Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

Uncategorized Comments Off

Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India is awarded with Harpal S Buttar Oration Award by the 6th International conference of International Academy for Cardiovascular Sciences.
The award consists of a memento and a cash prize of Rs. 10000.
The Oration was given to Dr. Aggarwal for his outstanding contribution for heart care and other achievements in cardiovascular sciences.
The Award was given by International Academy of Cardiovascular Sciences India The award was given by Nobel Laureate Dr Ferid Murad of Washington University. Others who were present were Dr Harpal S Buttar himself and Dr G N Singh Drug Controller General of India.
Prof. Buttar is an eminent professor in Canada and has made significant contributions in peventive cardiology, especially role of diet.
The Oration was chaired by Dr. Robert Roberts, President and CEO, House of Ottawa Heart Institute Canada and Dr. S C Tiwari.
Dr. Aggarwal, who is also currently Senior Vice President Indian Medical Association, spoke on the concept of Savitri mantra for reviving a heart after sudden cardiac death.
Dr. Aggarwal said that consciousness does not leave the body for up to few minutes after cardiac arrest. During this period, if hands only cardiopulmonary resuscitation (CPR 10) is attempted by bystander, the person can be revived.
At Heart Care Foundation of India, Dr. Aggarwal has designed the Savitri Mantra for easy adoption of the same by the public. It is based on the traditional Indian Vedic knowledge where Savitri fought with Yamraja and saved her husband Satyavan, probably, by doing something equivalent to hands only CPR.
The Savitri Mantra is the Formula of 10 (CPR 10), which talks about the importance of the numerical number ‘10’. It says, in English “To revive a person from sudden cardiac death, within 10 minutes of death (earlier the better), at least for the next 10 minutes (longer the better), compress the centre of the chest of the dead person by 1 ½” distance continuously with a speed of 10×10 i.e. 100 per minute.”
In Hindi it can be remembered as “Marne ke dus minute ke andar (jitna jaldi utna behtar), kam se kam agle dus minute tak (jitni der tak utna behtar, 10×10=100 ki gati se, apni chhati peetne ke bajaye mare hue aadmi ki chhati peeto.”
In a survey conducted on 1000 school children after three months, a recall value of Hindi version of the Mantra was excellent with 90% remembering the later part of the mantra and 60% remembering the complete mantra.

Check if the allegation falls into “medical accident” as this is not negligence.

Health Care Comments Off

The Supreme Court of India has observed in a case: “Mere accident is not evidence of negligence.”1 The order also clarifies that difference of opinion or error of judgment cannot be termed negligence. Likewise adverse reactions or medical accidents cannot be classified under medical negligence

Reference

1. Jacob Mathew v. State of Punjab SC⁄0457⁄2005: (2005) 6 SCC 1.

Check if the allegation falls into “error of judgment”as this is not negligence.

In one of the cases Supreme Court of India has observed: “An error of judgment on the part of a professional is not negligence per se.”

Reference

1. Jacob Mathew v. State of Punjab SC⁄0457⁄2005: (2005) 6 SCC 1 (iii). Check if the allegation falls into “deviation from medical practice” as this is not negligence. The Supreme Court of India has observed in a case: “Deviation from normal practice is not necessarily evidence of negligence. To establish liability on that basis, it must be shown: 1. that there is a usual and normal practice; 2. that the defendant has not adopted it; and 3. that the course in fact adopted is one no professional man of ordinary knowledge skill would have taken had he been acting with ordinary care.”

Reference

1. Jacob Mathew v. State of Punjab SC⁄0457⁄2005:(2005)6SCC 1.

Check if the allegation falls into “not getting cured” as this is not negligence.

The Supreme Court of India has observed in a case: “Simply because a patient has not favourably responded to a treatment given by a physician or a surgery has failed, the doctor cannot be held liable per se by applying the doctrine of res ipsa loquitur.”

Reference

1. Jacob Mathew v. State of Punjab SC⁄0457⁄2005 : (2005) 6 SCC 1 (iv).

Is the Consent Given for a Diagnostic or Therapeutic Procedure or Both?

Health Care Comments Off

Diagnostic and therapeutic procedures are different and a separate consent is required for each. In this regard, the Supreme Court of India has observed: “32(iii): Consent given only for a diagnostic procedure, cannot be considered as consent for therapeutic treatment. Consent given for a specific treatment procedure will not be valid for conducting some other treatment procedure. The fact that the unauthorized additional surgery is beneficial to the patient, or that it would save considerable time and expense to the patient, or would relieve the patient from pain and suffering in future, are not grounds of defence in an action in tort for negligence or assault and battery. The only exception to this rule is where the additional procedure though unauthorized, is necessary in order to save the life or preserve the health of the patient and it would be unreasonable to delay such unauthorized procedure until patient regains consciousness and takes a decision. (iv) There can be a common consent for diagnostic and operative procedures where they are contemplated. There can also be a common consent for a particular surgical procedure and an additional or further procedure that may become necessary during the course of surgery.”1 The Bolam test has also been applied to the issue of consent. Related to this is the question of miscommunication. A significant proportion of medical accidents are caused by deficiencies in communication as opposed to failure to exercise ordinary skill and competence.

Reference

1. SCI, Civil Appeal No. 1949 of 2004, 16.01.2008, Samira Kohli vs Dr. Prabha Manchanda and Anr, B.N. Agrawal, P.P. Naolekar and R.V. Raveendran, JJ.

« Previous Entries