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Clinical and Medical · Entry level

Casualty Medical Officer job description

A Casualty Medical Officer is the first doctor to treat patients arriving in the emergency department. The person triages cases by severity, stabilises the critically ill and injured, starts emergency treatment, and admits or refers patients fast. In an Indian hospital this MBBS role works round-the-clock shifts and handles trauma, cardiac, poisoning and acute cases under pressure. A good casualty medical officer makes quick, sound decisions, keeps patients alive in the golden hour, and documents and hands over cleanly for continued care.

DetailFor this role
DepartmentClinical and Medical
LevelEntry level
Reports toEmergency Medicine Head
Direct reportsNone
Experience1 to 4 years in emergency or casualty duty, freshers with internship considered

Casualty Medical Officer job description template

Copy this job description, replace the text in square brackets and post it on your careers page or a job portal.

Job title: Casualty Medical Officer

Department: Clinical and Medical

Reports to: Emergency Medicine Head

Location: [City], [office, branch or site]

About the role

A Casualty Medical Officer is the first doctor to treat patients arriving in the emergency department. The person triages cases by severity, stabilises the critically ill and injured, starts emergency treatment, and admits or refers patients fast. In an Indian hospital this MBBS role works round-the-clock shifts and handles trauma, cardiac, poisoning and acute cases under pressure. A good casualty medical officer makes quick, sound decisions, keeps patients alive in the golden hour, and documents and hands over cleanly for continued care.

Key responsibilities

  • Triage arriving patients by severity and start care for the most critical first.
  • Stabilise critically ill and injured patients, including airway, breathing and circulation.
  • Provide emergency treatment for trauma, cardiac, poisoning and other acute cases.
  • Order and interpret urgent investigations to guide immediate management.
  • Perform emergency procedures within competence, such as suturing and resuscitation.
  • Decide on admission, referral to specialists or discharge with clear instructions.
  • Communicate with patients and relatives calmly about the condition and next steps.
  • Coordinate with specialists, ICU, operation theatre and ambulance services quickly.
  • Document each case accurately, including time, findings, treatment and handover.
  • Follow emergency and medico-legal protocols, including for accident and assault cases.

Requirements

  • MBBS from a recognised medical college
  • Valid registration with the state medical council
  • BLS and ACLS certification an advantage
  • 1 to 4 years in emergency or casualty duty, freshers with internship considered

KRAs and KPIs for a Casualty Medical Officer

Key result areas for the appraisal form, each with a KPI you can measure every month or quarter.

Key result areaHow to measure it
Triage speedPatients triaged and critical cases attended within the casualty response target
StabilisationCritically ill patients stabilised before shift-out or transfer every time
DocumentationEmergency case notes complete for all patients seen each shift
Handover qualityClear handover given for every admitted or transferred patient
Protocol adherenceEmergency and medico-legal protocols followed with no lapse
Patient outcomeAvoidable adverse events in casualty kept at zero on the officer's shifts

Skills and tools

Emergency triageBasic and advanced life supportTrauma managementEmergency proceduresRapid clinical decision-makingMedico-legal documentationComposure under pressureTeamworkClear communication

Tools used day to day: Defibrillator and monitor, Ventilator and oxygen, Crash cart, ECG machine, Hospital information system.

Reporting line and career path

Emergency MedicineHeadCasualty MedicalOfficer
Moves up from: MBBS Intern, Junior Resident Doctor, Medical Officer
Next roles: Emergency Medicine Resident, Senior Casualty Medical Officer, Emergency Medicine Consultant

Interview questions for a Casualty Medical Officer

  1. How do you triage when several serious patients arrive at once?
  2. Walk me through your first steps for a trauma patient in shock.
  3. How do you manage a suspected heart attack in the first ten minutes?
  4. How do you handle anxious relatives while treating a critical patient?
  5. What medico-legal steps do you follow for an accident or assault case?
  6. How do you decide between admission, referral and discharge under pressure?

Managing a Casualty Medical Officer in ZeniaHR

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Frequently asked questions

What does a casualty medical officer do?

A casualty medical officer is the first doctor to treat patients in the emergency department. They triage by severity, stabilise critical and injured patients, start emergency treatment, order urgent tests and decide on admission, referral or discharge. Working round-the-clock shifts, they handle trauma, cardiac and acute cases fast and document each one for continued care.

What is the difference between a casualty medical officer and a resident medical officer?

A casualty medical officer works in the emergency department, triaging and stabilising acute cases as they arrive. A resident medical officer is an in-house duty doctor who manages admitted ward patients and responds to ward calls across the hospital. One handles the emergency front door, while the other manages inpatients around the clock.

What qualifications does a casualty medical officer need?

A casualty medical officer must hold an MBBS from a recognised college and be registered with the state medical council. Life support certifications such as BLS and ACLS are a strong advantage and often expected. Emergency experience helps, though freshers who have completed internship are sometimes taken and trained, because the role demands calm, fast decision-making under pressure.