Robust Audio-Visual Speaker Localization in Noisy Aircraft Cabins for Inflight Medical Assistance

Active Speaker Localization (ASL) involves identifying both who is speaking and where they are speaking from within audiovisual content. This capability is crucial in constrained and acoustically challenging environments, such as aircraft cabins during in-flight medical emergencies. In this paper, we propose a novel end-to-end Cross-Modal Audio-Visual Fusion Network (CMAVFN) designed specifically for ASL under real-world aviation conditions, which are characterized by engine noise, dynamic lighting, occlusions from seats or oxygen masks, and frequent speaker turnover. Our model directly processes raw video frames and multi-channel ambient audio, eliminating the need for intermediate face detection pipelines. It anchors spatially resolved visual features with directional audio cues using a cross-modal attention mechanism. To enhance spatiotemporal reasoning, we introduce a dual-branch localization decoder and a cross-modal auxiliary supervision loss. Extensive experiments on public datasets (AVA-ActiveSpeaker, EasyCom) and our domain-specific AirCabin-ASL benchmark demonstrate that CMAVFN achieves robust speaker localization in noisy, occluded, and multi-speaker aviation scenarios. This framework offers a practical foundation for speech-driven interaction systems in aircraft cabins, enabling applications such as real-time crew assistance, voice-based medical documentation, and intelligent in-flight health monitoring.