The Emergency Department of the Second Affiliated Hospital of Xi'an Jiaotong University, established in 1987, is one of the earliest emergency specialized department in China. With 130 staff, it has an integrated emergency system covering emergency flow area, resuscitation room, emergency observation area, emergency infusion area, emergency general ward and emergency intensive care unit (EICU). The department is mainly responsible for providing emergency care and critical medical care for inpatients and outpatients. Its comprehensive strength ranks high in Northwest China.
The Emergency Department is a national key clinical specialty, the chairman unit of the Shaanxi Provincial Emergency Medical Quality Control Center, the training base of Shaanxi province ICU nurses, and the chairman unit of Emergency Medicine Branch of the Xi'an Medical Association. It is an awarding point for Master and Doctor of clinic medicine. There are 42 doctors, among which 4 are chief doctors and 6 deputy chief doctors, 7 have doctoral degrees. 80 % of them have master degree or above. There are 1 doctoral supervisor and 5 masters supervisors. 13 staff have served as chairman, deputy chairman, standing committee member, secretary and member of national, provincial and municipal associations.
Routine diagnosis and treatments in the department include advanced cardiopulmonary resuscitation, multi-dimensional treatment of post-cardiac arrest syndrome, visual laryngoscopic tracheal intubation, respiratory support, invasive/non-invasive hemodynamic monitoring (NICaS, Vigileo, PICCO, etc.), bedside biochemical tests ( Advanced diagnosis and treatment schemes such as POCT), extracorporeal membrane oxygenation (ECMO), bedside fiberoptic bronchoscopy, bedside ultrasound, bedside blood purification, brain wave dual frequency monitoring of (BIS), early path-therapy of paraquat poisoning, standardized treatment of severe acute pancreatitis, etc. We are remarkably strong at the treatment of multiple organ failure, sepsis, multiple injuries, poisoning, acute cardiopulmonary failure, etc.
The Emergency Department undertakes the teaching and training of 5/7-year medical students, overseas students, resident doctors, refresher doctors and general practitioners. More than 20 postgraduates, 200 resident doctors, and hundreds of refresher doctors from all over the country have be trained. Several teaching reform projects have been carried out successively, and dozens of teaching achievements have been published, earning us 1 school-level teaching achievement award. 18 sessions of “The National Continuing Medical Education Classes” have been held. We often invite famous scholars from China or abroad for academic exchange in critical care medicine, and have developed extensive cooperation with the emergency department and ICU in teaching hospitals of universities of Taiwan, Australia, Germany, and the United States. Our emergency medicine course was awarded as a top-quality course at school level and provincial level in 2008 and 2009.
The pattern of "clinic - scientific research - clinic" is widely used in Emergency Department. Up to now, over 40 scientific research projects, at school, provincial, and the national level, have been held; more than 300 research papers, SCI included, were published; 3 national patents of invention were awarded. One staff was selected into the support project of "Young Top Talents" of Xi'an Jiaotong University. Some people have been editor or co-editor for the textbooks published by the Ministry of Health, the People's Medical Publishing House and Higher Education Publishing House.
A quick-response and all-round emergency team in the aspects of medicine, teaching and research, discipline construction and personnel training has been established. We can deal with various emergency conditions timely and maintain a high rescue success rate. With the development of society and hospitals, the emergency department will keep improving its own level and quality, and stride forward to the goal of becoming the first-class discipline in China.
