#Legallyspeaking: Patient centric approach - An immediate re
A case that addresses developing patient-centric approach and conducting line of treatment as per approved guidelines.

Background:

A 56-year old female patient was admitted to the hospital's ICU on diagnosis with dengue fever as per pathological findings from a private laboratory. The patient had a prior history of catheter ablation and paroxysmal supraventricular
tachycardia suggestive of cardiac complications.

A basic investigation was carried out on the day of admission and ultrasonography of the abdomen was carried out as the patient complained of abdominal discomfort.

On the same day, the patient developed bradycardia and cardiac arrest while on the regime of intravenous fluids. Seeing the situation, the doctors administered extra fluids to elevate her blood pressure.

Since no improvement in blood pressure was observed after administration of extra fluids, she was administered with ionotropes (dopamine & non- adrenaline).

In a period of administration of extra fluids to ionotropes, the patient suffered cardiac arrest. The doctor arrived for further examination after the cardiac arrest.

Belatedly, another blood sample was taken, which indicated a reduction in platelet count by 19000/cmm. The patient suffered from another cardiac arrest and was declared dead after the cardiac arrest.

Note: All the events (including the patient's demise) occurred on the day of admission.

Allegations by Appellant:

The patient's husband filed registered a case of medical negligence to Medical Council of India (MCI).

The appellant alleged that no further effort was made to determine the hematocrit levels (HCT) during the course of the day and it was only the blood investigations were carried out when the patient suffered a cardiac arrest.

The hospital and the treating doctors failed to follow the established protocol in treating a case of dengue

The findings of the SCDRC were reversed by the NCDRC without any basis or justification

The NCDRC had found fault with the patient’s family for the administration of aspirin in the day preceding her admission to the hospital whereas the appellant had informed the doctors about the intake of Aspirin.

Browse through the poster to read about defense by the doctor on duty and court's finding with the final decision.

Read the Apex court's judgment here: https://pxmd.co/c1owm
Dr. J●●●l S●●h and 6 others like this1 share
Like
Comment
Share
Dr. S●●●●●m S●●●●y P●●●●●l
Dr. S●●●●●m S●●●●y P●●●●●l Family Medicine
Excellent read. Thank you very much Editors and Contributors.
Feb 19, 2019Like
Dr. P. K●●●r N●l
Dr. P. K●●●r N●l Pathology
PL follow Protocol strictly to avoid legal issues. PL confirm the lab tests done outside.Do not hesitate to counsel the attendant every couple of hrs. God should save medical fraternity.
Feb 19, 2019Like
Dr. J●●●l S●●h
Dr. J●●●l S●●h General Medicine
Comprehensive cases like these are worth reading and sharing with fellow-mates
Feb 20, 2019Like