17 min read
Coma Two Hospital Transfers in One Day Lack of Informed Consent Rehabilitation Neglect Diagnostic InaccuracyThe patient was rushed to the emergency department because of coma. That same day, he was transferred back and forth between the neurology department, a specialized tuberculosis hospital, and the internal medicine emergency service.
Critically ill condition
Although pulmonary tuberculosis could not be ruled out, the patient’s comatose state was primarily driven by severely impaired oxygenation. Treating tuberculosis itself requires time. The immediate priority was to address the oxygenation crisis. With fingertip oxygen saturation as low as 69%, transferring the patient between facilities carried substantial risk and was not advisable.
Timely contact with this service on the day of the event would have prevented the futile transfers between multiple hospitals.
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