I have declared some emergencies, have handled real medical emergencies on airliners, am a command pilot with Angelflight and have had to divert for a sick pax. I am also a critical care doctor. As said above, turning an urgency into an emergency and causing loss of separation can box everyone on your aircraft and the aircraft you hit. Getting tied up in something other than flying the plane can cause you to lose command and or control of the flight, see boxing above. ATC will be readily available to help you, if you ask for help, and may even give you real help, like I just had mercy air land at XYZ airport for fuel. 10 miles heading XYZ. As a critical care doc, don’t think when you come bombing into an airport unnanounced that you are going to have Hawkeye or Marcus Welby MD standing by with their mobile ICU and surgical team standing by on the ground. It is highly highly unlikely that minutes are going to make a difference in the outcome of the vast majority of medical emergencies and then those where minutes matter, you are unlikely to have the medical resources on the ground to even deal with it. Much more likely a rushed action in a plane will end badly. Breathe, wind your watch, fly the plane, tell ATC you have a medical emergency and need to get on the ground expeditiously. They will be there for you, and help you get everyone down safely. C