I had a medical emergency once in the air several years ago, was already on flight following and a 5-year-old in the back seat with mom started choking on a piece of candy. He was getting just barely enough air to stay conscious, and I mean just barely. I called ATC, declared a medical emergency and turned direct for the Class D about 15 miles away. ATC did ask the nature of the medical issue as soon as I declared, never asked me to change squawk, and we were met on the ramp with an ambulance and EMT's. All that turned out to be the hard part, getting the kid fixed up was a 30-second effort with a long curved hemostat.
I saw the ambulance on the ramp and took the high speed turnoff from the runway, killed the mixture about 50 feet from the ambulance while hard on the brakes, and I had EMT's at both doors within 3 seconds of reaching a full stop. Those guys were seriously on the ball. They grabbed the kid and had him down on the ground and working on him before I finished flipping all my switches off. By the time I got my seat belt off and got out of the airplane mother and kid were crying and holding each other, emergency over.