The XIV. symposium on acute cardiology and emergency medicine will be held as “Charité meets Spain” addressing the post pandemic  situation with ongoing dynamic changes of medical care and a high  focus on digital medicine solutions, which may support the use and  indication quality of modern therapies, but also potentially changes the role of the ED. The ED is recognized as central point of contact, which enables the direction of patients in specific care scenarios. With the help of digital medicine, the ED evolves beyond the exclusion of serious  disease to master all acute health situations and initiate advance  medical therapies.  “Diagnostic stewardship” is a concept, which  arises from global health challenges and will be featured as an emerging  concept of medical progress. We will discuss these topics in the European  international perspective with a high-ranking faculty including  Spanish guests.