The document summarizes patient admission and death statistics at a medical unit from March 20-26, 2009. A total of 24 patients were admitted, with the majority (17) being male. The leading causes of admission were pneumonia (10 patients) and sepsis (3 patients). One death occurred during this period, of a 4-month-old infant with perinatal asphyxia who developed respiratory failure and died despite resuscitation efforts.

1. DEATH DISCUSSION Presented by DR. Kiswar Farhana Keya Honoeary Medical officer Medical Unit-08

2. D EATH DISCUSSION OF MU-8 PERIOD- 20.03.09 - 26.03-09 Total Admission- 24 Male- 17 Female-7 Current Death-01 Age distribution of Admitting Patient 1 3 11 4 5 >5yr 1yr-<5yr 6m-<1yr 1m-<6m Neonate

3. DISEASE APTTERN OF ADMITTING PATIENT 1 Aplastic anaemia 1 Wilms tumour 1 Nonhodgkins lymphoma 2 ALL 1 Viral hepatitis 3 Perinatal Asphyxia 2 Septicaemia 3 Pneumonia 10 AGE

4. Jannatul, a 4 months old young neonate

12. F/up: on 18/06/09 BI gas- P H = 7.299 PCO 2 = 48.2 PO 2 =20.7 HCO 3 =21.5 mmol/L BE= 4.8 mmol/L

13. After getting ABG report we contact with ICU but no bed was available On F/up: on 18/06/09 at 11:00 AM The child was very ill, toxic dyspnic and disoriented. R/R- 54/min H/R-90 b/min Lungs- Bilateral creps (+) Heart- NAD

14. RX given- inj. Oradexone Inj. Lasix O 2 inhalation cont. Propped up position

15. On F/up: on 18/06/09 at 1:30 PM The child was unconscious. There was no respiration. Heart sound: Not audible. Pupil: Fixed dilated and Non reacting to light. CPR given A t 1:40 PM Patient was declared dead.