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UMBAL Burgas issued an official statement on the death of 36-year-old Kalin Karapachov. The young man died after visiting various hospitals in the city. After his death, it became clear that he was positive for coronavirus.
This is what the health institution says:
The loss of all human life is serious and even more serious for doctors who have done everything possible to prevent this from happening. We present the chronology of what happened to the 36-year-old patient, highlighting that for more than 4 hours a team from the UMHAT Burgas Emergency Service together with a resuscitator and an ambulance do everything in their power to keep the patient in the hospital.
This happened in the last hours of November 18, with the assistance of the RHI. We do not categorically accept the accusation of blaming the hospital doctors and seeking scapegoats among them.
On November 18, around noon, the patient’s personal physician contacted the UMHAT Burgas Emergency Department with a request to appoint an attorney for the patient so that he could be treated at home. From the family’s words to the media, we understand that the patient arrived at the Burgas University Hospital for admission with a referral and a negative test for coronavirus, but in our system there is no data from the patient’s first visit.
In such cases, the practice is to refer patients with pneumonia but no proven coronavirus for hospitalization in the Pulmonary Hospital. UMHAT Burgas has not been working on a clinical pathway for pneumonia for years and does not accept pneumonia patients due to the presence of a specialized medical institution – the Pulmonary Hospital.
He was referred to her for hospitalization, because his admission to the Burgas Hospital in patients with coronavirus, as long as there is none proven, would be risky. UMBAL Burgas does not have a separate room for “pure” pneumonia and has never had one.
After the Pulmonary Hospital refused to accept him, around 8:30 p.m. the same night the patient was transferred to the Emergency Service of the University Hospital of Burgas with severe respiratory failure. A rapid antigen test for coronavirus is performed at the site, which is positive.
An AKP is also being done, which is slower and the result will come out the next day. The patient is switched to oxygen, a resuscitator comes in for a consultation and is deemed to need intensive treatment; must be placed in intensive care. At the moment there is not a single free resuscitation bed in the intensive care unit of UMHAT Burgas and the head of the Emergency Service contacted the RHI with a request to find a place in the intensive care unit of another hospital.
A place was found in Meden Rudnik hospital, who initially refused to take the patient with no AKP result, but later changed his mind. An oxygen ambulance was called and a team accompanied the patient to Meden Rudnik hospital late at night.
For almost four hours, doctors from the Emergency and Resuscitation Department did everything possible to help the patient. A decision was made in case of refusal to place him in another intensive care unit to leave him in the Emergency Department of Oxygen Treatment and constant monitoring by a resuscitator. Absolutely all examinations, consultations have been carried out and all this is described in detail in the patient documentation.
We are aware that society looks for culprits and scapegoats. Please do not look for them among the doctors who currently work around the clock, are under great stress and pressure and are trying to help everyone according to their knowledge and skills. The least our society needs now is to stand up to those who go out of their way to help, even at the cost of their own lives.
Burgas, Bulgaria
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