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In a medical emergency situation on an aircraft, it is essential for the cabin crew to ensure that any medical assistance provided is coordinated and authorized appropriately. The captain of the aircraft is the final authority in all matters concerning the safety and well-being of passengers and crew. Therefore, the cabin crew must obtain permission from the captain before allowing a medically qualified person to assist.

The captain is responsible for the overall safety of the flight and has the ability to assess the situation and the implications of allowing a passenger to provide medical assistance. This ensures that any actions taken align with the airline's policies and procedures and that the safety of all on board is maintained.

Having to get the captain's permission also allows for the possibility of coordinating with medical professionals on the ground and ensures that resources can be mobilized if necessary. This layered approach to decision-making underscores the importance of safety and protocol in emergency situations aboard an aircraft.