Most emergency departments in centrally run university
and government hospitals do not match up to the “Emergency
Department Categorization Standards” proposed by
the Society of Academic Emergency Medicine (SAEM)
[14]. Emergency care is offered in areas designated as
‘casualties’ that are often manned by junior specialty
residents with little overview and are mere ‘referral points’
for specialized care. Triage, something that is instrumental
to good emergency care, is rarely practiced. Problems are
worse in rural areas, where even the most basic emergency
obstetric care has been found to be lacking [12].