 I am Dr. Hemam Kalyan, consultant and head of department of orthopedics and sports medicine at Manipal Hospital, Bangalore. At our hospital, we receive on a daily basis a large number of musculoskeletal injuries in all patient populations ranging from infants to people as old as 100 years of age and accidents starting from simple domestic injuries to severe road at traffic accidents. In our accident and emergency department, we have a 24 hour orthopedic on call service including a consultant availability which ensures that any injury of any level of complexity including severe joint fractures, multiple injuries and injuries associated with severe soft tissue loss as well as vascular injuries can be promptly looked after. The specialty of our hospital is the expertise of the surgeon and the surgical support team, the availability of 24 hours operation theater and anesthetic backup and all allied specialties such as plastic surgery, neurosurgery, general surgery and vascular surgery were available with us to help us.