TY - JOUR T1 - Highlights from this issue JF - Emergency Medicine Journal JO - Emerg Med J SP - 197 LP - 197 DO - 10.1136/emermed-2019-208558 VL - 36 IS - 4 AU - Mary Dawood Y1 - 2019/04/01 UR - http://emj.bmj.com/content/36/4/197.abstract N2 - It’s a pleasure to open this issue of EMJ with a healthy dose of perspectiven our constant quest for more and more resources to deliver excellence in healthcare, it’s all too easy to lose sight of how privileged we are in the developed world. In ‘A view from here’ Dr Mir Ahmad describes a project run by Doctors Worldwide looking at high impact outcomes in resource deprived settings. He gives us a glimpse of the reality of emergency h ealthcare in the largest refugee camp in the world, the Rohingya camps in Bangladesh.His description of emergency response training for Rohingya Community leaders and the development of emergency response kits as an approach to local disaster risk reduction and community resilience is inspiring and humbling at the same time. It demonstrates the pragmatism and adaptability that is a common characteristic in ED clinicians. It is also a hopeful piece and worth reading if you’re feeling anyway disenchanted with your developed systems.The institution of major trauma centres has improved outcomes in terms of mortality and morbidity for patients sustaining major trauma. What is less clear to date is the value and patient … ER -