Three decades have passed since the publication of "The Ten Commandments of Emergency Medicine" by Wrenn and Slovis.1 Emergency medicine has continued its distinct perspective on patient care that juggles undifferentiated symptoms, time constraints, and the unpredictable influx of critically ill patients since the article was published in 1991. Although the specialty has continued as an indispensable component of health care, it, like all of medicine, has continued to evolve and adapt. As emergency department (ED) volumes continue to increase while emergency clinicians are expected to recognize acute illness, use increasingly complex diagnostics, and initiate (and often complete) resuscitations and treatments, the potential for errors continues to increase.
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