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Highlights from this issue
  1. Caroline Leech
  1. Emergency Department, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK
  1. Correspondence to Dr Caroline Leech; caroline.leech{at}

Statistics from

Female genital mutilation

Female genital mutilation (FGM) may be more common than we think (see page 587). In 16 months a single UK hospital (with a low percentage of population from high-risk countries) identified 34 women in antenatal services who had had the procedure performed. More than half of these women had been seen by the Emergency Department (ED) prior to the diagnosis, but FGM was not documented in the notes. The authors propose that in women presenting from high-risk countries, Emergency Physicians should consider direct questioning in the history to identify cases. This would allow women to access Gynaecology and psychological support, as well as to identify children in the family who may be at risk of FGM in the future. The accompanying commentary by Hanni Stoklosa (see page 585) gives a great summary on the topic and emphasizes the need to ‘open our eyes and minds to FGM’.

Wellbeing and moral injury in Emergency Medicine

In Emergency Medicine we are exposed to dramatic suffering, violence, injustice, and the aftermath of events contravening our moral code, on a daily basis. It is not surprising that …

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