Responding to a medical emergency involves teamwork -- and those teams enjoy competition when they get a chance.

A medical emergency flight crashed near the Dutch Caribbean territory of St. Maarten on Saturday, killing all four aboard, including a honeymooning cruise ship passenger from Cyprus who suffered heart trouble, officials said.

After the woman handed a flight attendant a note saying something was hidden in her body, the crew feared a terror scenario and notified authorities. U.S. fighter jets were scrambled, and the plane made an emergency landing in Bangor, Maine, where the woman was arrested.