Zhongshan Hospital Xiamen University

Emergency Department

Introduction to the Emergency Department of Zhongshan Hospital Affiliated with Xiamen University Preface The Emergency Department of Zhongshan Hospital Affiliated with Xiamen University serves as the hospital’s external-facing window. It undertakes the initial evaluation, reception, and rescue of all types of acute and critical patients at the hospital, while also undertaking emergency treatment for various public health events and sudden emergencies. The Department of Emergency Medicine has integrated emergency care, emergency rescue, and intensive care into one, and can provide one-stop emergency medical services without intermediate transfer for patients with acute and critical illnesses. The emergency and critical care subspecialty can further integrate the strengths of emergency medicine and critical care medicine and implement seamless links in the treatment of critically ill patients. Our hospital’s Emergency Department is the largest comprehensive emergency department in southwestern Fujian in terms of scale and staffing. It has an integrated treatment system comprising emergency internal medicine, emergency surgery, a resuscitation room, an emergency infusion observation room, emergency wards (a trauma surgery ward and an emergency internal medicine ward), and an emergency ICU. Our department’s annual emergency volume (excluding the service volume of emergency pediatrics, emergency neurology, emergency gynecology, emergency otolaryngology, emergency ophthalmology, and emergency stomatology) is approximately 220,000 visits/year, and its annual rescue volume exceeds 20,000 visits, ranking among the top in Fujian Province. It handles nearly 1/2 of the patients transported by 120 within Xiamen Island, while also receiving a large number of critically ill patients transferred from Zhangzhou, Quanzhou, and Longyan, making it the emergency department with the strongest technical capabilities in southwestern Fujian. The Emergency Department has 70 beds in total, including 10 in the resuscitation room, 10 in the emergency ICU, 30 in the emergency ward, and 20 in the infusion observation room. This integrated treatment system shortens to the greatest extent the rescue time and distance for critically ill patients to reach the ICU, greatly increases the speed of rescue for critically ill patients, and improves the rescue success rate. Introduction to the Emergency ICU of Zhongshan Hospital Affiliated with Xiamen University The emergency ICU is an important component of the Emergency Department. Established in 2002, it was the earliest comprehensive ICU established in Xiamen. After more than 20 years of development, it has become a professional discipline with advanced diagnostic and treatment capabilities and recognition within the industry in the province. It is currently a key specialty in critical care medicine in Fujian Province, a member institution of the China Critical Care Ultrasound Study Group (CCUSG), a member of the Xiamen Critical Care Medicine Branch, a member institution for critical care medicine quality control, and a member institution of the Critical Care Alliance and the Critical Care Medicine Branch of the Fujian Strait Medical and Health Exchange Association. The department has a professional medical and nursing team that loves the medical profession and is highly educated, highly capable, and highly skilled. The team strives for excellence, advances boldly, and safeguards the lives of critically ill patients. It includes 5 professionals with senior professional titles in critical care medicine, 1 medical doctor, and 18 medical master’s degree holders. The emergency ICU covers multiple fields, including critical respiratory, cardiac, neurological, renal, nutritional, and ultrasound care, as well as 7 subspecialties: septic shock, severe pancreatitis, ECPR, poisoning, multiple organ dysfunction, critical care rehabilitation, and critical care nursing. It is proficient in carrying out techniques including ECMO, extracorporeal cardiopulmonary resuscitation, ventilator treatment, continuous blood purification, bedside ultrasound, and percutaneous tracheotomy guided by fiberoptic bronchoscopy. As a national-level standardized residency training base for the emergency medicine specialty and a master’s student training institution of Fujian Medical University and Xiamen University School of Medicine, the Emergency Department has supplied society with outstanding emergency and critical care professionals, saved the lives of countless emergency and critically ill patients, and gained a strong social reputation. Introduction to the Emergency Internal Medicine Department of Zhongshan Hospital Affiliated with Xiamen University Emergency internal medicine is an important component of the Emergency Department and is a planned key discipline of Xiamen City. The ward has a total of 20＋ beds and is one of the hospital’s important general wards. Its medical and nursing staff have extensive experience and strong professional capabilities. It currently has 4 chief physicians, 12 deputy chief physicians, and 14 attending and resident physicians. After decades of dedicated work, our department has extensive experience in treating various difficult and complicated diseases, fever of unknown origin, acute poisoning, insect-borne bites, gastrointestinal bleeding, pancreatitis, respiratory diseases, diabetic emergencies, and other conditions. Particularly in an aging society, patients often simultaneously have hypertension, diabetes, chronic pulmonary diseases, and other multisystem diseases; comprehensive treatment of multisystem diseases is the most distinctive skill of the emergency ward. The Emergency Department is a national standardized training base for emergency medicine specialists and a degree-granting institution for master’s degrees in emergency medicine. Through the efforts of several generations, it has now developed into a highly specialized emergency medicine discipline integrating scientific research, medical care, and teaching. The department has comprehensive management and training systems for graduate students, visiting trainees, standardized trainees, and intern physicians. It regularly organizes departmental professional study, difficult case discussions, and literature study, continuously supplying major hospitals with young talent. We always adhere to a patient-centered approach, strictly manage medical quality, and earn the trust and support of the general public through outstanding medical skills.