45 patients waiting for beds at Laois and Offaly hospitals in May.
The summer hospital overcrowding crisis is continuing to hit hospitals in the midlands with the HSE.
For the second day running the HSE has had to implement its escalation policy at the Midland Regional Hospital Tullamore.
The HSE said the Offaly hospital is experiencing high levels of attendances with many patients requiring admission today Tuesday 29th May.
"In order to assist us we are requesting that patients in the first instance, consider using their GP out of hours for medical assessment, where possible
"The hospital regrets that any patient should experience delays in accessing In patient beds," said the statment.
The escalation policy was actived on Monday when Irish Nurses and Midwives Organisation figures revealed that there were 14 patients in A&E and 11 patients temporarily accomodated on the wards.
The situation was also bad on Monday at its sister hospital - the Midland Regional Hospital Portlaoise where there were 20 patients on trollies in the A&E.
By Tuesday the trolley count had dropped to 10 in Portlaoise and 24 in Tullamore.
Both hospitals are part of the Dublin Midlands Hospital Group. Tallaght, St James' and Naas hospitals are in the same group. On Tuesday morning the INMO reported that there were 30 patients waiting in Tallaght and 22 in Naas with just seven people on trollies in St James'.