The recent 22nd murder in St. Kitts and Nevis not only signifies a concerning surge in violent crimes but also highlights the deteriorating state of the island’s healthcare system. The tragic incident shed light on the inefficiencies plaguing the Joseph Nathaniel France (JNF) Hospital, exposing critical shortcomings in handling serious trauma cases.Among the prominent concerns voiced by JNF staff members are the lack of experience and training among Emergency Room (ER) personnel to manage high-level trauma situations. In addition, the shortage of essential equipment and supplies for stabilizing patients before surgery, as well as delays in acquiring vital blood products, have become distressingly common occurrences.Another critical issue is the delay in the arrival of operating room nursing staff, exacerbating the already precarious situation. This series of setbacks has prompted questions about the hospital’s capacity to effectively manage severe trauma victims.Under the leadership of Dr. Hon. Timothy Harris, the Team Unity administration had initiated measures to bolster emergency services, including the implementation of 24/7 lab and radiology services, and an on-site emergency operating room team. Furthermore, regular Continuing Medical Education sessions were established to enhance the skills of junior staff.Regrettably, these vital initiatives were abandoned by the new administration and the newly appointed Director of Health Institutions, in favor of ambitious yet unrealized projects like the Smart Hospital and MRI facility. As the island grapples with escalating violence and a faltering healthcare system, urgent attention and action are needed to rectify these pressing issues and ensure the safety and well-being of its residents.