At RLKU Medical College’s attached hospitals—HLTH and HLH—the A&E provides 24/7, consultant-led acute care with rapid triage, resuscitation bays, short-stay/observation beds, and seamless links to ICU/HDU, Radiology, Laboratory, Blood Bank, and Operating Rooms. Standard pathways cover trauma, stroke, acute coronary syndromes, sepsis, poisoning, asthma/COPD, DKA/HHS, anaphylaxis, and obstetric emergencies. Services include ambulance reception, disaster/mass-casualty readiness, point-of-care testing (ABG, glucose, troponin where available), protocol-driven analgesia/sedation, safe medication practices, infection prevention, and regular audits/M&M reviews. Documentation, consent, safeguarding, and structured handovers are embedded via SOPs. As a teaching unit, A&E aligns with the UHS curriculum and mapped outcomes. Students acquire work-ready competencies in primary survey (ABCDE), focused history, vital-signs interpretation, initial stabilization, and rational investigations. Core skills include BLS fundamentals, defibrillator use under supervision, airway maneuvers and adjuncts, oxygen therapy, IV/IO access and fluids, wound care and basic suturing, fracture immobilization/splinting, and sepsis/antibiotic first dose. Learning occurs via supervised shifts in triage/resus/observation, case-based discussions, CPCs, and Skills-Lab simulations (code-blue, trauma, anaphylaxis, stroke alerts). Assessment uses workplace-based tools (DOPS/mini-CEX), OSCEs, logbooks, and structured feedback with remediation—building safe, team-oriented, and escalation-ready first responders.