Editorial

State of hospital emergency services

Many lives are lost due to inadequate facilities
Ibrahim Kamal, a senior assistant secretary to the government who died of stab wounds on Monday, walked to the hospital 300 yards away after being fatally wounded and died in the emergency ward of the Holy Family Red Crescent Hospital in presence of the duty doctor. According to reports the doctor asked him whether his was a bullet injury. Kamal, profusely bleeding, collapsed after replying that he was stabbed by muggers. Was that the time to ask questions? Shouldn't the hospital have administered emergency treatment first and then asked the question. With a patient profusely bleeding in front of their very eyes, when every second can make a difference between life and death, how could a doctor waste time with irrelevant questions?

This brings us to the more fundamental question as to how equipped the emergency wards of our major hospitals are to handle life threatening situation arising out of road accidents, fall from a certain height, gun fights, stab wounds and such other incidents. The usual practice is that emergency wards are staffed by junior doctors who are capable of treating minor injuries. Whenever a case of serious injury comes specialists are called for. However the reality is that specialists are mostly non-resident doctors and never come unless the patient is important enough. If by chance they come, it is generally at their own sweet time. Meanwhile the patient generally succumbs to his or her wounds. If the injury is caused by bullet or any other type of lethal weapon most private hospitals refuse to accept the patient fearing their subsequent involvement in some court case. In that case the patients die while running from one hospital to another.

In reality, therefore, there is practically no facility for emergency treatment of a seriously wounded patient in most of our city hospitals. The situation in the districts is better left to the imagination.

We therefore urge the ministry of health to immediately constitute a task force and investigate as to the present status of emergency facilities available in all the major hospitals of the country. After a proper assessment it should bring about a total overhaul in the system of emergency treatment in tune with the need of the people. We think many lives can be saved through this measure.