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Spain is different
  1. Manuel Vázquez Lima1,
  2. Juan J Gonzalez-Armengol2
  1. 1 Emergency Department, Hospital do Salnés, Vilagarcía de Arousa, Spain
  2. 2 Emergency Department, Hospital Clinico San Carlos, Madrid, Spain
  1. Correspondence to Dr Manuel Vázquez Lima, ED, Vilagarcía de Arousa 36960, Spain; tvazlim{at}

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We have read the letter sent to Emergency Medicine Journal by Dr Orso entitled ‘who is afraid of Emergency Medicine Physicians’1 and we would like to give our modest opinion.

The need for a primary specialty in emergency medicine is evident, as the author points out, perhaps we would add the recent recommendations collected at the WHO general assembly on this particular issue.2 There is no doubt in any modern healthcare system.3 Emergency medicine has grown exponentially as a specialty in the last 20 years, with practically all the countries of Europe4 provide specific training in this area and with >100 countries in the world that have recognised this field …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.