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Not that it really matters but could it be that some of the 'lack of enthusiasm' for the term Casualty results from the fact that the old governing body of the specialty was the 'Casualty Surgeons Association'. As more and more of us have grown up and trained without actually becoming surgeons it seems sensible to no longer refer to us as Casualty Surgeons...... which then leaves the question 'well what are we then?' Personally when I grow up I want to be an expert in emergencies be that a twited ankle, an MI, DKA or an RTA... so it makes sense to call myself an Emergency Doctor..after all it is what I am trained to do. On or more serious note perhaps a chnage in name also would help to differnetiate what we do to what was done 20 years ago, Some of our more senior in hospital bound colleagues still do not seem to appreciate the range of skills A&E doctors bring to a hospital. Having all done their bit as 'Cas Officers' they think that is how it still is and as a consequence seem to think that we are triage at best and work generating incompetents at worse........ or am I too jaundiced!!! Regards Peter A Cutting