Medico legal Case #12 - Importance of both the time taken to take a decision for transfer and to transfer
Key Learnings of the Case
1) A decision to transfer the patient to another facility should not be delayed when indicated and the actual transfer of the patient after taking such a decision also should not be delayed.
2) In case of non-emergency procedures/surgeries, the same should be postponed if any shortcoming is noted, rather than proceeding with it on the scheduled time.
Facts of the Case
- The patient underwent a pregnancy test at the hospital and was found carrying a pregnancy of 6 weeks. The patient sought MTP and it was decided to perform the procedure on the same day, although admittedly, the patient had disclosed that she had taken tea at around 8:00 a.m. in the morning.
- The patient was taken into the O.T. at 3:00 p.m. The procedure was performed and at 3:30 p.m. she was shifted to the Recovery Room
- At about 4:00 p.m. it was noticed that the patient was breathless. She was intubated, manually ventilated, repeatedly suctioned, and life-saving drugs were injected. By about 4.45 p.m., she started breathing, but at around 5.30 p.m., she started having myoclonic seizures, which could not be controlled
- At 6:40 p.m. the patient's husband, a male nurse in the army, was advised to shift the patient to the military hospital, where a ventilator and Intensive Care Unit (ICU) would be available
- The patient was actually shifted to the military hospital at around 8:45 p.m., where the patient was diagnosed as having hypoxic ischemic encephalopathy with pulmonary edema. The patient expired next day around 6.30 in the evening.
Postmortem reported that death took place due to shock as a result of MTP and that the endometrium of the uterus showed a raw surface and bleeding at places...
Know more about the the Court's Ruling here - http://mlcd.in/article.asp?issn=0974-1232;year=2012;volume=5;issue=11;spage=155;epage=156;aulast=