Introduction of Emergency Department of Peking University First Hospital

The Emergency Department of the First Hospital of Peking University was founded in 1989, and after nearly 20 years of continuous development and growth, it has now become a comprehensive clinical department that is at the forefront of rescuing critically ill patients and responding to emergencies and public ****health events in the hospital, as well as shouldering the responsibilities of teaching, training and scientific research. The Emergency Department of our hospital is open around the clock, currently there are internal medicine, surgery, orthopedics, neurology, ophthalmology, otorhinolaryngology, dermatology and other clinics are open at any time to serve the patients. The Emergency Department has a dedicated pharmacy, billing office, laboratory, general X-ray and CT open 24 hours a day. At present, the Emergency Department receives about 300 visits per day, and its working area is divided into five parts: reception area, rescue area, temporary observation area, observation ward and intensive care unit; it has 63 beds, including 3 rescue beds, 18 intensive care beds, 42 observation beds, and 40 temporary infusion chairs. General emergency patients go to the corresponding departments after triage, and can be treated with infusion in the temporary observation room due to the need of their condition. Critically ill patients are directly admitted to the emergency room for treatment and resuscitation. The Department of Emergency Medicine has been able to realize the whole process of treatment from consultation, resuscitation, monitoring to the general observation ward for the patients who have no beds in the wards or who cannot be admitted to the hospital because of their conditions. Staffing: There are 22 doctors on duty, including 3 chief physicians, 2 deputy chief physicians, 15 attending physicians, and 75% of them have master's degree or above. Six physicians have studied and worked in Canada, the United States, Singapore, Macao, France and other places for further training. There are 68 nurses, 8 nurse supervisors, 32 nurse practitioners, 2 with bachelor's degree and 54 with college degree. The Emergency Department has complete medical equipment: multi-parameter monitoring system, portable monitor, bedside hemofilter, blood gas machine, bedside ultrasound and invasive, non-invasive ventilator, automatic gastric lavage machine, defibrillator, portable ventilator and other emergency equipment. In addition, the hospital has an equipment center that can deploy the necessary life-saving equipment to the resuscitation room and emergency care unit at any time. The above adequate equipment and deployment policy ensures a large number of emergency critical illnesses from the hardware rescue treatment needs. Medical work: the Emergency Department currently focuses on the rescue and treatment of internal medicine in terms of acute and critical illnesses, including poisoning, acute cardiovascular and cerebrovascular diseases, various types of severe infections, sudden death, acute pulmonary embolism, endocrine crisis, acute severe pancreatitis, gastrointestinal bleeding and multiple compound injuries, etc., and actively collaborate with relevant departments to **** with the establishment of emergency medical treatment platforms such as the opening of the emergency interventional treatment of acute myocardial infarction Green channel, for further rapid and effective treatment of patients to buy time, improve the cure rate and survival rate of patients. Our department can independently complete tracheal intubation, central venous catheterization, arterial catheterization and other operations, and carry out continuous monitoring of central venous pressure and intra-arterial blood pressure, etc. In May 2005, we carried out the bedside renal replacement therapy (CRRT) technology, and rescued a large number of patients with acute renal failure caused by sepsis, cardiac failure, drug intoxication, rhabdomyolysis, and accumulated a wealth of experience in the rescue of critically ill patients, especially patients with combined multiple organ failure, as well as in the rescue of patients with multiple organ failure. In December 2006, with the support of the hospital and the efforts of the whole department, we set up an emergency care unit with six beds, which extends the space for emergency care and treatment on the one hand, and at the same time provides a place for the development of the discipline of the emergency department, monitoring of critical illnesses, and carrying out scientific research on the other. In recent years, the total number of patients treated in the emergency department has been on the rise year by year. before 2000, the average number of patients treated in the emergency department was 50,000-60,000/year, and after 2000, the average number of patients treated in the emergency department was 90,000-100,000/year, and the number of patients who stayed in the emergency department was 70,000/year. The proportion of critically ill patients treated in the emergency department has been increasing year by year, and the success rate of resuscitation is above 90%. In 2000, the Emergency Department successfully completed the food poisoning rescue work for nearly 100 people without a single death, and was awarded by the Beijing Municipal Bureau of Health; in 2003, during the fight against SARS, the emergency detention ward was changed to a ward for SARS patients, and the whole department cooperated with each other and ****admitted and referred more than 300 patients, and at the same time, as a unit of the examining physician, the mission was successfully completed, and the collective and individual were awarded by Beijing Municipality and Peking University for a number of times. In 2008, the department participated in the Wenchuan Earthquake relief work and the Olympic Games medical service work, and completed the task, won the affirmation and praise from all walks of life. 2009 in the H1N1 Influenza A epidemic wantonly rampant, the department of all the medical staff will continue to be one heart, unity and cooperation, and stand fast at their posts, with good professional ethics, superb medical skills, strict work style, patient-centered, patient-centered and patient-oriented work style, the department will continue to provide the best services to patients. With good professional ethics, excellent medical skills and rigorous work style, we will take patients as the center and serve them wholeheartedly to contribute to the fight against the epidemic. In addition, the Department of Emergency Medicine has also undertaken the medical service of national conferences for many times, providing medical support for the smooth progress of various large-scale gatherings. Teaching and training: In 2001, the department took the lead in formulating the standardized training program for emergency medicine residents of BeiJin Medical College, and now several residents of the department have completed this five-year emergency medicine residency training program and become the first batch of emergency medicine attending physicians in China in the real sense. In 2004, the Department of Emergency Medicine became the training base for emergency medicine specialists in Beijing, and in March 2008, it trained more than 60 emergency medicine physicians from 10 hospitals in Beijing in the Capital Emergency Medicine Talent Cultivation Program. 2006, the Department of Emergency Medicine became the first training base for emergency nursing teaching in Beijing, and in the subsequent teaching trainings in Beijing, the Department of Emergency Medicine trained more than 200 people for other hospitals in Beijing. Since 2004, the Department of Emergency Medicine has been responsible for teaching emergency medicine to medical students of Peking University, and in the past five years, it has been responsible for the training of medical students from specialties to undergraduates, general practitioners in Beijing and general practitioners in China. In terms of in-hospital continuing education, the Department of Emergency Medicine participates in in-hospital continuing education lectures every year, including the judgment and management of common in-hospital emergencies, influenza prevention and treatment, and cardiopulmonary resuscitation, which fills in the gaps in the continuing education of the Department of Emergency Medicine in the hospital as well as in the teaching of medical students. More>> Department Features and Advantages 1, Emergency Medicine specializing in health care elite is the foundation of the family. The Emergency Department of North University Hospital has an excellent medical team is our most prominent feature. Doctors in the Department of Emergency Medicine have gone through strict and standardized specialized training, including a lot of training outside the Department of Emergency Medicine, as well as rotations in medical and technical departments, laying down solid clinical fundamentals, with outstanding strengths in the identification of conditions, life-saving resuscitation, rapid diagnosis, timely and accurate treatment, etc. The doctors as a whole have very good clinical thinking and are very good at diagnosing and treating patients. The physicians as a whole have very strong clinical thinking and hands-on abilities as well as coordination, response and organizational skills. Each physician above the level of attending has his/her own clinical strengths based on comprehensive development, such as poisoning, cardiovascular emergencies, mechanical ventilation, severe infections, renal replacement therapy, severe pancreatitis, diabetic emergencies, etc. The physicians have a strong sense of learning and ability to learn, and they are able to update their knowledge and concepts in keeping with the times, and they are always at the forefront of learning, practicing, and spreading the latest advances in diagnosis and treatment and resuscitation of emergencies and serious illnesses. The nursing team in the Department of Emergency Medicine is the highlight that we are proud of and the cornerstone of the success of the clinical work in emergency medicine. In addition to accomplishing a large amount of clinical work, the nurses of the Emergency Department have also taken on some nursing teaching and training tasks in the hospital and in Beijing, and have accomplished all the tasks with great success. In the "Double Thousand Days" series of activities of the capital nurses to welcome the Olympic Games, the nursing team of the Emergency Department actively participates in the activities of the hospital and contributes ideas, and dares to meet the challenges in the actual activities, and makes full use of its own advantages to improve the quality of nursing care in emergency and first aid in the special area of the Emergency Department, which reflects the high quality of the nursing team of the Department of Emergency Care. The busier it is, the more it reflects the high quality of the nursing team. In various theoretical knowledge and operation competitions of the hospital and Beijing Municipality, the nursing team of the Emergency Department has won various commendations many times, and now the Emergency Department has become the backbone of the nursing team of the hospital. 2、Balanced and powerful comprehensive strength is a classic feature. Peking University Hospital is a teaching hospital with a long history and tradition, and its biggest feature is the balanced development of various departments and strong comprehensive strength. Our department has inherited this tradition and culture, consolidating the foundation and developing comprehensively. Especially in today's aging society, there is a sudden increase in the number of interdisciplinary and inter-system critical patients, for example, in 2007, the number of resuscitations in our department totaled 5,853 cases, with a resuscitation success rate of 98%, and in 2008, the number of resuscitations totaled 5,179 cases, with a resuscitation success rate of 95.4%. Over the years, our department has successfully treated and rescued a large number of patients with difficult multi-system organ damage, and at the same time, the level of the team has been improving in a large number of practices. 3, excellent medical and nursing talent convergence and solid comprehensive strength is reflected in the emergency department of Beida rescue success rate over the years is located in more than 92%, among the forefront of the industry. The newly remodeled Emergency Department is expected to be opened in 3 years, when the hardware environment will be fundamentally improved, which is also expected by the emergency medicine people of NU and the majority of acute and critical patients***. Department Experts Li Xiuqing | Chen Xuyan | Xiong Hui | Wang Bo | Tan Wei |