• http://epaper.deccanchronicle.com/articledetailpage.aspx?id=7401439
• https://www.thequint.com/india/2017/02/07/kerala-mp-e-ahamed-death-controversy-treatment-in-rml-hospital

Recent developments in Indian parliament in connection with the sudden collapse of E.Ahemmed MP and subsequent medical care at the site, transport to RML hospital and sequence of clinical management in the hospital created many dark areas. 

There are an enormous number of political debates on it during the last few days. But no one did a cause analysis and suggested corrective steps to Government. When closely looking into the matter scientifically, our health care system has failed to fulfill in four core areas.

1. Onsite emergency medical care: quality CPR, Usage, and availability of Automated External Defibrillator, Provisions to give rescue breaths, Availability of Emergency medicine doctor, Emergency medical care technician and critical care expert are not available or not get used   during the event
2.  During Transport: There is no facility for transporting a critically ill patient. Mr.Ahemmed was carried in an ordinary Ambulance. No ICU level ambulances. No EMT and emergency medicine experts during the transport. No "108" services in and around Parliment house. On-site care and transport care are the two cardinal factors which determine the outcome cardiac arrest scenario. 
3. End of life care protocol deviation: There are an enormous number of allegations about the care given in the hospital. Especially the usage of Autopulsecompressorcompresor. No point in using aggressive resuscitation efforts in a 78-year-old man with more than 30mts pre-hospital arrest interval.The usage of Autopulse for 10 to 12 is the voilation of resuscitation and end of life care protocols
4. Reduced or Lack critical communication: When watching Dr.Fausia interview, it shows that lack of critical communication from hospital authorities and doctors. Essential communication and bilateral discussions are the core components of end of life care. This lack of communication has created the present crisis and controversies 

The above incident is an eye opener for us.  In our parliament, nearly 700 people, our leaders and topmost administrators including PM and other ministers are doing their job to fulfill the responsibilities to our nation. They are under stress most of the time. Many of them are having multiple medical co-morbidities. It is so sad to see that even their life is not safe. Then how can be the life of an ordinary man will be safe in this country! 

The petition invite the attention of Government to implement the following cardinal issues as a priority one national agenda 

1. Establish proper emergency medical service system in the country from Parliament to primary health center level depending on the acuity of the need 
2. Develop and ensure the   appropriate medical transport system for medical emergencies through a National Network 
3. Do bring necessary  Indian rules for End of life care and related issues . 
4. Ensure that each every health care providers are trained in basic and advanced life support program. Convert this as a national program .