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TEXTBOOK OF ADULT EMERGENCY MEDICINE eBOOK ACT102 conflict and adaptation in aSince the first edition of Textbook of Adult Emergency Medicine was published twenty years ago, there has been enormous change in the way emergency care is delivered. This has occurred both in countries where emergency medicine was originally developed and in those where its application was limited because of cost. Emergency medicine is now perceived as the cornerstone of response to acute illness regardless of resources.