Emergency Department (ED), also known as accident & emergency (A&E), emergency room (ER), or casualty department is a medical treatment facility specializing in acute care of patients who present without prior appointment, either by their own means or by ambulance. The emergency department is usually found in a hospital or other primary care center. Due to the unplanned nature of patient attendance, the department must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention. In some countries, emergency departments have become important entry points for those without other means of access to medical care. Shivam Hospital has an Accident and Emergency unit with a large treatment room with operative tables, lights and Anesthesia machine and other required material. Accident and Emergency unit is well equipped with Cardiac Monitors, Ventilators and portable X-ray machine to save on time. We have bed elevator for immediate transfer of patients to the operating rooms and Intensive Care Units located on the first floor. Accident and Emergencies is open 24 hours a day, 7 days a week. The service is led by Dr Saket Tilekar. He is supported by trained medical officers and nurses.