Background: The emergency department is the part of the hospital where patients with undifferentiated emergencies are triaged and receive their initial resuscitation and treatment. It provides a 24/7 service with doctors and nurses trained in emergency medicine.
Aim: We describe our emergency department and its activity to emphasize the difficulties and try to suggest a better emergency department organization.
Methods: descriptive retrospective study of an emergency department and its activity during the year 2004.
Results: the department has two units: a reception unit with a resuscitation room,a trauma room, an ambulatory emergencies room, and an observation unit. There is an average of 89 patients a day with peaks in july and august, wednesday and Thursday and between 7.00 and 2.00 pm and even between 5.00 and 9.00 pm. 86.6% of patients have medical pathologies, 60% are graded CCMU II and 11% are admitted in the hospital, half of whom in the emergency observation unit with a 28 hours mean stay.
Conclusion: emergency department organization must be fit to local requirements. Improvement of emergency functioning requires radiological and biological departments reinforcement and medical seniorisation; which may also reduce medical cost.
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