Emergency Medical Centre

The Emergency Center (Emergency Department) of Shandong Provincial Hospital was established in the early 1980s. It was one of the first 14 emergency departments established in my country and pioneered emergency medicine in Shandong Province. As one of the birthplaces of emergency medicine in the province, the department has established a development orientation of "high starting point, full configuration, and large scale" since its establishment. After more than 40 years of hard development, it has now become a regional emergency and critical care diagnosis and treatment center integrating medical care, teaching, scientific research, and emergency rescue. It is responsible for the diagnosis, treatment, and rescue of critical and severe patients in Jinan City and the central and western regions of Shandong Province. The service radius covers central Shandong, western Shandong, southern Shandong, and northwestern Shandong, with an annual population of more than 10 million.

Discipline status and platform construction

As a leading unit in the field of emergency medicine in Shandong Province, the department is currently a key clinical specialty in Shandong Province. It also serves as the chairman unit of the Emergency Physician Branch of the Shandong Physician Association, the Emergency Physician Branch of the Shandong Medical Association, and the Poisoning and Occupational Disease Branch of the Shandong Physician Association. It is the chairman unit of the Shandong Province Emergency Specialty Medical Consortium and the vice-chairman unit of the China Emergency Specialty Medical Consortium. Relying on its strong disciplinary influence, the department has taken the lead in building three national-level platforms: chest pain center, stroke center, and trauma center. It has established multiple green channels for acute myocardial infarction, acute stroke, and severe trauma. It has achieved rapid identification, standardized treatment, and efficient transportation of critically ill patients, and has significantly reduced the disability and mortality rates of cardiovascular, cerebrovascular, and trauma patients in the region.

Organizational structure and hardware configuration

The emergency center is composed of the central campus and the Olympic Sports Campus. The two campuses are under unified management and homogeneous operation, forming a development pattern of "one department, two districts". Each campus has four major functional units: emergency outpatient clinic, emergency rescue room, emergency ward, and emergency care unit, establishing a full-chain treatment system from pre-hospital first aid to in-hospital treatment, and from emergency treatment to intensive care. Currently, the emergency rescue rooms of the two hospitals have a rated capacity of 24 beds (with an additional 6 spare beds), and the maximum capacity can be expanded to 45 beds, ensuring emergency treatment capabilities in public health emergencies and mass injury incidents. The emergency observation room has 44 beds, the emergency ward has 49 beds, and the emergency ICU has 18 beds, forming a patient admission and treatment system with reasonable gradients and complementary functions.

In terms of hardware equipment, the department is equipped with world-class first aid and life support equipment, including multifunctional ventilators, continuous blood purification devices, extracorporeal membrane oxygenation systems, mild hypothermia therapeutic devices, pulse-indicating continuous cardiac output monitors, bedside ultrasound, intra-aortic balloon counterpulsation pumps and other advanced instruments, which can meet the life support needs of all types of critically ill patients. At the same time, the department has built an information-based emergency platform to realize real-time sharing of patient information, full tracking of the treatment process, and dynamic monitoring of quality indicators.

Talent team and subject team

The department attaches great importance to the construction of talent echelon and has created a professional emergency team with reasonable structure, excellent quality and superb technology. Currently, the two hospitals have a total of 40 emergency physicians, including 6 with senior professional titles and 8 with deputy senior professional titles; 15 have doctoral degrees, 25 have master's degrees, and a nursing team of more than 220 people, including more than 30 emergency specialist nurses at or above the provincial level, forming a high-quality emergency nursing team. In recent years, the department has selected key personnel to go to well-known emergency centers in the United States, Germany, Japan and other countries and regions for training and exchanges, introducing advanced international concepts and technologies, and continuously improving the team's professional capabilities.

Emergency rescue and public health protection

As the department responsible for the only national emergency medical rescue team in Shandong Province, the emergency center is the core force and strategic reserve force for emergency medical rescue in our province. The department currently has 3 national-level and provincial-level emergency rescue experts and 6 national-level health emergency team members. They conduct field training for no less than 20 days every year and regularly participate in cross-regional and cross-provincial emergency drills. In recent years, the department has undertaken medical rescue missions for major emergencies such as the Wenchuan Earthquake, Yushu Earthquake, Tianjin Port Explosion, and the COVID-19 Epidemic, and has performed many foreign aid medical missions, demonstrating excellent emergency response capabilities and a high sense of social responsibility. At the same time, as the leading unit for diagnosis and treatment of poisoning and occupational diseases in Shandong Province, the department has accumulated rich experience in handling acute poisoning incidents and medical rescue of chemical leakage accidents, and has established a poisoning information monitoring and emergency rescue network covering the entire province.

Scientific research innovation and academic achievements

The department always adheres to the concept of "paying equal attention to clinical and scientific research, and innovation-driven development" and relies on abundant clinical resources to carry out high-level scientific research. Undertaken a number of national-level scientific research projects, including the National Natural Science Foundation, National Science and Technology Support Plan, etc. Undertakes a number of provincial and ministerial-level and department-level projects, covering the Provincial Natural Science Foundation, the Provincial Medical and Health Science and Technology Development Plan, the Provincial Traditional Chinese Medicine Project, etc. There are ample scientific research funds, with a single person’s research funding reaching 2.5 million yuan, providing a solid guarantee for high-level research. Many experts have published SCI papers as the first author or corresponding author. A single person has published more than 20 papers, including 12 first/corresponding authors. He has won many scientific research awards such as the Shandong Provincial Science Progress Award, the Shandong Provincial Medical Science and Technology Progress Award, the third prize of the Chinese Medical Association Science and Technology Progress Award, and the Shandong Medical Science and Technology Award. It has a number of utility model patents, reflecting its clinical technology innovation capabilities. Many of them have overseas study or postdoctoral experience, such as the University of California, Los Angeles, State University of New York Downstate Medical Center, etc., and have an international academic perspective. He holds international qualifications such as the American AHA Life Support BLS training instructor and the Hong Kong Poison Control Center course instructor to promote first aid training to be in line with international standards. To sum up, the Emergency Center of Shandong Provincial Hospital has formed a systematic and stable scientific research layout in the fields of critical illness, cardiovascular emergencies, poisoning and occupational diseases, sepsis mechanisms, and critical illness technology (ECMO, IABP, PICCO, critical illness ultrasound, etc.). It has high-level scientific research projects, excellent paper quality, and strong academic influence. It has solid scientific research strength and good development potential.

Clinical diagnosis, treatment and technical features

The department adheres to the clinical foundation, with emergency and critical care as the core, and with the diagnosis and treatment of difficult and complicated diseases as its characteristics, it continues to optimize the diagnosis and treatment process and improve the quality of treatment. The department focuses on the development of comprehensive treatment in the fields of cardiovascular and cerebrovascular emergencies, acute poisoning, multiple organ failure, severe trauma, etc. It can independently carry out emergency interventional treatment for acute myocardial infarction, permanent pacemaker implantation, bedside blood purification, invasive and non-invasive respiratory support, mild hypothermia treatment, bedside ultrasound monitoring, ECMO support, IABP assisted circulation and many other life support technologies. In recent years, the department has continuously promoted the integrated development of emergency interventional treatment, emergency minimally invasive technology, and emergency ultrasound technology, forming a comprehensive diagnosis and treatment model for acute and critical illness with emergency care as a platform and multidisciplinary collaboration.

Medical service volume and regional influence

With its strong comprehensive strength and efficient operating mechanism, the department’s annual number of emergency patients continues to rise. Currently, it receives an average of about 200,000 emergency patients per year, treats more than 2,800 inpatients annually, and completes more than 2,000 emergency operations annually. Among them, the annual number of emergency interventional treatments for acute myocardial infarction exceeds 600, and the D-to-B time (time from entry to balloon dilation) is controlled within 60 minutes, which is better than the standard recommended by international guidelines; more than 300 cases of intravenous thrombolysis and arterial thrombectomy for acute ischemic stroke are performed annually, and the median DNT time (time from entry to thrombolysis) is controlled within 40 minutes. The department has been ranked at the forefront in the evaluation of emergency medicine professional medical service capabilities in Shandong Province for many consecutive years, and its regional radiating and driving role has been significantly enhanced.

Discipline Vision and Development Plan

Standing at a new historical starting point, we anchor the construction goal of "international first-class emergency medicine department", adhere to the development idea of ​​"based on medical care, supported by teaching, and guided by scientific research", continue to strengthen the construction of talent team, optimize the layout of disciplines, deepen the construction of sub-specialties, and expand international cooperation and exchanges. In the next three years, the department will focus on promoting the three strategic tasks of building a large emergency platform, building an emergency medicine clinical research center, and building a standardized training base for emergency specialists, striving to become a domestically leading and internationally renowned critical and critical treatment center, emergency rescue base and emergency medicine talent training highland, and contribute more to the construction of a healthy Shandong and a healthy China.

Cultural concept and service purpose

The department always adheres to the first aid concept of "life first, every second counts", adheres to the service tenet of "patient-centered, quality-oriented", and regards medical safety and quality as the cornerstone of the department's development. In daily work, the department focuses on creating a team culture of unity, collaboration, dedication, and pursuit of excellence, and integrates the cultural concepts of Xiehe Emergency Department into system construction and behavioral norms to continuously improve patients’ medical experience and employees’ sense of career gain. Facing the future, the department will continue to carry forward the emergency spirit of "especially able to endure hardship, especially able to fight, and especially able to contribute", and protect the lives and health of the people with a more open attitude, a more pragmatic style, and more sophisticated technology.