When Dr. Nerendra Nath Jena first became head of the Emergency/Casualty Department (ED) at Meenakshi Mission Hospital & Research Center (MMHRC) in 2008, there wasn’t much of a department for him to lead. Still a year before Emergency Medicine (EM) would become a formally recognized specialty in India, the department at that time consisted of only 5 beds, tucked into a 3 x 5 meter entry way leading to the ambulance bay outside.