india train accident

choosing who to treat in the wake of the train catastrophe

The account of the Indian medical professionals who saved the injured following the railway catastrophe that claimed 300 lives

Doctors at the Indian hospital closest to the site of the tragic train accident that three days ago killed almost 300 people and injured 1,200, faced an unspeakable emergency and had to make existential decisions on who’s priority treat, depending on the chances of survival of the seriously injured.

This was told by an AFP report from the Fakir Mohan Medical College and Hospital, 25 kilometers from the site of one of the worst train accidents in history. There was no time, a decision had to be made in seconds, in what doctor Sibanand Ratha has described as a “relentless, war-like situation”.

The victims of the accident “were all severe trauma patients, with head injuries, amputated limbs, chest wounds and breathing difficulties, some dead, some dying. Saving lives was the priority but there was too much hurry, and patients came in non-stop.”

A doctor, added the witness heard by AFP; “It should never say that a patient won’t make it, but in this case we had to decide priorities, which is to treat first whoever had the best chance of surviving”.

“The wounded came without stopping”

Hundreds of very seriously injured have arrived in the hospital, a structure suitable for the town of Balasore, which has 200,000 inhabitants . All the doctors were called back to service: with his colleagues, Ratha returned to work and together with his colleagues he never stopped “while the evening turned into night and then the next day”. According to his estimates, the team handled 400 to 500 patients , “although we didn’t count them, but the ambulances were arriving with patients nonstop.”

“We had to empty the beds quickly. We stabilized some patients and sent them to intensive care. Less critical ones were transferred to orthopedics. “And those with head and chest injuries were transported to surgery.”

Nightly blood donations from local residents “have helped a lot,” he said, and the medical supply chain has been working through the night to ensure that all needed drugs are available. 

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