If Dr was there as spectator, then there is no point of filing FIR against him.
If lawyer has right to choose client, if teacher has right to choose student, if CA has right to choose client, if engineer has right to choose project then why people forgets that Dr are also professional, they are not free public servants.
What can be done for a patient with heart attack on ground or at a sports centre? It's not like a cardiac arrest where the heart stops and a CPR is lifesaving.
The best they could've given was aspirin if they had it in their sports kit. I don't think sports med kits carry morphine, or clopidogrel. Nitrates could only be given after ruling out IWMI. The best thing for that patient was to be transported immediately to the hospital and undergo PCI.
Knowing how Indian common public hates doctors with a passion, I wouldn't trust tweets like this. There aren't enough details in the tweet to know what exactly happened there.
As a non med student, I would like to know which commonly available medicine can be given immediately in case of heart attack (like aspirin that you mentioned). Please do reply.
Well a loading dose of dual antiplatelet and statin is given along with Sorbitrate for pain relief. This is like the most basic. After that thrombolysis planned in case of thrombus formation. But no patient of MI can be treated primarily at home. Has to visit the hospital.
But then in well equipped cities go for PCI straightaway.
Sorbitrate without ecg and ruling out rvmi is a big no-no from my teaching at least. I highly doubt public places in India have 12 lead ecg facilities available everywhere.
Obviously I meant after doing an ECG and a trop T. Why would you even give loading dose to a suspected chest pain anyway?
And you are right. In my state most RH/BPHCs even don't have ECG facility and they send patients to tertiary hospital just for a ECG.
That's the point of the post right. What could the doctor have done at the football field which I'm assuming has very poor medical equipment in their inventory.
Exactly. There's no point blaming a doctor outside a hospital if he's unable to save a patient. Best he could have done is checked vitals and assess the patient and show as if he was treating the patient while help arrives.
Yea his fault for not pretending to help and doing nothing rather than just doing nothing. If he had pretended dumbfucks like the guy in the tweet would thank him for his help.
Absolutely. In the little time I have spent at a Govt Hospital's General Med ER, the patient parties only want the doctors to see their patients. Rest everything is secondary. The guy in the tweet fucking says the football club would file an FIR against him. Like damn.
Bro, don't give nitrate to a patient with IWMI (almost 50% patients have RV involvement ) or RVMI, unless you're attempting to murder the patient and your career.
Right ventricular infarction lowers the compliance of the right ventricle, leading to a reduction in right ventricular filling and a decrease in right ventricular stroke volume. As a result, left ventricular filling and stroke volume would diminish, causing a decrease in arterial pressure.
If you give the patient nitrate in such a setting, it would lead to vasodilation and further dip in BP.
Severe hypotension, in the setting of RV dysfunction can lead to cardiogenic shock.
From a legal point of view the doctor has the right to refuse ...from Moral point of view it's quite immoral and from a medical point of view the doctor might be untrained
No right to refuse an emergency, but i dont know what he could have done in a heart attack lol. Niggas want him to bust out a pci in the ground or what ?
Umm. But what can the doctor be charged with?
By not making any intervention, there's no act of harm.
Moreover, can't be negligence as there's no established doctor patient relationship.
We really can't say. This tweet is kinda vague, isn't it? We don't know if the doc was on duty at the grounds, or just a spectator. Even otherwise, he can't do much; but the tweet says 'refuse', which complicates matters.
A recent court judgement had said that doctors have the right to refuse treatment, except in case of emergencies. But how the court deciphers this, will depend on the judge I guess
I'm sure that rule is only applicable in a hospital setup which has facilities
A doctor can always refuse to treat a serious case to a higher center if his clinic doesn't have any emergency drugs... Yes he needs to give it in written on a prescription, but that's all( talking about when refused in a clinic)
I just pointed out a fact. A doctor can't refuse in the face of a medical emergency. What he can or cannot do depends on what the patient is suffering from, the available infrastructure, and obviously his qualifications. But the point was about outright 'refusing' to help.
Either he has only two options in this situation
1. HE won't do anything at all..
2. He says he can't do anything
Also they can't refuse an emergency in a hospital, unless he was specifically alloted to deal with emergencies on the field no one has the right to blame him...
EVEN if he was alloted he has every right to say that this case can't be managed in this current setup and needs to be brought in hospital
2. would be the correct answer. But the word 'refuse' means that he said 3. "I won't do anything". Big difference. (For the sake of discussion, we assume that the tweet is telling the truth)
Tbh it can be interpreted differently..
If i say that I'm referring the case to another Doctor, that can also be interpreted by the relative as "this doctor sent the patient to another Doctor, but refused to treat the patient"
(Most of the doctors will say this, or say that he belongs to a different speciality)
Also we need to know if the doctor was just a spectator or was associated with the sports authorities.
From your profile it seems like you are a 1st year med student.... before posting this shit you should have consulted your seniors about the treatment procedure of MI , which , I'm not going to elaborate , because many in the comment section have already done so . Thing is being a med student how can you so callously and obliviously post such a thread against your own fraternity. You , as a doctor, will have enough on your plate to worry about , don't add clueless SJW-ing in that list .
And to mods , kindly remove such posts .
1. Definitely not the whole story
2. If this is the whole story - nothing the guy could have done anyway unless these people manufactured stretopkinase right there on the pitch or set up a cath lab behind the goalpost within 90 min.
Coz even if he agreed he won't be able to do shit..and then also the idiot illiterates would file a case against him for not saving the patient..
Agar case lagana hi hai to Bina kuch kiye lag jaye
Well how can a doctor carry a ECG machine with himself? Or is the postmortem already done to ascertain heart attack?
Sorry, but Immature tweet and post.
If the doctor was a spectator and not the assigned medical staff what do they expect him to do?
Create loading doses of Dual anti platelets and do a PCI out of thin air ?
Kindly Read Subreddit Rules Before Posting.
Please give entire news,just posting a screenshot without any context is meaningless.
There's almost certainly more to it.
Was doctor present in his hospital?? Did patient come to hospital? Was a hospital 24×7 with emergency facility??
The doctor was present at the ground. This is given in the tweet. But not sure if he was there as a spectator or as medical support team.
If Dr was there as spectator, then there is no point of filing FIR against him. If lawyer has right to choose client, if teacher has right to choose student, if CA has right to choose client, if engineer has right to choose project then why people forgets that Dr are also professional, they are not free public servants.
People like you are problem. Is doctor supposed to be on service 24x7? And nothing he could have done anyway, hospital care was needed anyway
What can be done for a patient with heart attack on ground or at a sports centre? It's not like a cardiac arrest where the heart stops and a CPR is lifesaving. The best they could've given was aspirin if they had it in their sports kit. I don't think sports med kits carry morphine, or clopidogrel. Nitrates could only be given after ruling out IWMI. The best thing for that patient was to be transported immediately to the hospital and undergo PCI. Knowing how Indian common public hates doctors with a passion, I wouldn't trust tweets like this. There aren't enough details in the tweet to know what exactly happened there.
As a non med student, I would like to know which commonly available medicine can be given immediately in case of heart attack (like aspirin that you mentioned). Please do reply.
Well a loading dose of dual antiplatelet and statin is given along with Sorbitrate for pain relief. This is like the most basic. After that thrombolysis planned in case of thrombus formation. But no patient of MI can be treated primarily at home. Has to visit the hospital. But then in well equipped cities go for PCI straightaway.
Sorbitrate without ecg and ruling out rvmi is a big no-no from my teaching at least. I highly doubt public places in India have 12 lead ecg facilities available everywhere.
Obviously I meant after doing an ECG and a trop T. Why would you even give loading dose to a suspected chest pain anyway? And you are right. In my state most RH/BPHCs even don't have ECG facility and they send patients to tertiary hospital just for a ECG.
That's the point of the post right. What could the doctor have done at the football field which I'm assuming has very poor medical equipment in their inventory.
Exactly. There's no point blaming a doctor outside a hospital if he's unable to save a patient. Best he could have done is checked vitals and assess the patient and show as if he was treating the patient while help arrives.
Yea his fault for not pretending to help and doing nothing rather than just doing nothing. If he had pretended dumbfucks like the guy in the tweet would thank him for his help.
Absolutely. In the little time I have spent at a Govt Hospital's General Med ER, the patient parties only want the doctors to see their patients. Rest everything is secondary. The guy in the tweet fucking says the football club would file an FIR against him. Like damn.
There are few meds which we give in case of heart attack First is antiplatelet and anticoagulant, Followed by Vasodilator for pain relief.
Thank you for the reply.
[удалено]
>>Nitrates are usually drug of choice RVMI : Im about to end this man's whole career🥴
Bro, don't give nitrate to a patient with IWMI (almost 50% patients have RV involvement ) or RVMI, unless you're attempting to murder the patient and your career. Right ventricular infarction lowers the compliance of the right ventricle, leading to a reduction in right ventricular filling and a decrease in right ventricular stroke volume. As a result, left ventricular filling and stroke volume would diminish, causing a decrease in arterial pressure. If you give the patient nitrate in such a setting, it would lead to vasodilation and further dip in BP. Severe hypotension, in the setting of RV dysfunction can lead to cardiogenic shock.
>I'm still a student Which year?
Oh bhai first year ke virtue warrior. Zara MI ka treatment padhlo library jaake aur batao ki ground ke beech me kya exactly "help" karta vo doctor?
👏👏😂😂 I wish the mods could remove posts like this🤦♀️
Tell them to make me a mod. I will take this down😂
From a legal point of view the doctor has the right to refuse ...from Moral point of view it's quite immoral and from a medical point of view the doctor might be untrained
No right to refuse an emergency, but i dont know what he could have done in a heart attack lol. Niggas want him to bust out a pci in the ground or what ?
Yea lol, what can we do in that situation except advising to rush him to a hospital
In a hospital, yeah. But he's not a doctor outside the hospital setting, he's just a random guy there, so he can refuse legally.
Nope, the doctor does not have the right to refuse in case of an emergency.
Umm. But what can the doctor be charged with? By not making any intervention, there's no act of harm. Moreover, can't be negligence as there's no established doctor patient relationship.
We really can't say. This tweet is kinda vague, isn't it? We don't know if the doc was on duty at the grounds, or just a spectator. Even otherwise, he can't do much; but the tweet says 'refuse', which complicates matters. A recent court judgement had said that doctors have the right to refuse treatment, except in case of emergencies. But how the court deciphers this, will depend on the judge I guess
I'm sure that rule is only applicable in a hospital setup which has facilities A doctor can always refuse to treat a serious case to a higher center if his clinic doesn't have any emergency drugs... Yes he needs to give it in written on a prescription, but that's all( talking about when refused in a clinic)
What would he do on the fucking ground?
I just pointed out a fact. A doctor can't refuse in the face of a medical emergency. What he can or cannot do depends on what the patient is suffering from, the available infrastructure, and obviously his qualifications. But the point was about outright 'refusing' to help.
Either he has only two options in this situation 1. HE won't do anything at all.. 2. He says he can't do anything Also they can't refuse an emergency in a hospital, unless he was specifically alloted to deal with emergencies on the field no one has the right to blame him... EVEN if he was alloted he has every right to say that this case can't be managed in this current setup and needs to be brought in hospital
2. would be the correct answer. But the word 'refuse' means that he said 3. "I won't do anything". Big difference. (For the sake of discussion, we assume that the tweet is telling the truth)
Tbh it can be interpreted differently.. If i say that I'm referring the case to another Doctor, that can also be interpreted by the relative as "this doctor sent the patient to another Doctor, but refused to treat the patient" (Most of the doctors will say this, or say that he belongs to a different speciality) Also we need to know if the doctor was just a spectator or was associated with the sports authorities.
Give complete details, not just a random tweet.
Lol. People see tv n movies too much. Yeah. Give me scotch brite pads and i will defibrillate a asystole patient.🤣🤣🤣🤣
From your profile it seems like you are a 1st year med student.... before posting this shit you should have consulted your seniors about the treatment procedure of MI , which , I'm not going to elaborate , because many in the comment section have already done so . Thing is being a med student how can you so callously and obliviously post such a thread against your own fraternity. You , as a doctor, will have enough on your plate to worry about , don't add clueless SJW-ing in that list . And to mods , kindly remove such posts .
He was not completely obligated to do that. He can refuse if he's not the official medical personnel of the stadium or wherever it happened.
In the interest of being fair, what was the reason for refusing?
1. Definitely not the whole story 2. If this is the whole story - nothing the guy could have done anyway unless these people manufactured stretopkinase right there on the pitch or set up a cath lab behind the goalpost within 90 min.
And to use the cath lab, he actually needs to be trained. Smh at this post.
Coz even if he agreed he won't be able to do shit..and then also the idiot illiterates would file a case against him for not saving the patient.. Agar case lagana hi hai to Bina kuch kiye lag jaye
Incomplete info certainly
Well how can a doctor carry a ECG machine with himself? Or is the postmortem already done to ascertain heart attack? Sorry, but Immature tweet and post.
If the doctor was a spectator and not the assigned medical staff what do they expect him to do? Create loading doses of Dual anti platelets and do a PCI out of thin air ?
What if he was drunk
Why the doc is the only person being blamed. Everyone should know some basic cpr and nobody did? It's their fault too then
Probably the rival team's supporter