Lack of trauma care in district hospitals proving costly in emergency situations

3 civilians injured in Kulgam blast lost lives in transit to Srinagar hospitals

Zehru Nissa
Srinagar, Publish Date: Oct 24 2018 1:59AM | Updated Date: Oct 24 2018 2:52AM
Lack of trauma care in district hospitals proving costly in emergency situationsRepresentational Pic

On Sunday, when seven people died and scores of people were injured in an explosion in Kulgam, a 20-year-old youth was received by doctors at the SMHS Hospital with a firearm injury in the abdomen. He had lost blood and was in a state of shock when he reached the hospital, more than three hours after receiving injury. Doctors tried to resuscitate him, but to no avail. He was declared brought dead. 

In the next two hours, four more people were received in Srinagar hospitals in a similar state, profusely bleeding, with “blocked or compromised” breathing due to injuries and accumulation of fluids in chest cavity.  Two of these were declared brought dead, while two others are battling for life.

An old man, who was in the same ambulance in which one of the injured was brought to the hospital, said it took them four hours to reach Srinagar. 

“First they took us to PHC Qaimoh, then to district hospital Anantnag,” he said. At Anantnag, being Sunday, not much of the staff was available and the critically injured were referred to Srinagar. Three lost their lives en route to the city.

A senior doctor who works in Trauma Theatre of SMHS Hospital said that “some lives are lost due to loss of golden hour”. 

“If we could intervene in these injured in the first hour following injury perhaps we could have saved some of them,” he said.

He added that because of the lack of facilities, critically injured persons were referred to Srinagar, a move that often proves detrimental to their survival chances.

Another senior doctor rued failure of government to improve trauma care and make emergency services available round the clock. Citing an example, a senior administrator of a district hospital said, “In district hospital Kulgam, the nearest district hospital to Laroo, where the explosion took place, there are only two anesthesiologists and only two surgeons who work six days a week providing 24 hour service.

 “Is it possible that they also work on Sundays?” the administrator asked.

He added that at district hospital Anantnag too, there was a gross shortage of staff given the load on the hospital. On Sundays, he said, a surgeon is available on call only.

None of the three trauma centres in the vicinity—at Lower Munda, Qazigund and Bijbehara—that were announced six years ago have been completed, nor has any staff been hired to run them.

An official in health department said that even though Kashmir had witnessed “so many” deaths due to explosions and due to bullets and other firearms in the past three decades, no steps were ever taken to make trauma and emergency care efficient to save lives.

A source at district hospital Anantnag said that on Sunday, when a number of casualties started reaching hospital, many doctors living in the vicinity were brought to the hospital immediately. “However it takes time to mobilize resources and in such a scenario, we are left with no option but to refer the patient (to Srinagar),” the source said.

A doctor working in another district hospital said due to large crowds assembling at the hospitals and accompanying the injured it sometimes becomes difficult to perform duties efficiently.

Medical superintendent Pulwama district hospital Dr Abdul Rasheed Parra, who has taken many steps to minimize lives lost due to injuries in his hospital, said it was important to pool human resources in order to provide efficient emergency services.

“All of us need to work in the direction of creating a nodal point, a hub, which would always be ready and equipped to handle emergencies and in my opinion district hospitals are best suited for that,” he said.

Dr Fazil Kocchar, chief medical officer Ananatnag, said manpower was an impediment in delivery of emergency services. He added that the administration in the district was trying to put in efforts to optimize the limited human resources it had.

“Only yesterday, we created a social media platform to alert our staff and ensure they reach the hospital immediately after an incident is reported,” he said.

Latest News

  1. SOS from Kupwara: Family of pregnant woman in snowbound Keran calls for urgent help
  2. SOS from Kupwara: Family of pregnant woman in snowbound Keran calls for urgent help
  1. Two Pulwama residents arrested in Poonch, two AK 56 rifles recovered: Police
  2. Two Pulwama residents arrested in Poonch, two AK 56 rifles recovered: Police
  1. NC hits out at Srinagar Mayor Junaid Mattu over transfer of Basant Rath
  2. NC hits out at Srinagar Mayor Junaid Mattu over transfer of Basant Rath
  1. NIA files charge sheet against Kashmiri separatist leader Aasiya Andrabi, two others
  2. NIA files charge sheet against Kashmiri separatist leader Aasiya Andrabi, two others
  1. Changing names of cities an attempt to wipe out our pluralistic character: Farooq Abdullah
  2. Changing names of cities an attempt to wipe out our pluralistic character: Farooq Abdullah
  1. No plans to grant MFN status to India: Pakistan Govt
  2. No plans to grant MFN status to India: Pakistan Govt
  1. Sensible of Ram Madhav to clear air on govt formation in Jammu and Kashmir: Omar Abdullah
  2. Sensible of Ram Madhav to clear air on govt formation in Jammu and Kashmir: Omar Abdullah
  1. Bodies of three truckers buried under Kashmir highway landslide recovered after nine days
  2. Bodies of three truckers buried under Kashmir highway landslide recovered after nine days
  1. India's heaviest rocket lifts off with communication satellite GSAT-29
  2. India's heaviest rocket lifts off with communication satellite GSAT-29
  1. Forces launch searches in several villages in Poonch
  2. Forces launch searches in several villages in Poonch
  1. Lawyers protest against erratic power supply in Shopian
  2. Lawyers protest against erratic power supply in Shopian
  1. India, Pakistan armies exchange gunfire along LoC in Rajouri
  2. India, Pakistan armies exchange gunfire along LoC in Rajouri
  1. Rafale probe will throw up names of Modi, Ambani: Rahul Gandhi
  2. Rafale probe will throw up names of Modi, Ambani: Rahul Gandhi
  1. Divisional Commissioner Kashmir issues avalanche warning
  2. Divisional Commissioner Kashmir issues avalanche warning
  1. Panchayat elections: Govt announces holiday in poll-bound areas
  2. Panchayat elections: Govt announces holiday in poll-bound areas
  1. Kashmir University constitutes anti-corruption cell at its examination wing
  2. Kashmir University constitutes anti-corruption cell at its examination wing
  1. Violence against Rohingyas inexcusable, Pence tells Suu Kyi
  2. Violence against Rohingyas inexcusable, Pence tells Suu Kyi
  1. Body of trucker buried under landslide on Kashmir highway recovered after nine days
  2. Body of trucker buried under landslide on Kashmir highway recovered after nine days
  1. 4-year-old Indian boy returning from Umrah dies on flight
  2. 4-year-old Indian boy returning from Umrah dies on flight
  1. Pulwama residents protest against erratic power supply, block Srinagar road
  2. Pulwama residents protest against erratic power supply, block Srinagar road
  1. Taliban kill 12 Afghan security forces in separate attacks
  2. Taliban kill 12 Afghan security forces in separate attacks
  1. Chief medical officer Bandipora escapes unhurt after her office ceiling collapses
  2. Chief medical officer Bandipora escapes unhurt after her office ceiling collapses
  1. Kashmir social media users express ire against Basanth Rath's transfer
  2. Kashmir social media users express ire against Basanth Rath's transfer
  1. JRL calls shutdown across Kashmir on Nov 17 against Panchayat polls
  2. JRL calls shutdown across Kashmir on Nov 17 against Panchayat polls
  1. Woman arrested with grenades was working with Hizb ul Mujahideen: Kashmir Police
  2. Woman arrested with grenades was working with Hizb ul Mujahideen: Kashmir Police
  1. Allow Kashmiris to decide their future: Shahid Afridi to India, Pakistan
  2. Allow Kashmiris to decide their future: Shahid Afridi to India, Pakistan
  1. Shahi Imam welcomes dialogue with Taliban, asks Delhi to initiate talks with Kashmiris
  2. Shahi Imam welcomes dialogue with Taliban, asks Delhi to initiate talks with Kashmiris
  1. India votes against UNGA draft resolution on use of death penalty
  2. India votes against UNGA draft resolution on use of death penalty
  1. Two Hizb militants arrested in Awantipora in south Kashmir: Police
  2. Two Hizb militants arrested in Awantipora in south Kashmir: Police
  1. Twitter storm rages over Trump's Diwali tweet
  2. Twitter storm rages over Trump's Diwali tweet
  1. Ready to form govt, will stake claim when numbers come our way: JK BJP leader
  2. Ready to form govt, will stake claim when numbers come our way: JK BJP leader
  1. Sri Lanka's Parliament passes no-confidence vote against Prime Minister Rajapaksa
  2. Sri Lanka's Parliament passes no-confidence vote against Prime Minister Rajapaksa
  1. Six injured in IED blast in Chhatisgarh
  2. Six injured in IED blast in Chhatisgarh
  1. Sehrai, Malik attend last rites of Geelani's son-in-law in Sopore
  2. Sehrai, Malik attend last rites of Geelani's son-in-law in Sopore
  1. Residential house gutted in overnight fire in Kupwara
  2. Residential house gutted in overnight fire in Kupwara
  1. UN Security Council meets on Gaza violence
  2. UN Security Council meets on Gaza violence
  1. PaK president says no military solution to Kashmir dispute, asks UN to step forward
  2. PaK president says no military solution to Kashmir dispute, asks UN to step forward
  1. Rain, snow to continue in Jammu and Kashmir till Thursday: Weatherman
  2. Rain, snow to continue in Jammu and Kashmir till Thursday: Weatherman
x
This site uses cookies to deliver our services and to show you relevant news and ads. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Service.That's Fine