Emergency medicine is a well-established academic discipline in India with formally recognized postgraduate courses offered by the Medical Council of India and the National Board of Education. Hospitals across the country now have well-equipped emergency rooms staffed by trained personnel to provide prompt and often life-saving emergency care. Emergency rooms play the crucial role of providing immediate care to patients with a diverse spectrum of medical conditions. Hence, training and experience in emergency medicine involve a unique skill set that includes the temperament to handle high patient loads, make quick decisions, effectively triage patients (separate the grain from the chaff), and offer timely intervention and stabilization while facilitating communication and collaboration with other hospital departments. Often viewed as the busy, chaotic gateway to the hospital; the efficiency and versatility of the emergency room (ER) makes it an integral and indispensable component providing constant support and resilience to the entire healthcare system.