Event: The relatives of the deceased (a 7-year-old-girl admitted for abdominal pain) chanted slogans and ransacked the hospital premises claiming the negligence of hospital and health workers. Relatives claimed that the patient was improving and suddenly went unconscious and started frothing once the patient was given an injection by a nurse. Medical superintendent Dr. Rajendra GC was man-handled by the crowd.
Hospital: Swostik Cardio and Multispeciality Hospital, Dhangadhi, Nepal
Victims: None
Type of violence: Protest
Event: A 56-year-old man was admitted to the hospital and operated for the removal of renal stone. Postoperatively, nephrectomy was undertaken to stop the ongoing hemorrhage from the kidney. Although the bleeding was believed to have ceased after the second surgery, patient passed away. They demanded that Rs 10 million should be given as compensation and action against the surgeon. An agreement was reached for Rs 2.2 million and that action would be taken for involved surgeon.
Event: Kin of 27-year-old pregnant woman who had died in the course of treatment at the hospital, had thrashed the parturition ward chief blaming negligence for the death. The deceased's kin had demanded for Rs. 2 million compensation and action against the doctor. The hospital had claimed death to be due to myocardial infarction.
Event: After death of a 32-year-old pregnant woman (in 3rd month of gestation) who had visited the hospital with P/V bleeding, irate relatives had pad-locked the hospital and protested.
Hospital: Kanchanpur Municipal Hospital, Kanchanpur, Nepal
Victims: None
Type of violence: Physical
Event: After death of a 16-year-old patient with fever and hemoptysis, irate relatives vandalized the hospital claiming the negligence of treating doctor. They claimed that death occurred within 2 minutes of administering and injection.
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Tuesday, July 4, 2023
Hospital: Godawari Hospital, Janakpur, Nepal
Event: Family members vandalized the hospital after death of a 32 year old patient who was admitted with the complaint of abdominal pain. They agreed to stop only after they received the demanded 5 lakhs NRs compensation.
Hospital: Shree Ratnahari Memorial Hospital, Damauli, Tanahun, Nepal
Victims: None
Type of violence: Non-violent (Protest and Pad-locking)
Event: After death of a 35-year-old engineer on the way to Charak Hospital from Shree Ratnahari Memorial Hospital (where he was admitted for few days), agitated relatives had pad-locked the hospital claiming the delay in referral of the patient.
Hospital: Nepal Medical College and Teaching Hospital
Event: Crowd vandalized the hospital and healthcare workers after the patient was admitted to ICU after surgery of a 71 year old female.
Saturday, June 3, 2023
Hospital: District Hospital Mugu, Mugu, Nepal
Victims: None
Type of violence: Non-violent (Padlocking)
Event: After death of a 30-year-old pregnant lady during the process of anesthesia before the surgery in the hospital, the relatives had padlocked the administration of hospital claiming the negligence of hospital.
Event: The two children (13 and 3 year old) were brought to the hospital after being bitten by a snake at 4 am. However, the health post referred the children without primary care. The outraged crowd attacked the health post at 6 p.m. on the same day after the death of the children. A health worker in the Sirthauli health post claimed that the children were referred to Janaki Health Care, Janakpur due to the lack of a ventilator for the treatment. He stated that the children deceased on their way to get medical treatment. They were assaulted accusing them of not treating the children. The outragers broke the windows of the health care center. The furniture of the health care center was taken outdoors and set on fire.
Event: Large group of hooligans came along with the dead body and vandalized the hospital including Emergency room and OPD blaming the rocuronium given during intubation as the cause of death. It was a case of pregnancy complicated with seizure in a 26-year-old lady and referred to higher center for management.
Hospital: Green City Hospital, Basundhara, Kathmandu, Nepal
Victims: None
Type of violence: Physical
Event: A patient with fever with the diagnosis of typhoid and pneumonia was admitted in the hospital. The patient had to be prescribed adrenaline and patient had used 7 out of 10 doses bought. After the mortality of the patient, when relatives returned the remaining 3 doses to the pharmacy, they found that they were expired. The relatives then claimed that the death was due to the expired medicines and vandalized the hospital. The pharmacist was also caught by the police.
The original parenteral epinephrine remains sterile and detectably pure more than 2.5 years after expiration.
Weir WB, Fred LY, Pike M, Rubakhin SS, Ludwig TJ, Shar AM, Zhu L, Frederick A, Uzoaru I, Wang L, Sweedler JV. Expired Epinephrine Maintains Chemical Concentration and Sterility. Prehosp Emerg Care. 2018 Jul-Aug;22(4):414-418. doi: 10.1080/10903127.2017.1402109. Epub 2018 Jan 26. PMID: 29373043.
While we certainly recommended replacing all expired medications, we recognize that can be cost-prohibitive for a lot of Americans. So, if a person has a severe allergic reaction and their only option is expired epinephrine, it is preferred over no medication at all.
Epinephrine solutions that are within 24 months of their expiration date typically have at least 90 percent of the label dose; solutions within 50 months of their expiration date still have as much as 88 percent. In the specific case of anaphylaxis—which is a life-threatening emergency—administering expired epinephrine if that is your only choice, is better than just waiting for emergency medical services (EMS) to arrive.
Event: After death of a 28-year-old pregnant lady and her newborn who died during childbirth in the hospital, angered relatives staged a violent demonstration claiming the negligence of doctors and nurses with a demand of legal action and compensation. Police had to intervene with teargas and baton after they blocked the highway.
Type of violence: Non-violent (Picketing and Padlocking)
Event: After death of a 2-year-old child, family blamed a doctor for prescribing medications to the patient without examination ultimately leading to her death. They staged a demonstration in the hospital and demanded for compensation claiming the negligence of doctor.
Event: After death of a 27-year-old patient following the delivery of a baby due to hypertension and uterine atony, the relatives alleged the negligence of the doctors and chanted slogans in the hospital. She had been referred to the hospital from Kapilakot PHC.
Event: An 18-day-old neonate was taken to the hospital ER after having difficulties in breathing where the on-duty doctor and 2 assistant health workers had pronounced the neonate dead stating that her respiration and circulation had ceased. However, after some time, while the medical workers were examining the infant, she started moving and crying. This led to a physical altercation between the family of the child and the attending medical personnel.
Event: After death of a 2-day-old neonate, irate relatives and family had vandalized the CCTV cameras, various parts of the hospital including the birthing room and even threatened the healthcare workers. The threatened healthcare workers had to disguise themselves as attendants of the patient and escape. Nepal police and APF police were called to take the situation under the control.
Victim: MDGP doctor who was trying to make Dullu Hospital a CEONC site
Type of violence: Verbal abuse, Threatening
Event: The family member of patient pressurized the doctor to make referral slip to receive compensation from municipality for referral while the doctor refused as it was against the prevalent law. The patient was taken to higher center directly from home after 10-12 days of checkup at Dullu hospital OPD.
Sunday, October 23, 2022
Hospital: Gorkha Hospital, Gorkha, Nepal
Victims: 1 on-duty doctor
Type of violence: Physical
Event: A gang of 3 assailants locked up an on-duty doctor in a hospital room and thrashed him over his alleged carelessness in treating a patient.
Event: A local had assaulted a doctor in front of the Hospital Development Committee Chairman and Medical Superintendent. She was attacked with a water bottle and attempts were made to tear her clothes.
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