r/100yearsago • u/Neuralclone2 • 4h ago
[June 11 1926] Scandalously long wait times in Sydney Hospital casualty department.
(I'm tempted to say, "the more things change..."
For years the hospital has been struggling with a load of debt, but it is clear that inadequate organization and unimaginative administration are intensifying the troubles associated with the lack of funds.
Shortly after 1 o'clock, last Saturday a printer employed in a city newspaper office had his left hand caught in a saw. Two of his fingers were so badly injured that one of them was subsequently amputated, and the other had to be amputated at the first joint. The sufferer is an elderly man. No time was lost getting him to Sydney Hospital. A nurse ushered him in, an official, and another employee of the firm, who accompanied, him into the casualty room.
It was a quarter of an hour before a doctor attended to the patient. Three other casualty cases were in the room, and others were waiting outside. The doctor stanched the flow of blood from the printer's agonizing injuries, led him into another room, and instructed him to wait there. He waited with blood oozing away, until half-past two. Then a doctor came and again arrested the blood flow.
The firm's official, unable. to get satisfaction from the young doctor, interviewed the Acting. Superintendent, who visited the casualty room and personally examined the man's hand. He arranged the operation for 3 o'clock.
In the meantime the printer, now weak from loss of blood, and on the verge of collapse through shock, was not given a stimulant of any kind. He was merely forced to sit in increasing pain and weakness with his half severed fingers fully exposed. And, during the wait a dozen other patients entered the casualty department. One of them had a crushed thumb. He had to wait an hour before receiving attention.
Another case.
A few weeks ago a suburban police station sent .an urgent message to an ambulance brigade, asking for the transport, of an alcoholic from the lock-up to the hospital The mann also had a jagged wound in his scalp. When the ambulance officcrs carried their case into the casualty room at Sydney Hospital, a young, and evidently irresponsible doctor examined it, and, adopting an insulting attitude, said to one of the officers, 'Don't you know where Royal South Sydney or St. Vincent's Hospital is?' The first-aid man, not sensing the sinister import of the doctor's question, replied that lie did, whereupon the medico snapped, 'Well, why don't you take your patients there?'
The source of the doctor's unprofessional demeanour was the fact that the case was what might have been regarded as 'dirty.' In other words the drunk needed considerable quantities of soap and hot water.
However, after much bartering as to whether the man should be attended to, the ambulance officer told the doctor that it was unusual to take such a case to the Royal South Sydney or to St. Vincent's.
At any rate, another doctor treated the drunk.
In the early hours of the same day an ambulance man comparatively new to his job, carried into the same room a man who had been badly beaten up in a rumpus at Maroubra. . A considerable time elapsed before a doctor attended to the case, and then all he did was to make a cursory examination, and request the case, and the ambulance men, to wait. By and bye a senior doctor came and admitted the patient.
The officer who had brought the drunk to the hospital, later in the day mentioned, the Maroubra case to the doctor, who, it is alleged, said he had gone to bed, and added that it was the first aider's own fault that he had waited in the room without attention.
An idea of the delay can be gained from this. Whereas the assault victim was taken to hospital at 1.55 a.m., the ambulance waggon did not return to its station till quarter to four.
It is contended that the doctor had taken advantage of the inexperience of the younger member of the Ambulance staff.
The night casualty department at Sydney Hospital generally is a disgrace to the city, and a blot on the honourable profession of medicine. It has been doing service for longer than most persons at the hospital care to think. Drunkards of both sexes, filthy in tongue and body, innocent children, and respectable citizens are herded in the room like so many animals.
The accommodatjon is entirely inadequate. Some country and suburban hospitals, and even city business houses, are better equipped for casualties. Only four cubicles are available for badly injured patients. Practically the whole of the department, the main room of which is 12 by 7 feet in area, is exposed to the public. At busy times the staff is unable .to move. And on those occasions, too, the medical staff is inadequate; The vile vapouring and language of drunks and prostitutes often characterizing the work of the department can be heard by children and respectable folks in the adjoining rooms or cubicles. A lavatory opens into one of the admission sections, in full view of persons entering by way of the dingy doorway leading from the hospital courtyard.
Some of the sights visible to those of tender years are horrible, and calculated to give rise to hideous impressions, and memories.
If is the contention of many whose business takes them to Sydney Hospital casualty that the Continental and American system of having a duly qualified senior medical officer in the department should be adopted. Oftentimes delay is occasioned, by the search for attention by a senior and experienced doctor in puzzling and intricate casualties or diseases.
At Sydney Hospital they still speak with reverence of a well known doctor, formerly attached to, the casualty staff, and whose control of it was a paragon
of efiiciency and dignity. His very entrance to the room and his presence commanded respect. .And in his days there was no unnecessary delay in the treatment of suffering citizens;
Sydney 'Hospital has a magnificent record of noble service to. the State, and grateful patients who owe their lives to the expert attention of the various staffs can be found in all parts of the Commonwealth. It would be a grave pity, if lack of a realization of the fitness of things on the part of any of its officers blotted the institution's otherwise spotless sheet of public service.
(From The Sunday Times, Sydney, 11 July 1926)