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To the Editor: As we have known, Emergency Medicine is an interdisciplinary subject and has many hot spots for research. However, many researchers often worry that their research is too narrowed or not so cutting edge as to be accepted by journals with high impact factor (IFs). Why? One reason perhaps lies in the fact that many of them have difficulty in following the fronts and hot spots in internal Emergency Medicine research.  Here, we introduce the use of Essential Science Indicator (USA) tools to analyze the frontier and cutting edge researches in the field of internal Emergency Medicine, and we hope this can help researchers in finding research fronts.  The 5 hotspots of internal Emergency Medicine research were “sepsis,” “acute pulmonary,” “trauma,” “shock” and “cardiopulmonary resuscitation.” Yes, sepsis is the hottest subject in Emergency Medicine. Although there are already some large studies published in top medicine journals about Surviving Sepsis Campaign Protocols (SSCP),[1,2,3,4,5,6] SSCP is still the hottest front for years to come. The followed hotspots are acute lung injury; the most attention were paid on the acute respiratory distress syndrome, receptor signaling, and acute lung injury evaluation. And others can refer to the Table 1.    Table 1  The keywords and fronts of internal Emergency Medicine research

Fronts of Internal Emergency Medicine Research for Years to Come