This document analyzes emergency department overcrowding and increased length of stay at a secondary care general hospital in Kuwait. A study was conducted over 7 days observing 6,383 patient visits, with 1,750 patients referred to the emergency department observation room. Of those, 210 patients had a total length of stay greater than 6 hours. The major causes of increased length of stay and overcrowding were identified as waiting for an inpatient bed, which accounted for 52% of wasted waiting time, and waiting for consultation replies, which accounted for 13.3% of wasted time. Addressing delays in patient transfers and consultations could help reduce emergency department overcrowding and length of stay.