Osman Hadi's condition still critical; treatment abroad planned if condition improves
Doctor says plans to send the patient abroad are not yet confirmed and will depend on hospital acceptance and the patient’s stability
Highlights:
- Hadi remains in a deep coma with severe brain injury and edema
- On life support; kidney function normal; no new DIC crisis
- Overseas treatment pending: Family may take him abroad if stable and a hospital accepts the case
- 72-hour monitoring continues; motorcycle used in the attack identified
Inqilab Mancha leader Sharif Osman bin Hadi, who was critically injured in a gun attack on Friday, remains in the same condition as of this morning (14 December) at Evercare Hospital.
"Clinically, there has been no improvement; the condition remains the same. It is very concerning, but we can say it is essentially unchanged," said Dr Abdul Ahad, resident of the Department of Neurosurgery at Dhaka Medical College and Hospital and member secretary of the National Health Alliance (NHA).
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The condition of the brain is very serious, the doctor said, adding that the repeat CT scan has come back extremely poor, showing a large amount of brain edema (swelling).
In other words, there is significant tightness and oxygen deficiency in the brain, and in some areas, there appear to be small scattered clots.
He also said the lungs remain as before, with life support maintaining respiration.
"Kidney function is normal, with a urine output of 4 litres, and fluid balance is being managed according to that output."
The disseminated intravascular coagulation (DIC), caused by extensive clotting, is also unchanged, and no new crisis has developed.
The injury to the brainstem remains serious, and the operated side of the brain is slightly pressing outward. So currently, the brain issue is the most critical.
"All board members were present yesterday, as before, and we from Dhaka Medical have also consulted," he added.
Osman Hadi's family and Inqilab Mancha are planning to take him abroad for treatment, but the move will depend on his physical condition and will happen only if his health improves sufficiently.
Regarding sending the patient abroad, the doctor said nothing has been confirmed yet.
A highly concerning situation, says medical board
The multidisciplinary medical board, comprising specialist doctors from various departments, has provided the latest update on the health of Osman Hadi this afternoon.
According to the medical board, a CT scan conducted this morning shows that cerebral edema has increased compared to previous scans, indicating a highly concerning clinical situation.
Doctors said the patient's lung function and mechanical ventilation remain stable, with no significant improvement or deterioration observed.
"The chest drain tube is functioning properly. Kidney function is being maintained, and creatinine levels have slightly decreased. However, due to brain injury, some hormonal imbalances have affected urine production, requiring close monitoring and management of acid-base balance, fluids, and electrolytes," said the medial board in a statement.
The board stated that Hadi's blood clotting and bleeding parameters are largely under control.
Blood pressure is fluctuating due to brain stem injury and the additional swelling of the brain, and the patient's heart rate has been slightly elevated today, doctors said adding that necessary medical support is ongoing to stabilise both blood pressure and heart rate.
A case summary has been prepared. If a hospital abroad accepts the case based on this summary, the family may then consider it, Dr Abdul Ahad said.
At this time, it is not possible to confirm which country – Thailand, Bangkok, Singapore, or elsewhere. "It depends entirely on whether the hospital abroad accepts the patient. There is also a dilemma about whether the patient is stable enough to be moved outside. Ultimately, it depends on acceptance by the external hospital."
At around 10am, the Inqilab Mancha informed that Osman Hadi is still not out of danger. Doctors have advised 72 hours of observation, which will end tomorrow night (15 December).
Member Secretary of Inqilab Mancha Abdullah Al Jaber told Prothom Alo, "Osman Hadi remains in a deep coma in the same condition as before. There has been no significant improvement. However, there is internal response."
Earlier today, law enforcement agencies identified the motorcycle used in the gun attack.
The Rapid Action Battalion (RAB) detained one person on suspicion, believed to be the registered owner of the motorcycle, and handed him over to police.
Abdul Hannan, 43, the owner of the motorcycle used in the attack, was handed over to Paltan Police Station.
The Dhaka Metropolitan Police (DMP) released a photograph of Faisal Karim Masud, also known as Daud Khan, and sought information from the public following the attack.
Osman Hadi, an aspiring independent candidate for the Dhaka-8 constituency in the upcoming polls, is currently undergoing treatment at Evercare Hospital in Dhaka. He has not yet been declared out of danger.
The shooting took place at around 2:24pm on Friday (12 December) in the Old Paltan area of the capital. An assailant fired at Osman Hadi from a motorcycle that had been following him from behind while he was travelling in a battery-powered rickshaw.
He was rushed to the Dhaka Medical College Hospital (DMCH) emergency department following the attack and taken to the operating theatre at around 3:50pm.
Later, around 7:30pm, after surgery, he was transferred to Evercare Hospital for advanced treatment.
Dr Zahid Raihan, head of the Neurosurgery Department at DMCH, told reporters that Hadi's condition was "extremely critical."
Paltan Police Station, along with RAB, the Detective Branch (DB) and other police units, are conducting investigations and operations to identify and arrest those involved in the attack.
