ACC (Dat ee + ewercenty My cleave wok place athe Unversity of Malaysia Hospital inthe emergency department. had evioualy spent 5 weehs ona selected sty component in the Roya London Hospitals Emergency ‘partment, a large sume cent n East London | wanted to compare my experiences in this hospital with dhs in anor county. ‘efore traveling, Iread onthe WHO website that there were 80 specialist emergency consultants in “Malaysia, accountng fr one of the lowest numbers er captain the world. Asa developing coun, skthough with aspirations of becoming developed in the next dovade | vas interested how emerysney healthcare wan provided Initial impressions ofthe hospital were ofa age and busy emergency deparimant, which eatred fra ‘side varity of coins, intial tage iat the appropriate ares. found tha | spent she majority ‘of mp tie betwee resus andthe eae este uit net to found tat hese ares ave me de most ‘ppt tose patients and expersnce the variety of condition that emergency medicine hss to fer Tun that | was suis by the numberof patients with ehronichiney save (CKD). This number secmed far higher than what { woul expeet after coming fren the UK. I ppeaned hat the nan veason for this was the prevalence of type 2 dabtes mellitus. CKD appeared to complicate w ‘reat numberof patient visiting the emergency deparimin, and seomed espevaly prevalent in ess | as aso ale ose a ot of ptints presenting with infrts, whether that be myocardial infarctions ‘orstroes, lt seemed te that patents generally poste lot ater in Malaysia than they would in the UK. This could be due to many high profil public hell awareness campaigns in the UK which ‘rives patient spotthe eal sigs, A sinilar approach in Malaysia may hep to prevent complications ofthese diseases also found tha patients would spend Far more ime inthe emergency departnent an the acute ‘medical cent than in the UK. This sos likely duet the 4 hour wait targets inthe UK, where patients are not allowed fo be te ED fr ore tan 4 hours. While his means patients spend more Time inthe ED in Malays, oes sean tat heya abl io have more tests done and procedures to te done in ander to discharge the patent sooner. This inerenein he amount a ests and procedures ‘has quite evident ome inthe numberof patents in resus who were intbsted and would spend a fon period of time in rests before being noved to an appropriate area ofthe hospital his allows patients to be closely monitored Malaysian th ess department ater han in the high dependene uns in the UK. During my ime here Iso paricioted in anight shift. where I was ble ose the nts rmaagement of» yng women who had elf the 6th lor of hotel, was ntersting co sce the ferent levels of stepping up andl down of his pation sess were done an the fv of er njres ‘vas mode clear srg the nigh ‘Having spoken to the registrar emergeney doctors, ti ela thal they enjoy ther jobs andthe warty that tents, Thy also tol me tha more and more emergency doco ane henge, which will improve the popultionsmergeney specialist ati