The one in the hospital is unable to sign docs? or unable to come into the branch to sign docs?
If you can collect a signature at the hospital, then I'd get a Trust Certificate executed. A trust certificate more or less puts the onus on the trustees to define the trust and their capacity to act.
If not, then you need to have the attorney review the trust agreement to see what it says and see if it addresses replacing a trustee.
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Just another self-proclaimed expert ...