Saturday, 20 August 2022
Meet the JournalistsPremiumAucklandWellingtonCanterbury/South Island
CrimePoliticsHealthEducationEnvironment and ClimateNZ Herald FocusData journalismKāhu, Māori ContentPropertyWeather
Small BusinessOpinionPersonal FinanceEconomyBusiness TravelCapital Markets
Politics
Premium SportRugbyCricketRacingNetballBoxingLeagueFootballSuper RugbyAthleticsBasketballMotorsportTennisCyclingGolfAmerican SportsHockeyUFC
NZH Local FocusThe Northern AdvocateThe Northland AgeThe AucklanderWaikato HeraldBay of Plenty TimesHawke's Bay TodayRotorua Daily PostWhanganui ChronicleStratford PressManawatu GuardianKapiti NewsHorowhenua ChronicleTe Awamutu Courier
Covid-19
Te Rito
Te Rito
OneRoof PropertyCommercial Property
Open JusticeVideoPodcastsTechnologyWorldOpinion
SpyTVMoviesBooksMusicCultureSideswipeCompetitions
Fashion & BeautyFood & DrinkRoyalsRelationshipsWellbeingPets & AnimalsVivaCanvasEat WellCompetitionsRestaurants & Menus
New Zealand TravelAustralia TravelInternational Travel
Our Green FutureRuralOneRoof Property
Career AdviceCorporate News
Driven MotoringPhotos
SudokuCodecrackerCrosswordsWordsearchDaily quizzes
Classifieds
KaitaiaWhangareiDargavilleAucklandThamesTaurangaHamiltonWhakataneRotoruaTokoroaTe KuitiTaumarunuiTaupoGisborneNew PlymouthNapierHastingsDannevirkeWhanganuiPalmerston NorthLevinParaparaumuMastertonWellingtonMotuekaNelsonBlenheimWestportReeftonKaikouraGreymouthHokitikaChristchurchAshburtonTimaruWanakaOamaruQueenstownDunedinGoreInvercargill
NZ HeraldThe Northern AdvocateThe Northland AgeThe AucklanderWaikato HeraldBay Of Plenty TimesRotorua Daily PostHawke's Bay TodayWhanganui ChronicleThe Stratford PressManawatu GuardianKapiti NewsHorowhenua ChronicleTe Awamutu CourierVivaEat WellOneRoofDriven MotoringThe CountryPhoto SalesNZ Herald InsightsWatchMeGrabOneiHeart RadioRestaurant Hub

Advertisement

Advertise with NZME.
New Zealand

Middlemore Hospital ED delay investigated: 'Healthy' 50yo woman dies with brain bleed after told to wait eight hours

16 Jun, 2022 05:52 AM7 minutes to read
As hospitals experience "extreme pressure" with "abnormally high" patient presentations, NZ Nurses Organisation co-president Kerri Nuku calls on the Government to act. Video / NZ Herald

As hospitals experience "extreme pressure" with "abnormally high" patient presentations, NZ Nurses Organisation co-president Kerri Nuku calls on the Government to act. Video / NZ Herald

Emma Russell
By
Emma Russell

Reporter

VIEW PROFILE

A "healthy" 50-year-old woman has died with brain bleed after allegedly being told by staff at Middlemore Hospital's emergency department there would be an eight-hour wait before she was examined.

The woman presented to ED with a severe headache yesterday at 1am and was told there would be an eight hour wait, a doctor - who asked not to be named out of fear of putting his job at risk for speaking to the media - told the Herald.

"She was frustrated so left. She returned at 0400 (4am) that same day and was intubated. CT showed a massive subarachnoid haemorrhage, she died," the doctor said.

Subarachnoid haemorrhage is a type of stroke and is most commonly caused by a brain aneurysm. A brain aneurysm is a ballooning of an artery in the brain that can rupture and bleed into the space between the brain and the skull.

Advertisement

Advertise with NZME.
DO YOU KNOW MORE? EMAIL US

Counties Manukau District Health Board has confirmed the death, saying they are now urgently investigating the circumstances of the patient leaving the hospital.

"Our deepest sympathy to the family," acting CEO Dr Pete Watson said.

In a statement released by the DHB this afternoon, Watson said: "In the early hours of Wednesday morning a patient presented to our Emergency Department who then left only to return a few hours later following a life-threatening emergency," Watson said.

At 2.30pm he told the Herald she was in ICU, at the same time the unnamed doctor said she had died.

The Herald sought clarification from the DHB and at 5pm were told: "It is with regret that we update this earlier statement and advise this patient has died in ICU. Our deepest sympathy to the family."

Read More

  • Covid 19 coronavirus Delta outbreak: Middlemore Hospital ...
  • Hospitals in red: 71 patients in ED waiting for beds ...
  • Covid-19 Delta outbreak: Middlemore Hospital prepares ...
  • Patient with typhoid fever slept in car due to lack ...
  • One in 10 Middlemore Hospital emergency department ...

Watson said: "The circumstances of the patient leaving the hospital are being urgently investigated. We acknowledge this is an extremely stressful time for the family and we have instigated an immediate investigation into the case and circumstances."

The CEO said Middlemore continued to be under extreme pressure and patient presentations had been abnormally high for this time of year.

"We are focusing on managing the extreme demands on our services and continue to work with WDHB and ADHB to support patient demand. We have no further comment to make on this matter at this point in time," Watson said.

Advertisement

Advertise with NZME.

Frustrated doctors said the woman's death was a stark contrast to Minister Andrew Little's comments last week that everyone who needed medical treatment would get it.

Little responded by saying: "Hospital management advise me the facts of the case are not fully known and an investigation is under way to establish them. We're making long-term plans for training, recruitment, retention, and fair pay for the people who care for our families."

Andrew Little commented last week that everyone who needed medical treatment would get it. Photo / Mark Mitchell
Andrew Little commented last week that everyone who needed medical treatment would get it. Photo / Mark Mitchell

The Minister said it would be improper for a minister to comment on an individual patient's circumstances, particularly while an investigation was under way.

"The health system has been under serious pressure from years of neglect and underinvestment. It hasn't been working for patients or the health workforce as best as anyone wants it to.

"We have taken a number of steps to turn around these years of neglect. This includes properly funding the health system and reforming the structures that prevent it from working as well as it could. There is more to do and turning the health system around will take time," Little said.

The doctor said if a patient presents with a severe headache the first thing they want to do is rule out "a bunch of conditions that can rapidly kill people, such as meningitis, heart attacks and a subarachnoid haemorrhage."

Advertisement

Advertise with NZME.

"It's one of the things that we get scared about missing," they said.

The doctor said a patient with a severe headache should be seen within the hour after arriving to ED.

The Australasian College for Emergency Medicine (ACEM) said they anticipated reviewing the respective reports of the death from the hospital in question, and the Coroner.

"The College would like to extend its deepest condolences to any whanau and loved ones affected by this loss and offer its support to the healthcare workers and other staff at the hospital," a statement from the college said.

The tragic death comes after the Herald reported last week that hospitals had hit "a level of panic" with 71 patients waiting for beds at Middlemore's ED in one night.

Top emergency doctor John Bonning told the Herald, last week, hospitals across the country were seeing "record-level delays and record numbers of patients".

Advertisement

Advertise with NZME.

Emails leaked to the Herald from a different doctor showed the South Auckland ED saw more than 420 patients for the second night in a row this week, normally they see 300, shifting the hospital to code red, which the doctor said basically meant "a level of panic".

The doctor said pressure on hospitals was "extremely concerning".

"I think red is like the level of panic basically [...] every time you deviate from optimal timely care, you increase risk of complications occurring from delays, and that includes patient death," he said.

John Bonning says hospitals across the country are seeing "record-level delays and record numbers of patients". Photo / Mike Scott
John Bonning says hospitals across the country are seeing "record-level delays and record numbers of patients". Photo / Mike Scott

"A patient that arrives in an emergency department with a 10 per cent access block, which means if you have 100 patients and 10 have been there for longer than eight hours, then they have a 10 per cent greater chance of dying over the next seven days," Bonning said last week.

"There is a very real impact for people waiting."

The unnamed doctor said last week that the minister needed to acknowledge the country was in a hospital crisis and staff needed to be paid better so they aren't forced to leave the profession they love.

Advertisement

Advertise with NZME.

Little told the Herald last week that while hospitals were under pressure, "as they were every winter", they were coping.

"A few months ago hospitals were preparing for a flu season that was expected to be bigger than the last two years and for that reason they expected to get planned care right down, most hospitals have been able to do that," he said.

The Minister said he had not seen any data showing hospitals were reaching record levels of delays and patient presentations.

Middlemore Hospital's emergency department under increasing strain. Photo / NZME
Middlemore Hospital's emergency department under increasing strain. Photo / NZME

"It would be interesting if he (Bonning) did provide it, because he is known to say things like that without backing it up with data."

ACEM hit back, saying they stood by immediate past president, Bonning, and his assertion that emergency departments in New Zealand are under extreme and unprecedented pressure.

"The College maintains that data supports Dr Bonning's comments and will be reaching out privately to Mr Little to provide relevant supporting information, and to discuss the pressures on EDs," they said in a statement.

Advertisement

Advertise with NZME.

Aotearoa New Zealand faculty chair Dr Kate Allan said: "Emergency doctors know an emergency when we see one and right now, what is being experienced in emergency departments across Aotearoa isn't safe, it isn't fair, and it isn't sustainable, but we can fix it – together.

"We must ensure that clinicians and people who require emergency care are involved in decision-making as we navigate a very challenging winter."

Today, Allan said: "Extended delays in acute care can lead to poorer clinical outcomes which can, at times, include death."

Advertisement

Advertise with NZME.

Latest from New Zealand

New ZealandUpdated

Road closed as seven fire trucks respond to a building fire

19 Aug 11:11 PM
New Zealand|PoliticsUpdated

Rogue Labour MP reveals complaint sent to PM's chief of staff last year

19 Aug 10:51 PM
New Zealand|PoliticsUpdated

Law and order policies 'no magic bullet' on crime and gangs

19 Aug 10:28 PM
Video

Flooding run off pollutes Nelson Haven

New Zealand

Wild weather: Rain-battered residents remain on edge

19 Aug 10:05 PM

Most Popular

Firefighters save man trapped on car roof in raging torrent
New Zealand

Firefighters save man trapped on car roof in raging torrent

19 Aug 09:35 PM
Live: 'Unbelievable' wild weather - more homes evacuated overnight
New Zealand

Live: 'Unbelievable' wild weather - more homes evacuated overnight

19 Aug 07:25 PM
Wiggles in NZ: Wiggles star reveals life changing hospital encounter
Entertainment

Wiggles in NZ: Wiggles star reveals life changing hospital encounter

19 Aug 06:03 PM

Advertisement

Advertise with NZME.
About NZMEHelp & SupportContact UsSubscribe to NZ HeraldHouse Rules
Manage Your Print SubscriptionNZ Herald E-EditionAdvertise with NZMEBook Your AdPrivacy Policy
Terms of UseCompetition Terms & ConditionsSubscriptions Terms & Conditions
© Copyright 2022 NZME Publishing Limited
TOP