Department of Emergency Medicine
【Growth Process】
In the 1980s, the emergency department of our hospital has been independently opened to carry out routine first-aid work. After several generations of unremitting efforts, the department has continued to grow and develop, and has become a key discipline in Fuyang District, a large-scale emergency medical service integrating emergency, first aid and intensive care. The technical center can provide one-stop emergency medical services without transfer for urgent, critical and serious patients.
In the 1990s, the first ventilator was introduced and the application of mechanical ventilation in emergency departments was launched.
In 2010, the application of SAB machine in cardiopulmonary resuscitation was launched.
In 2013, the emergency department was included in the “Fuyang Key Discipline Construction Project”.
In 2015, the first application of hemoperfusion technology in a poisoned patient was carried out.
In 2016, the Chest Pain Center was established and became the core department of the Chest Pain Center to carry out emergency intervention.
A stroke center was established in 2016 and became the core department of the stroke center to carry out the application of thrombolysis in stroke.
A trauma center was established in 2017 and became the core department of the trauma center to carry out MDT treatment of polytrauma;
In 2017, the first application of ECMO support technology in fulminant myocarditis was carried out.
In 2017, an EICU was opened in the emergency department with 6 open beds to treat critical and critical patients. Mechanical ventilation, critical ultrasound, PICCO hemodynamic monitoring, percutaneous dilatational tracheotomy, continuous blood flow purification therapy, and fiberoptic bronchoscopy are routinely performed. , metabolic monitoring and nutritional support technology, organ support and other core technologies.
In 2017, it became a member unit of the Poison Emergency Specialty Alliance of the First Affiliated Hospital of Zhejiang University School of Medicine.
In 2018, the application of trauma life support technology and bedside ultrasound rapid assessment technology were launched.
In 2018, the application of intramedullary injection in shock patients was launched.
In 2019, it became the governing unit of the China County-Level Emergency Care Alliance and the standing director unit of the Zhejiang Provincial Alliance.
In 2020, we will carry out the application of thromboelastography in acute and critical patients and the application of ultrasonic debridement in chronic wounds.
[Successive directors and head nurses]
Since the 1980s, Ge Mantian and Huang Huanghua have served as directors of the emergency department.
April 1992-June 2002, Director Lu Dingquan
From June 2002 to March 2014, Director Jin Zhicheng
March 2014-November 2022, Director Gao Jianbo
June 2018-present, Deputy Director Chen Linling
From November 2022 to present, Chen Qi, interim head of the department
Since the 1980s, Jiang Jinxian, Yu Rongchang, Zhao Wei, and Zhou Xiaofeng have served as head nurses in the emergency department.
From 1999 to 2009, Li Xiujuan served as head nurse
From 2009 to 2014, Li Guifen served as head nurse
From 2011 to 2013, He Suying served as deputy head nurse
From May 2014 to May 2016, Wang Jie served as head nurse
From May 2016 to May 2018, Lu Haixia served as head nurse
From May 2018 to present, Wang Junjun serves as the head nurse
【Current status of subject】
The emergency department is a key medical specialty in Fuyang District and the emergency center of Fuyang District. The department currently has 15 physicians, including 3 deputy chief physicians. The emergency room has 19 emergency units, 21 open beds in the emergency ward, and 6 open beds in the emergency care unit. It has independently set up emergency internal medicine, emergency surgery, emergency obstetrics and gynecology, emergency pediatrics, emergency otolaryngology, emergency ophthalmology, emergency dental department, EICU, as well as emergency laboratory, emergency B-ultrasound room and other auxiliary daily work. The emergency department has complete rescue equipment, including bedside ultrasound machines, hemoperfusion machines, temperature-controlled blankets, fiberoptic bronchoscopes, ventilators, non-invasive ventilators, video laryngoscopes, cardiopulmonary resuscitation machines, Mindray central monitors, defibrillators, and washing machines. Gastric machine and other rescue equipment; the concept of hierarchical diagnosis and treatment is implemented for emergency patients, and various green channels operate smoothly. The annual emergency volume exceeds 200,000, and more than 10,000 people are rescued, with a success rate of nearly 95%. Among them, cardiopulmonary resuscitation, acute poisoning, severe pus The treatment and research of toxicology and multiple trauma have become special features. It has multiple stable research directions, established and completed many district and municipal projects, successfully hosted multiple provincial and municipal continuing education project classes, and published 10 core papers, SCI 3 papers. Optimizing the first aid process and innovating the MDT cooperation model, especially the establishment of the chest pain center, stroke center, and trauma center, have won prime time for rescue for patients and greatly improved the success rate of rescue for critically ill patients. The department is responsible for emergency rescue work for various public health emergencies in Fuyang District. It can quickly handle mass poisoning incidents and mass injuries, so that patients can receive timely treatment. Responsible for the “medical, teaching, research” and clinical quality control tasks related to the district and Zhejiang University of Traditional Chinese Medicine. It is responsible for the standardized training of residents and the teaching tasks for interns and advanced students. It has an emergency medicine teaching and research section, and many doctors have been rated as "Excellent Teaching Teachers in Fuyang District".
was rated as the "Youth Civilization Number of Fuyang District". Many of the medical staff have successively won the "Top Ten Doctors" of Fuyang District, the "Top Ten Nurses" of Fuyang District, the Outstanding Teaching Teachers of Fuyang District Resident Physician Training Base, and the 2019-2021 Candidates for the first round of the "136" Health Talents Cultivation Project of 100 Talents in 2016, the second top ten Fuchun Famous Doctors in Fuyang District, technical experts and other honorary titles.
In 2020, a volunteer team of Fuyang No. 1 Hospital was established to optimize emergency services and improve emergency patients' sense of medical gain; during the 2020 COVID-19 epidemic, five people (Gao Jianbo, Wang Jie, Yu Jiajia, Huang Lili, and Chen Qi) were dispatched to support Wuhan's anti-epidemic work.
【Diagnosis and treatment scope】
The undergraduate department is responsible for first aid work in the entire district. Treat heart failure, arrhythmia, acute myocardial infarction, hypertensive crisis, COPD, acute gastrointestinal bleeding, trauma, stroke, cardiorespiratory arrest, respiratory failure, various acute abdomen, poisoning, coma, fever, Emergency patients with diabetic ketoacidosis, hypoglycemic coma, heat stroke, various mass injuries, food poisoning, etc.
【Technical Features】
The department is equipped with invasive ventilators, non-invasive ventilators, high-flow oxygen therapy ventilators, video laryngoscopes, cardiopulmonary resuscitation machines, Mindray central monitors 1 to 17, bedside ultrasound machines, hemoperfusion machines, temperature-controlled blankets, fiber bronchials Endoscopy, thromboelastography and other advanced equipment. Responsible for the treatment of critical and critical patients throughout Fuyang District, providing professional, efficient and high-quality treatment to all types of critical and critical patients. In particular, after our hospital established a chest pain center, stroke center, and trauma center, it has worked with various departments in the hospital to jointly treat patients with chest pain, stroke, and severe trauma, improve the diagnosis rate of ACS and stroke, shorten the blood vessel opening time and operation time, and play a key role in successful treatment. The rate is greatly improved. Medical staff are proficient in common first aid procedures such as cardiopulmonary resuscitation, electrical defibrillation, electrical cardioversion, orotracheal intubation, ECG monitoring, gastric lavage, mechanical ventilation, trauma dressing, debridement and hemostasis, and deep vein catheterization. technology, and at the same time routinely carry out core technologies such as mechanical ventilation, critical ultrasound, PICCO catheter monitoring, percutaneous dilation tracheotomy, continuous blood flow purification treatment, fiberoptic bronchoscopy, metabolic monitoring and nutritional support technology, and organ support to provide critical patients with Comprehensive monitoring and supportive care.
【Scientific research results】
The department has passed three rounds of six-year Fuyang key specialty construction. Established and completed 4 district and municipal level projects, successfully hosted multiple provincial and municipal continuing education project study classes, and published 10 core papers and 3 SCI papers.
