TY - JOUR T1 - Spain is different JF - Emergency Medicine Journal JO - Emerg Med J SP - 702 LP - 702 DO - 10.1136/emermed-2019-209025 VL - 36 IS - 11 AU - Manuel Vázquez Lima AU - Juan J Gonzalez-Armengol Y1 - 2019/11/01 UR - http://emj.bmj.com/content/36/11/702.abstract N2 - 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 … ER -