Emergency Medicine
Overview
Since the establishment of SRRSH, the Department of Emergency Medicine has gathered emergency medicine experts and management elites from both China and the United States. Based on the United States management model and in line with China's national conditions, the department has achieved remarkable success in academic development and has played a significant role in emergency services. Currently, the Department of Emergency Medicine has over 40 doctors, including 5 who hold senior titles, many with international study experience, and more than 66% possess doctoral or master's degrees.
Thanks to the platform of Zhejiang University and the direct cooperation with Loma Linda University Health and Mayo Clinic in the United States, it has set up one center and three clinical sub-specialties and has become a well-known large-scale healthcare unit in Zhejiang Province. The department now has 51 staff members, 14 of whom are senior professional technicians, 11 of whom have obtained doctoral degrees and 22 master's degrees. Nearly half of the doctors have studied in European and American countries. The department is well-structured in terms of team members’ academic achievements, fueled further by strong technical support. With increasing momentum, it endeavors to become a first-class center integrating medical treatment, teaching and scientific research at home and a renowned one abroad.
The Department of Emergency Medicine at Qingchun Campus includes areas such as the emergency resuscitation room, observation room, consultation room, inpatient ward, and intensive care units. It hosts several national centers including an advanced stroke center, an advanced chest pain center, and a demonstration center for the rapid treatment of acute upper gastrointestinal bleeding through emergency channels. The department is equipped with bedside ultrasound, CRRT machines, ECMO machines, 5G+AR systems, ventilators, bronchoscopes, gastroscopes, urodynamic monitors, and cerebral oxygen monitors. Routine procedures include critical care ultrasonography, contrast-enhanced ultrasound, blood purification, ECMO, 5G+AR cloud emergency services, mechanical ventilation, bedside percutaneous tracheostomy guided by bronchoscopy, bedside percutaneous gastrostomy guided by gastroscopy, dynamic monitoring of intra-abdominal pressure, and dynamic monitoring of brain function. The department not only deals with the treatment of various critically ill patients but also undertakes medical support tasks for large conferences and events. The department boasts a comprehensive simulation teaching system and a standardized training base for emergency medicine residents in Zhejiang Province.
Technical advantages
The Department of Emergency Medicine has created the SRRSH characteristic Emergency MDT (Multi-disciplinary Team) approach to comprehensive diagnosis and treatment. The Emergency MDT consists of emergency medicine physicians, nurses, relevant specialist physicians, respiratory therapists, acute pain management teams, nutritionists, rehabilitation therapists, pharmacists, and other members, who participate together in the routine management of patients.
The Emergency Medicine Department has taken the lead in independently developing a large national collaborative platform for emergency medical aid based on 5G+AR cloud technology. This platform, representing the highest communication efficiency, empowers pre-hospital emergency care with 5G+AR technology, breaking through the limitations of cumbersome online consultation data transfer and poor signal stability. Primary care physicians wear mobile AR devices to connect remotely with provincial medical experts, transmitting patient conditions to the provincial consultation platform via a 5G network. Provincial medical experts can make judgments from a "first-person perspective" and offer treatment guidance through real-time annotations, screen sharing, and other functions, achieving a dynamic extension of provincial emergency medical resources across the nation.
The Emergency Medicine Department possesses rapid recovery methods for critically ill patients, characterized by minimally invasive surgery. For eligible neurologically severe patients, minimally invasive techniques represented by PENLIGHT (Percutaneous ENdoscopIc Gastrostomy and Tracheostomy) are implemented. These involve percutaneous tracheostomy guided by fibrobronchoscopy combined with percutaneous gastrostomy guided by gastroscopy. By establishing two lifelines for airway and nutrition, this approach lays a solid foundation for the transition of critically ill patients, significantly reducing their ICU stay. It offers the possibility of rapid recovery for critically ill patients and provides options for diverting such patients to community hospitals, rehabilitation institutions, or home.
The department has established a problem-oriented, goal-directed management system. In line with its own disciplinary characteristics and relying on the EICU (Emergency Intensive Care Unit) daily checklist, such as checklists and daily goals, it implements problem-oriented, goal-directed management to maximize the effectiveness of medical treatment and ensure patient safety.
Academic status
National Health Commission Specialty Residency Training Base
Sepsis and Multiple Organ Dysfunction Syndrome Diagnosis and Treatment
Academic Exchange and Standard-Setting Base
Innovation Medical Technology Center
Simulation Medical Education Center
Smart First Aid and Telemedicine Research Center
Research achievements
In 2020, 2021, and 2022, the department was ranked fifth, fourth, and fifth respectively in the national rankings for Science, Technology, and Economic Metrics (STEM) in Emergency Medicine among Chinese hospitals. The Department of Emergency Medicine has primarily focused on conducting a series of studies related to the precise diagnosis and treatment of sepsis, and the application of 5G+AR technology. In recent years, the department has been dedicated to precision diagnostic and therapeutic research for critical and severe conditions such as sepsis, septic shock, and acute respiratory distress syndrome (ARDS) associated with sepsis.
The department has also explored the application value of new AI algorithms in the field of critical care. Initially, research focused on leveraging medical health electronic records and genomic big data, employing machine learning algorithms to conduct risk stratification, disease classification, and causal inference. This series of original research results, with the department members as the first author/corresponding author, have been published in more than 50 full-length articles in authoritative journals such as Intensive Care Med (IF = 41.79), Crit Care (IF = 19.36), E Clinical Medicine (IF = 17.03), and NPJ Digit Med (IF = 15.4). These studies have been cited in several international guidelines. In terms of the aforementioned research, the department has obtained multiple grants from the National Natural Science Foundation and key R&D support from the Ministry of Science and Technology, received four invention patents, and a first prize of the provincial medical science and technology award. The department has participated in the compilation of Standardized Training Textbook for Emergency Medicine in China (published by the People's Health Publishing House), General Practice (published by the People's Health Publishing House), and Chinese Trauma Treatment Course CTCT-B, and hosted two professional academic journals — Journal of Emergency and Critical Care Medicine and Clinical and Education in General Practice.