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How should a hospital medical emergency department be organized in a state? A hospital medical emergency department should have 24/7 medical doctors on duty with relevant staff and resources. A medical doctor on emergency duty in a hospital emergency cannot leave the location unless relieved by another medical doctor on emergency duty. If the number of medical emergencies in an area is great, additional emergency medical doctors need to be added. A medical doctor on emergency duty in a hospital coordinates with emergency medical doctors in the team of emergency responders. A team of emergency responders is different than a hospital medical emergency staff that includes medical doctors. In a team of emergency responders that reaches the site of a medical emergency, first assessment should be done by an emergency medical doctor. He or she should be given all resources, including Internet, telephone, or walkie-talkie to coordinate with other emergency medical doctors. Reference resources like at this location - http://www.qureshiuniversity.com/emergencymedicineworld.html - should be available to emergency medical doctors on duty and others. The local area for medical emergency service has to be demarcated precisely. Extraordinary emergency calls outside the local area of service can be received in rare situations. Do not ignore any emergency medical report or call. Emergency medical doctors are supervised by senior emergency medical doctors on duty. Various consultants from various medical departments and non-medical departments are on call with enlisted specific extraordinary medical expertise. Noncompliance with emergency call from those on duty should be reported. In case emergency medical doctors face any problem in diagnosis and treatment while on duty, they should feel free to report it and ask for further assistance. Do not be shy or hesitate in continuing education. First emergency responders on call, including emergency medical doctor, nurses, paramedics, and non-medical workers, are supervised from the hospital medical emergency department, state department of emergency, and state department of health for the local area of service. New hospital: Medical emergencies in the state are established as per the need of the local area. |