An old adage states that anyone can become an expert if they choose a small enough field. Emergency physicians have to know a little bit about the emergency management of everything, our expertise being limited not by condition but by time. I found it refreshing to read the ABC of Spinal Cord Injury, which illustrates perhaps the limits of specialisation and the holistic approach that such patients need, not only from the medical specialties but also from the nursing, physiotherapy, occupational therapy and community support …