CoVID-19 is a global health emergency, which has paralyzed most of the worldwide health systems . Italy is struggling hard with CoVID-19 pandemic since the end of February 2020, to avoid the collapse of its health system . The number of CoVID-19 patients and deaths are increasing day by day . At time of writing, in Italy there are 102253 infected patients and 19899 deaths . Despite being a relatively small city, Piacenza is one of the epicentres of the Italian epidemic, and our own hospital - Guglielmo da Saliceto - has quickly become a``CoVID-19 hospital". Fully 80% of beds in our hospital are reserved for ill CoVID-19 patients and ICU has tripled the number of beds . All these changes have required a great effort for all the medical staff to avoid the collpase of the local health system . We struggled to maintain our normal standard of care for each patient, but the severity of the disease and the high number of critically ill patients frustrated our efforts . Here we report our experience and challenge with managing such a disaster . We hope it could be useful for other Emergency Departments trapped in this global pandemic.