Gorakhpur horror: How doctors failed to save precious lives, full report

The report blamed Dr Rajeev Misra for lack of supervisory control.

Dr Satish Kumar of the BRD Medical College in Gorakhpur, Uttar Pradesh has been found primarily responsible for the disruption of oxygen as a result of which over 30 children died last week.

A report was prepared by the District Magistrate Rajeev Rautela in which it was said that the logs about oxygen supply was in a mess. The report also raised suspicions about corruption and called for a deeper probe.

Satish Kumar was the head of the hospital's anaesthesia department, who was tasked with the responsibility of overseeing supply of oxygen. The inquiry said that the doctor had gone to Mumbai when the hospital was grappling with shortage of oxygen. The report said he was prima facie guilty for dereliction of duty.

The report blamed Dr Rajeev Misra for lack of supervisory control. It said that as a result of this, payments were delayed to Pushpa Sales, the firm that supplied the oxygen. On the firm the report said that it could not have cut off supply due to non-payment of bills as it was in the business of saving lives.

The report found that it was the laxity on part of the doctors which led to the death of the children allegedly due to shortage of oxygen. 30 children, mostly new born, had died allegedly owing to shortage of oxygen at the hospital in a period of 36-hours between Thursday and Friday.

The probe revealed that the lives of the children could have been saved had there been more care taken by the doctors. The report also blamed the doctors for the lack of coordination.

In the report it was stated that the principal of the BRD medical college Dr Rajiv Kumar Mishra and another senior doctor had left the hospital at a time, when there already was a shortage of liquid oxygen. The senior officials should have made arrangements before leaving the premises, the report pointed out. It was also stated that the stock of liquid oxygen was alarmingly low for the past couple of days. There was complete lack of coordination between the doctors of the various departments, the report also found.

OneIndia News