CT scans revealed blood clots in the brain, for which emergent surgery was performed to relieve the excess pressure, including removal of part of the skull vault. His son was informed, who flew in from India. Kumar had been working in a prominent private company in Oman for the last 28 years.
A feeding tube and urinary catheter were placed. He was kept in the ICU for a few days and subsequently shifted to the ward. During the course of his stay, a tracheostomy was performed (a small tube in the neck/wind-pipe to help him breathe). He also developed lung and brain infections for which a shunt was placed in the brain and antibiotics were administered.
Due to the severity of his brain injuries, Kumar did not regain full neurological function. Eventually, it was decided to shift him to Mumbai, India in view of poor neurological prognosis and for continuation of care and rehabilitation.
KIMS Oman Hospital (KOH) was contacted to facilitate the same. A team from KOH assessed him in SQUH. Joint efforts were put in by SQUH, KOH, his company and Air India towards in-flight equipment and to counter any possible complications.
Accompanying him were Dr Abishek Ajay Kaul (emergency physician), Emil Jose (staff nurse from KOH) and his son. Basic and resuscitation equipment were carried along.
The patient was transferred on-board via an elevator. He was strapped in on a special bed after collapsing nine conventional seats. Suctioning was performed by a portable device and vital signs monitored at regular intervals.