Originally Posted by APFPilot1985

Those are both examples of perfect reasons to alert the cockpit on a takeoff roll. With the heart attack there was no way they would have known in the cockpit and depending on how open the door was it might not have set off an indicator. A couple of studies on have been done on CRM and FA reluctance to break sterile cockpit. They've found a couple of things. One of the main points is that more training needs to be provided to FAs on the mechanical aspects of the aircraft. Obviously they don't need to know the systems of the aircraft to the extent to that the pilot does, but some education on what is safe/unsafe and what specific items are worth calling the cockpit on regardless of the phase of flight is something that should be covered. Engine falls off, alert the cockpit. Cosmetic panel falls off, wait until 10K and notify them. This would also eliminate the other major issue which is reluctance to notify the cockpit during sterile cockpit for anything. A few years ago an ATR-72 flight attendant noticed a leaking sound that wasn't normal from a door and a few minutes later it separated from the aircraft, she was reluctant to notify the cockpit because they were only at 600ft after takeoff. Obviously this should have been reported.