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Unavailability During Golden Hour: Cardiologist booked for death due to negligence


Unavailability During Golden Hour: Cardiologist booked for death due to negligence

Medical board held that apart from other factors, “non-availability of Dr Garg” was one factor too.

Jalandhar: On account of delay in treatment, which allegedly led to the death of a patient suffering from myocardial infarction, a city-based cardiologist has been booked under the IPC section 304 A on the basis on a report submitted by an expert medical board scrutinizing the case. On the basis of the report FIR has also been lodged against the doctor.

The said case refers to the patient, who was brought to the Cardionova Hospital with sustained myocardial infarction (heart attack) in November 2017. However, Dr Garg, the lead cardiologist at the medical facility, was out of town and the patient’s health soon turned critical. By the time the Cardiologist reached the spot, the patient had already been shifted to another hospital where he was declared brought dead.

Dejected by his demise, the patient’s son filed a complaint with the police accusing Dr Garg of delaying the treatment of his father. Dr Garg is the owner and the cardiologist at the said hospital with over 13 years of experience in this field.

Based on the complaint , a four-member medical board was constituted which submitted its report to the concerned authorities for action.

According to a recent report by TOI, the board mentioned in its submission:

  • The relatives of the patient were informed about the fact that Dr Garg was not in the town and “all immediate treatment (explained in written to the relative) will be available shortly.”
  • 90 minutes of crucial time lapsed while waiting for the definitive treatment (primarily in the form of angioplasty),
  • While Dr Garg could not reach the hospital in 90 minutes then on request of the patient’s relatives the patient was shifted to Joshi Hospital in Cardionova hospital ambulance where the patient was declared brought dead. This delay in further treatment of the patient appears to be multifactorial.

The medical board held that apart from other factors, “non-availability of Dr Garg” was one factor. It held that though it was mismanaged from the beginning, it could have been managed in a better way, reports TOI.

Keeping the medical board’s report in consideration, the commissionerate of police then sought opinion of the district attorney, who later observed that it was a case of medical negligence.

The FIR was then registered against Dr Garg under Section 304 (death due to negligence) of the IPC

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Source: with inputs
8 comment(s) on Unavailability During Golden Hour: Cardiologist booked for death due to negligence

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  1. Cardiologist should not have accepted the case when he was not on site and not easily accessible.

  2. This is injustice to Dr garg.

  3. An eternal truth that is always overlooked is that the death & life are beyond human capabilities. Only the quality of life can be attempted to be altered , disability, symptoms can be attempted to relief………power .to defeat death has not been bestowed on humans.

  4. zero tolerance for negligence-but give fair chance to doctors ;the hospital should explain risk benefits alternatives to patient and family at the time of admission-and take written consent from patient and family on prescribed form. -(called General consent )-Dr Fiaz Fazili (surgeon ;Director Quality and Patient safety in healthcare )

  5. firstly one should not go by the media reports and jump to conclusions about culpability or negligence. secondly the doctor patient relation ship starts only when the doctor accepts the patient but not before. third point is that shifting the patient of MI from one provider to another is the decision of the attendants and doctor could not be penalized for that. Lastly the death in first 24 hours of the onset of MI is not related to the care the patient receives but is related to the size and location of the impact. When the hospital states that \”emergencies will be attended all the 24 hours\” the \” attendance \” does not include the attendance by a specific specialist or doctor by name. The medical board\’s decision is obviously biased for more than one reason. Charging the doctor for culpable homicide under sec 304 IPC is rediculous because the intention and scheming (Mensrea) is the important component of causing death intentionally. If the death is caused unintentionally it does not fall under section 304. simple framing of the charges is not a proof of offence as it is made out by the media by caption\” doctor booked\” etc.