UMBAL Burgas for the deceased patient: We try to help him for more than 4 hours



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UMBAL Burgas. PHOTO: File

After the death of 36-year-old Kalin Karapachov De Obzor, who developed bilateral bronchopneumonia, who died due to delay in treatment, the Burgas University Hospital sent a deliberate speech to the media. It is reported that for more than 4 hours a team from the UMBAL Burgas Emergency Service, together with a resuscitator and an intensive care unit, did everything possible to keep the patient in 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 looking for scapegoats among them,” said the UMBAL Burgas leadership.

Here is the chronology according to UMHAT Burgas doctors:

“On November 18, around noon, the patient’s personal doctor contacted the UMH Burgas Emergency Service with a request to appoint a lawyer 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 placement in UMHAT Burgas in coronavirus patients, 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 the 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 the Meden Rudnik hospital, who initially refused to take the patient with no AKP result, but later changed his mind. An ambulance with oxygen was called and a team accompanied the patient to Meden Rudnik hospital late at night.

For nearly 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 Service for 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. “

However, Kalin’s family is convinced that his wandering between hospitals is the cause of the fatal end. In front of the media, mother Ganka Karapachova shared that due to the loss of valuable time she lost her son.

The head of the Pulmonary Hospital, Ivelina Troshatova, clarified that there was no vacancy with them, since much of the hospital had been converted into a COVID ward.



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