Amazing professionalism - and the whole thing is worth a listen to, but there wasn't any shock - he didn't even mention it, just presumably updated the medical team he was sending to the runway.

https://youtu.be/FkVTdvcghHc?t=377

https://youtu.be/cnSizWZVyD4?t=387 at 6:50ish in this one at responds. "You said there is a hole and someone went out? It doesn't matter, we'll work it out. The airport is just off your right." I guess it's not as "shocked" or "in disbelief" as I remember it being the first time I listened to it. (I vividly remember the first time I heard this, hence why I had to go look for it or figure out what I was remembering.)

still - apologies for suggesting you misremembered, I didn't realize my version was abridged!

Thanks for the link with more of the audio - there's definitely at least a tinge of disbelief!

I mean, it's rather moot at that point right?

A pilots job is to "aviate, navigate, and communicate", in that order. It's improper for ATC, especially in an emergency, to be asking them for irrelevant details as it's forcing the pilot to consider the question, which takes mental energy away from aviating and navigating.