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Si tuviéramos que señalar las características esenciales de la medicina moderna y sus aspectos diferenciales más evidentes en los últimos treinta años, nos tendríamos que referir sin duda a los procedimientos técnicos como uno de los capítulos fundamentales que han permitido al avance de esta ciencia. El Grupo de Trabajo del Paciente Politraumatizado del Hospital Universitario «Marqués de Valdecilla», a través de su dilatada experiencia docente de más de quince años en este área, ha captado la inquietud y el deseo de conocimiento del alumnado respecto a los procedimientos técnicos de urgencia. Ha constatado que uno de los aspectos que más estrés genera a las jóvenes generaciones de médicos es el desconocimiento y/o falta de habilidad técnica, que se agrava cuando el paciente requiere «inmediatez» para solucionar una situación más o menos crítica, que pone en compromiso su vida. Por ello, en los últimos años viene desarrollando un programa de formación específico de excelente aceptación en todo el país, en el que el alumno, en pequeños grupos con expertos, va desarrollando sus habilidades técnicas a través de doce talleres agrupados en el curso sobre «Técnicas Diagnósticas y Terapéuticas en Emergencias Médicas», que anualmente se celebra en Santander. El aprendizaje de un procedimiento técnico se basa en el principio de ensayo y error y a veces es complicado transmitir algo eminentemente práctico, fruto de la experiencia, en un texto escrito. Aunque requería un gran esfuerzo, creemos que merecía la pena recopilar toda esta experiencia en este Manual de procedimientos técnicos en urgencias y emergencias, que esperamos sea de gran utilidad.