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(This thread was posted by by Dr. Sarvesh Jain via email)

Dear friends

It is really hopeless to see condition of A&E concept in India,
for some time I have been in UK,there I saw a separate entity of doctors ,known as emergency room house officer and registrar
they were perfectly trained in there field and supervised by consultant qualified and licensed by independent body (Like Royal college of A&E )
they have there definite protocol (even defining priority of putting oxygen mask or taking ECG)

now it's time to tell Indian scenario (I am telling about 1000 bedded teaching hospital of new Delhi with all major speciality and even super speciality DNBs)

A&E runs by CMO(casualty medical officer,mostly they were MBBS without any course specialised to A&E) they mainly concentrate legal aspect of injury and post mortem
CMO assisted by JRs(most of them were preparing for prepg,and lacked any definite experience in ER,there main concern were passing time and earning money for next prepg)
sometime medics in ER ,start putting suture even before securing IV cannula and resuscitation of shock

So this is the scene

Now what should we do to change ?

dr Jain