Doctor to pay for delay in shifting cardiac patient

1. Doctor to pay for delay in
shifting cardiac patient
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2. Contd..
Medical negligence is not restricted to treatment, but includes management
and handling of a patient. A doctor who gives proper treatment but fails in
administrative care can be held liable for negligence.
Case Study:-
Swaran Singh took his son to Dr. Sanjeet Singh Grewal at Grewal Hospital
following complaints of restlessness and excruciating pain. The doctor
checked his blood pressure and took an ECG, which revealed the patient had
suffered an acute anterior wall myocardial infarction (AMI).The doctor
advised two tablets of Sorbitrate 10mg and two tablets of Clavix AS and
referred the patient to Hero Heart Centre, Ludhiana. But the patient died on
the way while being taken to Apollo Hospital in a car. Brought to you by

3. Contd..
Swaran lodged a complaint before the Ludhiana district forum and said
the doctor had wasted 30 minutes on ECG instead of trying to maintain
vital parameters.Neither was oxygen administered nor was any
medicine injected to open the arteries.No ambulance was provided to
shift his son to a cardiac centre. He claimed compensation of Rs 10
lakh. The doctor said he was neither a cardiologist nor was his hospital
equipped with infrastructure like an ICU. The patient was not admitted
to his hospital, but given only first aid as an outdoor patient as per
standard protocol. Swaran had also complained to the Medical Council
of Punjab, which had held there no negligence.
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4. Contd..
The district forum dismissed the complaint and Swaran appealed to the
Punjab state commission, which set aside the order and directed the
doctor and hospital to pay Rs 3 lakh along with 9% interest. The doctor
filed a revision before the national commis sion. He relied on medical
literature showing there is no conclusive medical opinion on use of
oxygen for patients of acute AMI. The commission observed that
research, data and opinion differed on the use of oxygen. So, it
concluded that the doctor could not be held negligent.
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5. Contd..
Regarding the failure to provide an ambulance for shifting the patient,
the doctor explained he had only one ambulance which was
transporting another patient. The commission noted that Dr Grewal
had not made any effort to call the emergency department of any
hospital having cardiac care facility . It upheld the state commission's
judgment holding the doctor and hospital liable to pay Rs 3 lakh to
Swaran.
Conclusion: Doctors and hospitals must take prompt action to save a
life.
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