51 lacs plus 75000 Rs per month for life

My Teachers did not prepare me well to practice medicine
I was trained in what was then a premier institution for medical education and we were very lucky to have had the opportunity. But I was taught by my seniors there that irrespective of what the stage is , however much time has elapsed if you come across a case of cardiac arrest you must do Cardio pulmonary resuscitation to the best of your ability. Occasionally however by the time vitals stabilized hypoxic brain injury would have set in which would be apparent in different ways some patients remained in coma on ventilator, others on tracheostomy while still others were in a vegetative state. Despite this we were taught to always try and save life. The cardiac arrest could be following a cardiac event, anaphylactic shock, post partum hemorrhage, roadside accident, of accidental poisoning or any other cause including following anesthesia, injections, during a medical procedure, but our efforts at CPR would always be vigorous.

If death will result in penalty less than the penalty for landing patient in a vegetative state as in Bhartiya Nyay Sanhita Section 106 (1) (2 years ) vs Section 117 (10 years RI) , or if humungous compensations will be awarded for alleged negligence resulting in a vegetative state as has been done in this case , should I teach youngsters that resuscitate but only if sure that there is no brain damage in other words “Let the patient die” ( compensation awarded will be lesser than for landing patient in vegetative state. This is a scary thought since I myself suffered ventricular fibrillation and cardiac arrest and was revived more than 19 years ago. There is no way short of doing an EEG that the person doing CPR can be reasonably sure that hypoxic injury has not already occurred. However in the short span of time when CPR must be initiated (within minutes) there is no scope for organizing an EEG before doing the CPR. I guess we could always refer patients of cardiac arrest to nearest District Consumer Dispute Redressal Commission for opinion before starting CPR so that we can benefit from the wisdom of those passing judgments

Dr Neeraj Nagpal
Managing Trustee,Medicos Legal Action Group (MLAG)
Ex President IMA Chandigarh
Director Hope Gastrointestinal Diagnostic Clinic,
SCO 1066-67 Aerodale Market, New Sunny Enclave Sector 123 Mohali 140301
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