ONTARIO MEDICAL FORUM: 20 Jul 2015

20 Jul 2015

UK DAILY MAIL New Cross Hosp Wolverhampton

(A & E) Consultant Dominic McCreadie, 64, allegedly hit the 66-year-old patient
Man was taken to Wolverhampton hospital suffering from acute confusion
Colleague (Dr.Aliakbhar Mohamedbhai 29y) said he witness (ed) doctor hit patient in the face with his right hand
But (Dr.) McCreadie says he was holding man's mouth shut to 'keep him quiet'

Published: 13:45 GMT, 15 July 2015 | Updated: 13:56 GMT, 15 July 2015

Consultant Dominic McCreadie, 64, allegedly hit the 66-year-old patient after a nurse and trainee medic struggled to give him an injection at New Cross Hospital in Wolverhampton, West Midlands.

The tribunal heard the doctor was attempting 'to calm him down' after the man, who was suffering from 'acute confusion' began struggling violently and swearing at him whilst receiving treatment.

He denies slapping the patient and instead insists that he held the man's mouth shut in a form of restraint to 'keep him quiet'.

Dr McCreadier, of Warwick and formerly Glasgow, was reported by his colleague who witnessed the alleged incident on October 28, 2012, and described his actions as 'inappropriate.'

The man was initially seen by a nurse and (29y) trainee, Dr Aliakbhar Mohamedbhai, in a cubicle but Dr McCreadie was asked to intervene when the patient became 'physically resistant' to an injection.

Chris Hamlet, on behalf of the General Medical Council, told the Medical Practitioners Tribanal Service in Manchester: 'Dr McCreadie slapped the patient across the face while assessing and managing an acutely confused patient who had become verbally abusive and was resisting attempts to examine him.'

'The patient had become verbally aggressive and physically resistant and Dr Mohamedbhai assisted in restraining the patient's left arm in order to gain access.

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Access was achieved and Dr McCreadie went on to conduct an examination of the patient but it appeared to provoke another outburst of offensive language and physical resistance.

'Dr McCreadie, in response to that, struck the patient across the face in a slapping motion. The GMC have commissioned an expert view on the matter which finds that the slap as alleged, if proved, would fall seriously below the standard of a consultant in emergency medicine.'

Dr Mohamedbhai, 29, who still works for the Royal Wolverhampton NHS Trust told the hearing: 'At my request, Dr McCreadie helped me with the patient.

Read more: http://www.dailymail.co.uk/news/article-3162379/Senior-doctor-lost-temper-slapped-aggressive-pensioner-verbally-abusive-treatment-E.html#ixzz3gQDBevLQ
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With his help I attempted to establish access and after two failed attempts he took the lead and attempted access. At that point the patient was being aggressive. Acting in his best interest, I had to restrain his left arm to get access.

'Dr McCreadie then decided to carry out a further and more thorough examination of the patient. This provoked more aggressive behaviour from the patient and the use of offensive language.

'As the consultant felt this was inappropriate he landed his right arm on the patient's left cheek in an attempt to calm him down.

'The patient was using very offensive language and was shouting and I think Dr McCreadie looked angry.'

When asked whether the patient was behaving in 'a difficult fashion?' Dr Mohamedbhai replied: 'Yes he was. He was flailing his arms and using offensive language. He was shouting and swearing.

'The nurse was trying to take some observations and that had become difficult as well because he was flailing his arms more aggressively.'

'I remember the nurse with me in the cubicle and she asked me whether what had happened was appropriate and the only comment I made was "not in my opinion".'

He said the patient had 'calmed down significantly and immediately' after Dr McCreadie slapped him, and he reported the incident to the NHS trust and an investigation began.

The hearing continues.