Rotorua Hospital's emergency department has had its busiest day on record, with 144 people visiting the department in one 24-hour period.
Last week was "exceptionally busy" for the emergency department with January 2 going down as the busiest on record.
Emergency department clinical director Peter Freeman said while Christmas week was busy, the week of New Year's reached another level.
From Boxing Day until January 3 the emergency department dealt with more than 100 people a day.
Dr Freeman said staff had seen the full range of injuries from motor vehicle crashes to mountain bike injuries, motocross crashes, water-skiing injuries, and assaults.