DOI: 10.36347/sjds.2022.v09i11.003

Pages: 199-203

Background: A medical treatment facility known as a casualty department or emergency department is focused on providing immediate care to patients who arrive without an appointment, either on their own initiative or through ambulance. The emergency room is typically located in a hospital or other type of primary care facility. Because patient presence is unplanned, the department is required to offer initial care for a wide range of illnesses and injuries, some of which may be life-threatening and demand prompt attention. Aim of the Study: The aim of this study was to assess the management of casualty department in a tertiary care hospital. Methods: This prospective observational study was conducted from January 2013 to December 2013 in casualty department, Shaheed Ziaur Rahman Medical College hospital, Bogura, Bangladesh. One hundred twenty patients and nine doctors of the casualty department were purposively selected and interviewed by structured questionnaire and facilities were observed through checklist. Data analysis was done using SPSS version 19.0 software. Results: Among total 120 participants the majority of respondents (77.5%) believed that 5–10 minutes were needed for treatment after seeing a doctor, and over 80 (66.6%) believed that the doctor was attentive to their problems. Only 54 people (45%) were satisfied with the emergency department's overall management, and 66 people (55%) were not. Among these, 54 (45%) were recommendations to expand the number of beds, while 66 (55%) were recommendations to improve the diagnostic and medical facilities. With the exception of the waiting room, all physical and logistical resources in the hospital's casualty department were open for treatment. Most emergency medications were discovered in the casualty department. Conclusion: Doctors made recommendations for the casualty department's improvement, including the need to increase security, arrange for anesthesiologists, appoint specialized employees, ensure ICU ...