Critical Care Medicine

The Department of Critical Care Medicine was established in 2002. Currently, a critical care medicine center has been established, which is associated with 4 core wards and 12 specialist wards. There are 130 comprehensive ICU beds and 149 specialist ICU beds. In the past three years, more than 2,000 patients have been discharged annually, and about 5,000 patients have been admitted annually. The school has strong talents in the discipline, including 1 expert with special government allowance from the State Council, 1 recipient of the National Outstanding Youth Fund, 1 deputy director of the Critical Care Medicine Branch of the Chinese Medical Association, 1 deputy director of the Critical Care Professional Committee of the Chinese Nursing Association, and 1 standing committee member of the Critical Care Physician Branch of the Chinese Medical Doctor Association. In the past three years, there have been 2 Taishan Scholar Young Experts, 2 Critical Care Medicine Young Scientists of the Chinese Medical Association, 5 Critical Care Young Scientists of Shandong Province, 6 doctoral supervisors, and 16 master's degree supervisors.

1.Specialty scale

Ward settings: There are currently four wards with 130 beds (central campus: 21 in the first ward, 18 in the second ward, and 20 in the third ward; 71 in the Olympic Sports Campus)

Existing platform: The Department of Critical Care Medicine is a member of the Standing Committee of the Critical Care Medicine Branch of the Chinese Medical Association, a National Key Clinical Specialty Construction Project of the National Health Commission, a member of the National Quality Control Center, the candidate chairman unit of the Critical Care Medicine Branch of the Shandong Provincial Medical Association, the chairman unit of the Critical Care Medicine Physician Branch of the Shandong Physicians Association, an affiliated unit of the Shandong Provincial Critical Care Medicine Quality Control Center, a Shandong Provincial Health Key Laboratory, and the first batch of national standardized training bases for critical care medicine physicians. The cloud ICU created is a domestic information-based diagnosis and treatment, continuing education, and academic exchange platform for high-level critically ill patients, and has achieved huge international and domestic influence. Relying on Shandong University and Shandong First Medical University, the Medical-Industrial Interdisciplinary Research Institute has been established, and an information-based, professional and standardized public service platform for clinical research has been built. A sepsis database and sepsis sample bank have been constructed, including tens of thousands of cases. An integrated development model that combines medicine, teaching and research, and integrates industry, academia and research has been established.

2. Department management:

The Department of Critical Care Medicine implements integrated management of four wards. This model has significantly improved management efficiency, resource sharing and team collaboration. The department has a unified management team, which is responsible for formulating overall planning and management standards, and ensuring that each ward remains consistent in terms of medical services, team building, and scientific research and innovation. Through this centralized management, departments can flexibly allocate resources, optimize the use of medical staff and equipment according to patient needs and disease severity, ensure mutual support between wards, and avoid resource waste. In addition, integrated management also promotes multidisciplinary collaboration and professional division of labor, so medical staff can share knowledge and experience and solve complex severe cases more effectively. The department adheres to the patient-centered service concept, and unified management ensures smoother transfer and care of patients in different wards, providing all-round communication and care. At the same time, the department conducts regular quality inspections and evaluations to promote continuous improvement and quality improvement. Through these measures, the Department of Critical Care Medicine has achieved steady improvement in the quality of medical services under the integrated management of the four wards, ensuring that patients receive the best treatment and care.

An informatized, professional and standardized clinical research public service platform has been built, with complete supporting medical technology departments, medical facilities, equipment and a reasonable talent echelon that can meet the needs of medical treatment, teaching, scientific research and prevention. Relying on the cloud ICU platform, the critical illness information management system and critical illness medical quality control management system are gradually being launched to serve ICU medical staff and improve work efficiency and medical service quality. Achieve standardization and homogeneity of critical illness diagnosis and treatment in each ward.

3. Scope of diagnosis and treatment:

The Department of Critical Care Medicine of Shandong Provincial Hospital is a clinical specialty that integrates clinical, teaching and scientific research. It has a unified clinical treatment system for critically ill patients and has comprehensive diagnosis and treatment capabilities for common, complex and difficult severe diseases. In the past three years, the cases treated cover more than 75% of the list of difficult and severe diseases. It can carry out all current severe diagnosis and treatment projects and has a scientific and complete critical treatment process.

Discipline features include: sepsis diagnosis and treatment, extracorporeal life support, acute kidney injury, and telemedicine. The discipline has been clearly divided into subspecialties, including twelve subspecialties such as cardiac critical care, trauma critical care, digestive critical care, neurological critical care, obstetric critical care, neonatal critical care, and pediatric critical care. It was the first to establish a cloud ICU platform in China in 2012, established the Cloud ICU Alliance in September 2017, took the lead in establishing the Shandong First Medical University Critical Care Medicine Alliance in March 2021, established the Yellow River Critical Care Medicine Alliance in June 2021, and established the Shandong Severe Pneumonia Health Medical Big Data Technology Innovation Alliance in August 2021. So far, the Department of Critical Care Medicine has become the largest critical care specialty alliance with the widest coverage and the strongest radiation capabilities in Shandong Province. As the leading unit of the Shandong Provincial Critical Care Medicine Quality Control Center, it participates in the formulation and compilation of critical care medical quality and safety evaluation indicators, and establishes a regional critical care medicine quality management and control system. The comprehensive strength of the Department of Critical Care Medicine in Fudan has been ranked first in the province for 17 consecutive years, and the comprehensive ranking of Fudan’s Critical Care Medicine specialty has been among the top 10 in the country for 6 consecutive years.

The department is equipped with the most advanced invasive and non-invasive ventilators and monitors, invasive hemodynamic monitoring systems such as bedside ultrasound, PICCO, and USCOM, and neurological monitoring systems such as anesthesia depth detectors, quantitative electroencephalographs, and medical event-related potential meters for recovery of consciousness. It has always led the province in medical technology and is committed to technology promotion and personnel training: Shandong Province was the first to carry out bedside bronchoscopy and alveolar lavage, and has held more than ten consecutive study classes to popularize this technology, with remarkable results; it is the only department in the province that can independently carry out bedside fiberoptic gastroscopy and colonoscopy. It is one of the few departments in the province equipped with full-time respiratory therapists and rehabilitation therapists. It was the first department to implement prone position ventilation therapy and promoted it to the whole province. It was the first department in the province to promote bedside critical ultrasound and portable handheld ultrasound technology. It has held ultrasound application training courses for five consecutive years to train people. Trained hundreds of students; cooperated with Professor Ren Jian'an of the Eastern Theater Command General Hospital to establish a severe acute pancreatitis and complex abdominal infection diagnosis and treatment center. The treatment level has reached the first-class level in the country. It can independently perform puncture, catheter drainage and endoscopic treatment of peripancreatic fluid accumulation and necrotic tissue; established an ECMO center and a team It is on call 24 hours a day, can complete remote boarding and transfer, and radiates to surrounding cities and counties. In 2021, more than 30 cases have been completed. It has been approved as an ECMO training base in Shandong Province, including routine IABP, CRRT, artificial liver and other life support technologies, and has the first-class domestic critical care treatment capabilities.

As the highest-level platform for the diagnosis and treatment of critically ill patients in Shandong Province, in addition to the daily treatment of critically ill patients, it also undertakes the following functions: ① Organize the creation of ICUs in hospitals at all levels; ② Undertake technical guidance, application, review, quality control and other tasks for provincial, municipal and county-level ICUs; ③ Carry out critical care skills training across the province to ensure homogeneous development and promote the latest technology; ④ Establish an information management system for critical care across the province based on network platforms.