Since the name-change to its current title over 2 decades ago [1], the Journal has seen remarkable development and progress. After hard work, the Journal was accepted and indexed in PubMed in 2008 as an open access journal [2], a factor that is perceived to be important to the journal prosperity [3]. Being accepted by Thomson Scientific and the Web of Science indexing system, the Journal got the inaugural impact factor (IF) in 2010. Landing a first IF at a staggering 2.18 was remarkable indeed and placed the journal among the top 3 world leading journals in the category “emergency medicine” that year. The slight decrease in IF over the two proceeding years was in many ways anticipated – the number of papers accepted and published has gradually increased, levelling off at about 80–90 papers per year. Notably, increasing the denominator negatively influences the IF in relation to number of citations. However, we are confident that this will again turn to the advantage of the journal as we now see a sound inflow of manuscripts at the same time as the number of citations is steadily increasing year on year. It is thus comforting to see a turn on the IF at 1.93 this year. While not quite back at the IF above 2-level (Figure 1), we aim at achieving this goal in the near future.