impact with terrain.
- [NTSB ERA23LA300](https://openairdocs.org/ntsb/ERA23LA300.md): Piper PA46 · Vineyard Haven, MA · Accident · 1 fatal · Class 3 · Limited · Final report · Jul 15, 2023 · N444RR · Substantial damage
  > The pilot’s incapacitation due to a sudden in-flight cardiac event, which resulted in a gear-up landing.
- [NTSB ERA23LA267](https://openairdocs.org/ntsb/ERA23LA267.md): Fly Gyros M24 Orion · Venice, FL · Accident · Serious injuries · Class 3 · Limited · Final report · Jun 10, 2023 · N49PF · Substantial damage
  > The pilot’s failure to maintain directional control on takeoff for unknown reasons; whether the pilot’s acute stroke contributed to, or resulted from, the accident could not be determined.
- [NTSB CEN23LA041](https://openairdocs.org/ntsb/CEN23LA041.md): Piper PA-28-140 · Saint Joseph, MO · Accident · Serious injuries · Class 3 · Limited · Final report · Nov 20, 2022 · N267PC · Substantial damage
  > The pilot lost control of the airplane while on the ground due to temporary incapacitation.
- [NTSB CEN23FA019](https://openairdocs.org/ntsb/CEN23FA019.md): Bell 407 · Morgan City, LA · Accident · 1 fatal · Class 3 · Field · Final report · Oct 26, 2022 · N34BM · Destroyed
  > The pilot’s loss of consciousness due to a cardiovascular event.
- [NTSB ERA22LA414](https://openairdocs.org/ntsb/ERA22LA414.md): Piper PA-39 · Caldwell, NJ · Accident · No injuries · Class 3 · Limited · Final report · Sep 9, 2022 · N8925Y · Substantial damage
  > The pilot’s acute cerebrovascular event, which caused symptoms that diminished his situational awareness and prompted him to abort the takeoff, resulting in a runway excursion.
- [NTSB ERA22FA343](https://openairdocs.org/ntsb/ERA22FA343.md): Eurocopter AS350 · Andalusia, AL · Accident · Serious injuries · Class 3 · Field · Final report · Jul 29, 2022 · N124LN · Substantial damage
  > The pilot’s acute incapacitation by a syncopal episode, which resulted in the helicopter departing controlled flight and colliding with terrain.
- [NTSB CEN22LA297](https://openairdocs.org/ntsb/CEN22LA297.md): Cub Crafters CC18-180 · Air Force Academy, CO · Accident · Minor injuries · Class 3 · Limited · Final report · Jul 1, 2022 · N469AK · Substantial damage
  > The pilot’s failure to maintain airplane control during the go-around, which resulted in impact with terrain. Contributing to the accident was the pilot’s impairment from the effects of alcohol consumption.
- [NTSB CEN22FA224](https://openairdocs.org/ntsb/CEN22FA224.md): Schweizer SGS135 · Midlothian, TX · Accident · 1 fatal · Class 3 · Field · Final report · Jun 5, 2022 · N2817H · No damage
  > The pilot’s incapacitation by an aortic dissection (natural disease).
- [NTSB CEN22FA217](https://openairdocs.org/ntsb/CEN22FA217.md): Cessna 162 · Memphis, TN · Accident · 1 fatal · Class 3 · Field · Final report · May 31, 2022 · N162KG · Substantial damage
  > Pilot incapacitation due to an acute cardiac event.
- [NTSB ERA22LA220](https://openairdocs.org/ntsb/ERA22LA220.md): Cirrus Design SR22 · Tybee Island, GA · Accident · 1 fatal · Class 3 · Limited · Final report · May 6, 2022 · N24LA · Substantial damage
  > A loss of airplane control due to pilot incapacitation, which resulted in an overflight of his destination and subsequent descent into water.
- [NTSB CEN22LA164](https://openairdocs.org/ntsb/CEN22LA164.md): Mooney M20E · Kerrville, TX · Accident · 1 fatal · Class 3 · Limited · Final report · Mar 31, 2022 · N21BS · Substantial damage
  > The pilot’s sudden cardiac event, which resulted in incapacitation, uncontrolled taxi after landing, and collision with a stationary parked airplane.
- [NTSB ERA22FA114](https://openairdocs.org/ntsb/ERA22FA114.md): Cessna 310 · Danville, VA · Accident · 1 fatal · Class 3 · Field · Final report · Feb 1, 2022 · N622QT · Destroyed
  > The pilot’s impairment due to exposure to carbon monoxide as a result of undetected engine exhaust penetration into the cockpit, resulting in the pilot's failure to maintain a minimum controllable airspeed after partially securing an engine after takeoff.
- [NTSB CEN22FA100](https://openairdocs.org/ntsb/CEN22FA100.md): Bell 407 · Houma, LA · Accident · 2 fatal · Class 3 · Field · Final report · Jan 14, 2022 · N167RL · Destroyed
  > The pilot’s sudden loss of consciousness for undetermined reasons during cruise flight, which resulted in a loss of control and impact with terrain.
- [NTSB CEN22FA042](https://openairdocs.org/ntsb/CEN22FA042.md): Cessna T310R · Chadron, NE · Accident · 3 fatal · Class 3 · Field · Final report · Nov 22, 2021 · N310JA · Destroyed
  > The incapacitating effects of a myocardial infarction (heart attack), which resulted in the pilot's loss of airplane control and impact with terrain.
- [NTSB CEN22FA021](https://openairdocs.org/ntsb/CEN22FA021.md): Beech B36TC · Lena, WI · Accident · 1 fatal · Class 3 · Field · Final report · Oct 27, 2021 · N75RM · Substantial damage
  > Impairment and subsequent incapacitation of the pilot for reasons that could not be determined. The incapacitation resulted in a loss of engine power due to fuel starvation. Likely contributing was pilot hypoxia due to altitude exposure, possibly worsened by…
- [NTSB WPR21LA350](https://openairdocs.org/ntsb/WPR21LA350.md): Cessna 404 · Sheridan, WY · Accident · No injuries · Class 3 · Limited · Final report · Sep 18, 2021 · N5409G · Substantial damage
  > The pilot experiencing an episode of impaired behavior and incapacitation for reasons that could not be determined based on the available information.
- [NTSB WPR21LA082](https://openairdocs.org/ntsb/WPR21LA082.md): Cessna 560 · Warm Springs, OR · Accident · 1 fatal · Class 3 · Limited · Final report · Jan 9, 2021 · N3RB · Destroyed
  > A loss of airplane control due to pilot incapacitation for reasons that could not be determined.
- [NTSB CEN21LA070](https://openairdocs.org/ntsb/CEN21LA070.md): Piper PA38 · Franklin, AR · Accident · 2 fatal · Class 3 · Limited · Final report · Nov 30, 2020 · N9879T · Destroyed
  > The impairment of both pilots from carbon monoxide exposure due to a degraded muffler. Contributing to the accident was the inadequate maintenance inspection, which failed to detect the degraded muffler.
- [NTSB CEN20LA374](https://openairdocs.org/ntsb/CEN20LA374.md): Piper PA28 · Walker, MN · Accident · 1 fatal · Class 3 · Limited · Final report · Sep 2, 2020 · N8957W · Substantial damage
  > The pilot’s impairment from the effects of an undiagnosed brain tumor.
- [NTSB ERA20LA234](https://openairdocs.org/ntsb/ERA20LA234.md): Evektor Aerotechnik Sportstar · Ocala, FL · Accident · 1 fatal · Class 3 · Limited · Final report · Jul 1, 2020 · N820NG · Substantial damage
  > The pilot’s impairment or distraction due to an acute stroke, which resulted in an unstabilized approach and subsequent loss of airplane control during landing.
- [NTSB CEN20LA122](https://openairdocs.org/ntsb/CEN20LA122.md): Cessna 208 · LaCrosse, KS · Accident · 1 fatal · Class 3 · Limited · Final report · Mar 17, 2020 · N274PM · Destroyed
  > An infight loss of control as a result of pilot impairment, the cause of which could not be determined.
- [NTSB ERA20LA076](https://openairdocs.org/ntsb/ERA20LA076.md): Magni M-24 Plus · Nashua, NH · Accident · Serious injuries · Class 3 · Limited · Final report · Jan 15, 2020 · N327JD · Substantial damage
  > The pilot's incapacitation during the takeoff roll due to a stroke.
- [NTSB ERA20FA068](https://openairdocs.org/ntsb/ERA20FA068.md): Cessna 172 · Newborn, GA · Accident · 1 fatal · Class 3 · Field · Final report · Jan 6, 2020 · N1612F · Destroyed
  > The pilot’s impairment/incapacitation from carbon monoxide poisoning due to a degraded muffler. Contributing to the accident was the pilot’s failure to properly maintain the airplane.
- [NTSB ERA20FA056](https://openairdocs.org/ntsb/ERA20FA056.md): Bell 407 · Headland, AL · Accident · 1 fatal · Class 3 · Field · Final report · Dec 25, 2019 · N663SF · Substantial damage
  > Pilot incapacitation by a sudden cardiac event related to severe coronary artery disease, which resulted in a loss of helicopter control.
- [NTSB ERA20FA022](https://openairdocs.org/ntsb/ERA20FA022.md): Beech 58 · Ocala, FL · Accident · 2 fatal · Class 3 · Field · Final report · Oct 31, 2019 · N959CM · Destroyed
  > The pilot’s failure to maintain control of the airplane due to an acute medical event and/or his use of impairing medications.
- [NTSB CEN19FA259](https://openairdocs.org/ntsb/CEN19FA259.md): Air Tractor AT502 · Sumner, IA · Accident · 1 fatal · Class 3 · Field · Final report · Aug 8, 2019 · N6113C · Destroyed
  > The pilot’s impairment by medical conditions and/or medications, which resulted in the airplane’s impact with power lines and terrain.
- [NTSB WPR19LA181](https://openairdocs.org/ntsb/WPR19LA181.md): Rolladen Schneider LS4 · Moriarty, NM · Accident · 1 fatal · Class 3 · Limited · Final report · Jun 29, 2019 · N7LR · Minor damage
  > An in-flight cardiac event which necessitated an emergency landing, and which the pilot succumbed to.
- [NTSB CEN19LA053](https://openairdocs.org/ntsb/CEN19LA053.md): Piper PA28 · Salem, SD · Accident · 1 fatal · Limited investigation · Final report · Jan 13, 2019 · N75191 · Substantial damage
  > The incapacitating effects of an acute myocardial infarction (heart attack), which resulted in the pilot's loss of airplane control and impact with terrain.
- [NTSB WPR19IA030](https://openairdocs.org/ntsb/WPR19IA030.md): Cessna 208 · Bakersfield, CA · Incident · Minor injuries · Class 3 · Incident · Final report · Nov 24, 2018 · N781FE · No damage
  > The pilot's loss of consciousness while taxiing due to an accumulation of toxic levels of carbon dioxide gas inside the airplane as a result of dry ice sublimation. Also causal was the pilot's decision to fly the airplane in an unventilated configuration, the…
- [NTSB WPR19LA013](https://openairdocs.org/ntsb/WPR19LA013.md): Robinson R44 · Kaneohe, HI · Accident · Serious injuries · Class 3 · Limited · Final report · Oct 23, 2018 · N4132H · Substantial damage
  > The pilot’s sudden incapacitation from an undiagnosed heart condition during flight, which resulted in a hard landing.
- [NTSB CEN18LA274](https://openairdocs.org/ntsb/CEN18LA274.md): Cessna 150 · Lakeview, AR · Accident · Serious injuries · Limited investigation · Final report · Jul 12, 2018 · N50183 · Substantial damage
  > The student pilot’s impairment by alcohol and multiple medications, which led to his failure to maintain obstacle clearance during takeoff and the subsequent exceedance of the airplane’s critical angle of attack, which resulted in an aerodynamic stall and…
- [NTSB CEN18FA060](https://openairdocs.org/ntsb/CEN18FA060.md): X-Air XA85 · Oskaloosa, IA · Accident · 1 fatal · Field investigation · Final report · Dec 23, 2017 · N20XA · Substantial damage
  > The pilot's low altitude flight into a power line due to his impairment from an acute physiologic event during the flight. Contributing to the pilot's impairment was his use of two sedating medications.
- [NTSB ANC18FA007](https://openairdocs.org/ntsb/ANC18FA007.md): Icon A5 · Clearwater, FL · Accident · 1 fatal · Field investigation · Final report · Nov 7, 2017 · N922BA · Substantial damage
  > The pilot's improper decision to perform aggressive, low-altitude maneuvers due to his impairment from the use of multiple psychoactive substances, which resulted in a loss of control.
- [NTSB CEN17FA207](https://openairdocs.org/ntsb/CEN17FA207.md): Varga 2150A · Bowling Green, OH · Accident · 1 fatal · Field investigation · Final report · Jun 1, 2017 · N4635V · Substantial damage
  > The pilot's loss of control due to impairment from carbon monoxide poisoning. Contributing to the accident was the corrosion of the heat exchanger and the failure of maintenance personnel to adequately inspect and repair or replace the exchanger during the…
- [NTSB ERA17FA131](https://openairdocs.org/ntsb/ERA17FA131.md): Air Tractor AT 602 · Minter City, MS · Accident · 1 fatal · Field investigation · Final report · Mar 19, 2017 · N2049D · Destroyed
  > The pilot's incapacitation for reasons that could not be determined, which resulted in collision with trees and terrain.
- [NTSB WPR11FA046](https://openairdocs.org/ntsb/WPR11FA046.md): Cessna 150J · Tucson, AZ · Accident · 1 fatal · Field investigation · Final report · Nov 14, 2010 · N60858 · Substantial damage
  > The pilot's inability to maintain airplane control while on final approach due to undiagnosed cardiac disease, which caused a medical emergency and subsequent pilot incapacitation.
- [NTSB WPR11LA044](https://openairdocs.org/ntsb/WPR11LA044.md): Piper PA30 · Tucson, AZ · Accident · No injuries · Limited investigation · Final report · Nov 10, 2010 · N628R · Substantial damage
  > The pilot's impairment by an undiagnosed medical condition, which resulted in a loss of directional control and subsequent collision with a building during the landing roll. Contributing to the accident was the pilot's decision to fly when he was not feeling…
- [NTSB WPR10GA231](https://openairdocs.org/ntsb/WPR10GA231.md): Cessna T206H · Borrego Springs, CA · Accident · 1 fatal · Final report · May 7, 2010 · N663HP · Destroyed
  > The pilot suffered a sudden incapacitating event as a result of his severe cardiovascular disease.
- [NTSB OPS10IA001](https://openairdocs.org/ntsb/OPS10IA001.md): Boeing 767 · Atlanta Hartsfield Intl. Apt. (KATL), GA · Incident · No injuries · Incident investigation · Final report · Oct 19, 2009 · N185DN · No damage
  > The flight crew’s failure to identify the correct landing surface due to fatigue. Contributing to the cause of the incident were (1) the flight crew’s decision to accept a late runway change, (2) the unavailability of the approach light system and the…

## The whole list in SQL

Runs in DuckDB 1.2 or later on the release's Parquet files over HTTPS:

```sql
SELECT c."ntsbNumber", c."eventDate", c."eventType", c."eventCity", c."eventStateOrRegion", a.n_number, a."aircraftMake", a."aircraftModel", c."highestInjuryLevel", c."totalFatal", c."completionStatus", c.report_url
FROM 'https://openairdocs.org/data/latest/ntsb_case_detail.parquet' c LEFT JOIN 'https://openairdocs.org/data/latest/ntsb_aircrafts.parquet' a ON a.case_mkey = c."mKey" AND a.position = 1
WHERE c."completionStatus" = 'Completed'
  AND c."mKey" IN (SELECT s.case_mkey FROM 'https://openairdocs.org/data/latest/ntsb_events.parquet' s WHERE s."tier2Number" = '850' AND s.case_mkey IN (SELECT case_mkey FROM 'https://openairdocs.org/data/latest/ntsb_events.parquet' WHERE "isDefiningEvent"))
ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC
```

This list as a web page: https://openairdocs.org/ntsb-events/850/sequence?status=final

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