EMERGENCY MEDICINE is finally a recognised specialty in Spain, on 2 July 2024

EUSEM is delighted to announce the official recognition of the Emergency Medicine specialty in Spain, granted on 2 July 2024.
We extend our congratulations to our colleagues in Spain and SEMES for achieving this remarkable milestone after years of campaigning and advocating the imperative need to recognise this specialty.
Read SEMES Press release:
On Tuesday, 2nd July 2024, the Council of Ministers has given the green light to the Royal Decree establishing Emergency Medicine as a recognised specialty in Spain. 
This finally resolves the Spanish anomaly and aligns Spain with the rest of the European Union countries and the majority of the international community.
This measure will help standardise the training of our emergency doctors, and the first RID (resident internal doctors) places are set to start next year.
The Spanish Society of Emergency Medicine -SEMES- announces that today (on 2nd July 2024) the Council of Ministers of the Government of Spain has approved the Royal Decree establishing the speciality of Emergency Medicine in our country. 
SEMES' president, Dr. Tato Vázquez Lima, has declared that today is a momentous day for our country's healthcare. Today is a day of satisfaction and joy for all emergency physicians who finally see their efforts, vocation, and dedication recognised. Dr. Vázquez Lima expressed deep and sincere gratitude for their unwavering work and perseverance. 
Dr. Vázquez Lima thanked "the Government of President Sánchez, the Minister of Health, Mónica García, all the presidents of the seventeen autonomous communities, mayors, all the political forces, the medical associations and scientific societies. "Their collaborative efforts and altruism for the greater good have led to the agreement facilitating the establishment of Emergency Medicine as a recognised specialty in Spain". 
"With the official recognition of the Speciality of Emergency Medicine. The Spanish Government ensures that all Spanish patients receive emergency care from specialised professionals who have received regulated, standardised, and recognised training. This is what all citizens of our country deserve, regardless of their location."  
The approval of the Speciality of Emergency Medicine also serves to support and retain young professionals who aspire to specialise in this field. Thus addressing the terrible ongoing issue of brain drain that has been weakening our National Health Care System.
With the approval of the Speciality of Emergency Medicine, Spain aligns with most of the countries of the European Union which, for years, have had this medical speciality as part of their healthcare systems. Thus facilitating the transition of professionals from related professions, guaranteeing they receive the relevant training based on their specialty.  
Finally, the president of SEMES emphasised that "with the recognition of the speciality, we will be able to contribute to the improvement of Human Resources planning, which is essential for the sustainability of our National Health System". 
Find the original Spanish version on SEMES' website.



Dear member, we are delighted to announce the nominated candidates for the position of EUSEM Vice President. To vote, read the candidate's statements.

Prof. Ashraf Butt







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The Syncope Core Management Process in the Emergency Department: Consensus Statement

The EUSEM Syncope Group have published a consensus statement in the European Journal of Emergency Medicine on the general process of the workup and care for patients with suspected syncope, providing rules for sufficient and systematic management of the broad group of syncope (initially presenting as TLOC) patients in the ED. A variety of European diagnostic and therapeutic standards for syncope patients were reviewed and summarized in three rounds of a modified Delphi process by the European Society for Emergency Medicine Syncope Group. Based on a consensus statement, a detailed process pathway was created. The primary outcome of this work is the presentation of a universal process pathway for the structured management of syncope patients in European EDs. The presented extended event process chain (eEPC) summarizes and homogenizes the process management of European ED syncope patients. Additionally, an exemplary translation of the eEPC into a practice-based flowchart algorithm, which can be used as an example for practical use in the ED, is provided in this work. Syncope patients, initially presenting with TLOC, are common and pose challenges in the ED. Despite variations in process management across Europe, the development of a universally applicable syncope eEPC in the ED was successfully achieved. Key features of the consensus and eEPC include ruling out life-threatening causes, distinguishing syncope from nonsyncopal TLOCs, employing syncope risk stratification categories and based on this, making informed decisions regarding admission or discharge.

Click here to read the full statement here.


Update: UEMS adopts new European Training Requirements for Emergency Medicine

 The European Union of Medical Specialists (UEMS) has approved  new training requirements for clinicians working in emergency medicine (EM). The European Training  Requirement (ETR) is, essentially, the curriculum for physicians dealing with all health emergencies in adult and paediatric patients. The ETR is intended  to strengthen training in EM across the board, and defines the skills and capabilities needed to work as a specialist in EM.

 The document was unanimously approved by all of the National Medical Associations at the UEMS council in April along with approval from the UEMS specialist Sections and Boards.  This is particularly important as it ensures the approval and support of all specialties for the scope of practice of emergency medicine and the role EM plays in healthcare in Europe. The document defines clearly the key working relationships with other specialties and emphasises the need to work as collaborators and partners with colleagues to provide the best care for patients. The document includes descriptions of the professional skills required, including those of educator, scholar, communicator, collaborator and leader.

 The document was written by a group comprised of members of the UEMS Section and Board for Emergency Medicine, the EUSEM education committee and the young Emergency Medicine doctors. This group worked for 18 months on updating and refreshing the existing ETR and is delighted to have achieved unanimous approval for it.

 The ETR is clearly vital to the care of all patients, but is particularly important in relation to caring for emergencies in children, where a recent survey has shown significant gaps in child health training across Europe. The ETR now states explicitly that at least 20% of the five- year minimum training in EM should be spent in dealing with paediatric emergencies. It is hoped that by standardising the training required, reduce  variation in the care provided to children in emergency departments will be reduced,  as well as inequalities in healthcare.

 “This ETR publication is timely and coincides with a paper in  the European Journal of Emergency Medicine* that reports the results of a survey of all member countries of EUSEM to determine current training in paediatric emergency medicine. Results from the survey showed that while the total time spent in emergency medicine training in European countries was generally adequate, paediatric EM training took up a very small proportion of that time – from one to 11 months. The new ETR should lead to an improvement in this ratio in the future,” says Dr Ruth Brown, from the Department of Emergency Medicine, St Mary’s Hospital, President of the UEMS emergency medicine section, and a co-author of the paper.

 It is important that trainees work with paediatric specialists to improve their skills and competencies, says the paper’s first author, Dr Ruud G. Nijman, from the Department of Paediatric Emergency Medicine, St Mary’s Hospital. London, UK. “More work needs to be done to improve the confidence and competence of clinicians in dealing with acutely injured and unwell children, and the new version of the training requirements are an important step forward in that respect.”

 “We welcome the new training requirements as they underline the worth of not just the specialism of paediatric emergency medicine, but emergency medicine as a whole,” said EUSEM President, Dr Jim Connolly.

The new UEMS requirements can be found here

Also read the full article on "Providing urgent and emergency care to children and young people: training requirements for emergency medicine specialty trainees" in EJEM.


Quarterly EJEM research round-up - June 2024

Welcome to the quarterly EJEM research round-up, where we present our top picks from the last three months of EJEM editions.

Chiara Lazzeri, Associate Editor

Verdonschot et al [1]performed a retrospective two-centre study to investigate the number of in-hospital cardiac arrest (IHCA) and out-of-hospital cardiac arrest (OHCA) patients eligible to Extracorporeal Cardiopulmonary Resuscitation (ECPR). Clinical characteristics that may help to identify which patients benefit the most from ECPR were also detected. The study population comprised all IHCA and OHCA patients screened for eCPR between 1 January 2017 and 1 January 2020 in Rotterdam, the Netherlands. The features of this investigation are the large population included and the organizational characteristics of the Netherlands. This country, small and densly populated, is characterized by a short travel time to the hospital and the existence of is a nationwide response system exists that alerts trained citizens when an OHCA occurs in their neighbourhood. That is probably why in Netherlands the use of Automated External Defibrillator (AED) (29-65%) is higher than in other countries....



From the journal Clinical Chemistry and Laboratory Medicine (CCLM).


Blood Sampling Guidelines have been developed to target European emergency medicine-related professionals involved in the blood sampling process (e.g. physicians, nurses, phlebotomists working in the ED), as well as laboratory physicians and other related professionals. The guidelines population focus on adult patients. The development of these blood sampling guidelines for the ED setting is based on the collaboration of three European scientific societies that have a role to play in the preanalytical phase process: EuSEN, EFLM, and EUSEM. The elaboration of the questions was done using the PICO procedure, literature search and appraisal was based on the GRADE methodology. The final recommendations were reviewed by an international multidisciplinary external review group. Continue reading




This study was conducted in a joint collaboration between EuSEN, EFLM, and EUSEM.