Emergency Department

The emergency department of the First Affiliated Hospital of Tianjin University of Chinese Medicine consists of two departments: the South Hospital Emergency Department and the North Hospital Emergency Department: 1. South Hospital Emergency Department The South Hospital Emergency Department was established in 1991 and is a first-level clinical department. Over the years, it has continued to grow through continuous development. It has become one of the first batch of Chinese medicine and integrated Chinese and Western medicine clinical emergency base construction project units of the Central Administration of China, a key specialist abort team, a key specialty of the State Administration of Traditional Chinese Medicine during the "11th Five-Year Plan" and "12th Five-Year Plan", a training base for acute infection regulation and treatment of the China Emergency Specialty Medical Alliance, the chairman unit of the Tianjin Traditional Chinese Medicine Emergency Specialty Alliance, the first batch of member units of the China Emergency Quality Control Alliance, a Tianjin labor competition demonstration collective, and a Tianjin municipal teaching team; Tianjin’s emergency medicine base for standardized training of resident doctors focuses on comprehensive treatment of various critical and severe diseases as its clinical focus. Obtained the right to confer master's degrees in 2003. The Emergency Department of South Hospital currently has three departments: emergency observation, emergency ward, and comprehensive ICU. It has 32 observation beds, 3 emergency rescue beds, 44 emergency ward beds, and 14 ICU beds. The discipline has established an academic team with reasonable academic echelon and strong reserve force.It currently has 34 medical staff, including 8 chief physicians, 14 deputy chief physicians, 6 doctors, 27 masters, 1 academic leader, 1 national outstanding clinical talent of traditional Chinese medicine, 1 middle- and senior-level talent in Tianjin’s first batch of western medicine, and 1 candidate for the third level of Tianjin’s innovative talent training project. It has a series of first-aid equipment that ranks among the city's advanced levels. Under the guidance of deputy director Liu Xinqiao, the subject leader, and under the leadership of department director Li Guiwei and department deputy director Liu Yi, the Emergency Department of South Hospital has established a "trinity" all-round diagnosis and treatment system with the emergency outpatient department as the window, the emergency ward as the basis, and the emergency ICU as the core. He has carried out a number of clinical scientific research and written a large number of medical papers, forming a three-integrated medical model of "integration of Chinese and Western medicine, acupuncture and medicine, and internal and external medicine". Discipline Introduction: The construction of the Emergency Department of South Hospital started early and has developed steadily. For many years, we have always regarded "the urgent needs of patients and the needs of patients" as our treatment philosophy. The discipline takes the integration of traditional Chinese and Western medicine in the treatment of clinical emergencies, critical and severe diseases as the main research idea, and strives to establish a comprehensive integrated traditional Chinese and Western medicine clinical emergency, critical and severe treatment system. It is a discipline that integrates medical care, teaching and scientific research covering pre-hospital first aid, emergency treatment, and critical illness treatment.Highlight the clinical guiding ideology of traditional Chinese medicine to prevent disease before it becomes ill and prevent the disease from becoming worse, and continuously improve the effectiveness of integrated traditional Chinese and Western medicine in the diagnosis and treatment of critical and severe cases. The discipline adheres to extensive research in the field of TCM first aid, which effectively promotes the academic development and progress of the discipline. Create a three-in-one emergency medical model of "combination of Chinese and Western medicine, combination of acupuncture and medicine, and combination of internal and external medicine". While using advanced modern medical treatment methods, we actively apply traditional Chinese medicine and acupuncture therapy to the treatment of emergency and critical illness. TCM syndrome differentiation and treatment for critically ill patients do not lose the essence of TCM, and active treatment with Western medicine is in line with evidence-based medicine. Pay attention to basic and clinical research, and strengthen basic research on clinical emergencies based on subject characteristics to provide a basis for improving clinical efficacy. Discipline construction implements the discipline leader responsibility system, implements standardized and scientific construction and management, formulates discipline construction plans, and encourages innovation and exchanges. For example, innovative management systems such as subject-based management have been implemented, operation management systems and procedures have been established and improved, and standard operating procedures (SOPs) have been established for a number of technologies to ensure the healthy development of the discipline.The discipline is responsible for critical emergency rescue and hospital-wide rescue consultation work. It has the ability to handle emergency emergencies, can skillfully use a variety of emergency operation skills, and has carried out a series of emergency rescue work integrating traditional Chinese and Western medicine. Future construction direction: This discipline has earlier put forward the academic viewpoint of the protective effect of acupuncture on the heart, brain, and gastrointestinal tract in critical illness, and has a high academic status among similar disciplines. It also features the protective effect of acupuncture on the heart and brain in critical illness, the therapeutic effect of traditional Chinese medicine on syncope syndrome, and the therapeutic effect of traditional Chinese medicine on sepsis and multiple organ dysfunction syndrome. In the future, the Emergency Department of South Hospital will continue to develop and expand research directions, explore, organize, and summarize clinical diagnosis and treatment methods of traditional Chinese medicine and integrated traditional Chinese and Western medicine in the treatment of acute and critical illness, inherit the academic thoughts and clinical experience of famous traditional Chinese medicine experts, and formulate diagnosis and treatment standards. Emphasis is placed on highlighting the characteristics of traditional Chinese medicine in clinical diagnosis and treatment of acute, critical and severe cases, and actively applying traditional Chinese medicine and acupuncture therapy to the treatment of acute, critical and severe cases while using advanced modern medical treatment methods. Improve the emergency treatment model with the characteristics of "three combinations", that is, "combination of Chinese and Western medicine, combination of acupuncture and medicine, and combination of internal and external medicine". TCM syndrome differentiation and treatment for critically ill patients do not lose the essence of TCM, and active treatment with Western medicine is in line with evidence-based medicine.Pay attention to basic and clinical research, and strengthen basic research on clinical emergencies based on subject characteristics to provide a basis for improving clinical efficacy. Basic research now focuses on both acupuncture and medicine, using multiple mechanisms to improve curative effect, and further systematically explores, summarizes, promotes, and applies acupuncture, traditional Chinese medicine, and other characteristic traditional Chinese medicine emergency diagnosis and treatment technologies to improve the level of traditional Chinese medicine in the treatment of acute and critical illnesses. 2. The Emergency Department of the North Hospital The Emergency Department of the North Hospital is characterized by integrated traditional Chinese and Western medicine treatment, and mainly treats difficult, critical, and diverse and complex patients. The department has rich experience in the diagnosis and treatment of difficult febrile diseases, various infectious diseases, cardiovascular system, nervous system, digestive system, urinary system, blood system, rheumatic diseases, common emergency diseases, and various difficult diseases. It adopts the treatment and nursing technology of integrated traditional Chinese and Western medicine to achieve the best therapeutic effect for patients. Over the years, the medical staff of the department have been studying technology, taking root in clinical practice, and serving patients in a down-to-earth manner.It has successfully diagnosed the first case of type B insulin resistance in Tianjin, successfully diagnosed and treated a case of atypical adult Still's disease, successfully cured a case of hypophysitis and type 1 diabetes caused by a PD-1 inhibitor, successfully diagnosed and treated a case of atypical POMES syndrome, etc. There are countless such cases of successful diagnosis and cure of patients. It has established a good reputation among patients and their families, and patients come here in droves. The Emergency Department of the North Hospital is a department with great love. Under the leadership of department director Wang Qingquan, all medical staff work hard and contribute silently. They have repeatedly helped patients and their families in difficulty solve practical problems, such as advance hospitalization fees and return tickets. Their sincere dedication and love for patients have become the daily work of all the medical staff in the Emergency Department of the North Hospital, and they have gained the recognition and trust of patients. In the fight against the epidemic, all medical staff in the Emergency Department of the North Hospital actively responded to the call and supported Shanghai, Hainan and designated hospitals. With the adjustment of epidemic prevention and control policies and measures, the focus of work has shifted from infection prevention and control to medical treatment. The number of patients admitted and admitted has increased sharply in a short period of time. The medical staff in the department are facing more arduous tests. In the face of difficulties, they have not flinched and persisted day and night.The department gives full play to the characteristics and advantages of traditional Chinese medicine, scientifically provides medical treatment, strives to improve critical illness rescue capabilities, and uses the sincere love of emergency responders to interpret the benevolence and loyalty of doctors with practical actions.