“At about 14:30 that day, when the ambulance came roaring with flashing lights, the emergency department and various specialists in our trauma center were all in place.” Lou Jianing, the ninth batch of cadres assisting Tibet in Shanghai, vice president of Shigatse people’s Hospital and medical director of trauma center, is still impressed by the emergency treatment of a serious traffic accident caused by a farm tricycle rollover and falling into a gully recently, resulting in many injuries.
Finally, it took 1 hour and 55 minutes for all the wounded to complete the emergency treatment, examination and treatment. Lou Jianing said with emotion: “this emergency treatment is the eighth large-scale treatment work after the establishment of the trauma center of our hospital. Compared with the previous treatment work, it has also been greatly improved. This is mainly manifested in: the arrangement of emergency personnel is more reasonable and orderly, the specialist treatment of the wounded is more active, the export of the treatment process is guaranteed, and the emergency detention time of the wounded is significantly reduced.”
this year is the 26th year of Shanghai’s counterpart aid to Xigaze city and the fifth year of group aid to Tibet. The number of medical experts has also increased from the initial 12 to 31. Up to now, Shigatse City has realized that more than 90 kinds of “serious diseases” can not be cured in Tibet, and 2000 kinds of “medium diseases” can be treated without going out of the market.
how to view the significance of group medical aid to Tibet? “The diseases that could not be diagnosed can now be definitely diagnosed and treated. The diseases that the common people did not dare to see in the city now dare to see them, and the operations that they did not dare to do in the city now dare to do.” Wan Xingwang, the ninth batch of cadres to aid Tibet in Shanghai and Secretary of the Party committee of the Shigatse people’s Hospital, told reporters: “we still need to improve the” hematopoietic “capacity of local hospitals and try our best to leave a” team that can’t be taken away. ”
as Lou Jianing explained to reporters, “in response to emergency emergency, the general on duty of the hospital should be responsible for opening the green channel, and the administrative director should be responsible for notifying the clinical doctors on duty and the head teachers. The business director and the emergency duty supervisor should arrange emergency rescue personnel, check rescue equipment and vacate rescue and resuscitation beds.”
for example, for the critically injured in an accident, a red badge with a number should be clipped, and the doctors and nurses responsible for handling the problem will also pin the same badge on the chest. This measure ensures that a doctor and a nurse are specially responsible for the red critical patients. “This is also the result of continuous improvement of various processes and programs in the trauma center.” Lou Jianing said.
next, all the wounded will be admitted to the corresponding departments according to the severity of the injury and the priority of treatment after the examination. Lou Jianing further said: “there is no buck passing and no wrangling among departments. The main department is responsible for treatment, while the combined injury department is responsible for joint diagnosis and treatment and regular consultation.”
the reporter also learned that the standardized process also benefited from the early system construction. “For example, during the period of striving for the third class a hospital in 2017, our hospital was able to adopt the rules and regulations of Shanghai top three hospital, which greatly promoted the construction of hospital system and mechanism.” Wan Xingwang said that medical experts helping Tibet help improve more than 300 rules and regulations, and optimize and reengineer more than 260 processes.
Wan Xingwang said that at present, the hospital is applying for a “provincial clinical medical center” with trauma first aid as its content, which has passed the first batch of projects approved by the science and Technology Department of Tibet Autonomous Region, and is expected to be listed in the second half of the year. “According to the situation of more traffic accidents here, we will set up a comprehensive clinical medical center focusing on clinical emergency, combining teaching and scientific research.”
as the first aid accidents caused by local traffic accidents account for a large proportion, the clinical medical center for trauma first aid will be led by the orthopedic team. “The center has no precedent to follow before, and its progress and development has also gathered a lot of excellent experience from large hospitals at home and abroad. After several rounds of quality improvement, including some repeated drills and practices, it has been proved that the center is of great significance in improving the public health emergency capacity covering the whole city of Shigatse. ” Wan Xingwang said.
in Wan Xingwang’s opinion, any clinical medical center must ultimately rely on clinical contents such as basic treatment and follow-up research, which is also in line with the original intention of the construction of five major discipline consultation centers in the hospital.
in the next development plan of the hospital, the five major discipline consultation centers to be built include chest pain, trauma, stroke, critical pregnant and lying in women, critical children and newborns. In addition, the software and hardware construction of the three regional centers, which mainly focus on radiation imaging diagnosis, laboratory pathological diagnosis and clinical pharmacy, will also be further improved. This also includes the purchase of a number of bedside fibrobronchoscopy, therapeutic fiberoptic bronchoscopy, video endotracheal intubation mirror, bedside blood filter, awake analgesia instrument and other equipment.
by the end of December 2019, the total number of patients diagnosed and treated in Shigatse people’s Hospital reached more than 240000 person times, an increase of 50.4% over 2015. The average hospitalization days of patients was 10.75 days, which was 3.83 days lower than that in 2015.
“at present, 45% of the total number of operations are performed in grade III and IV operations in our hospital. If some more difficult operations such as minimally invasive surgery are carried out, the work performance of doctors will be doubled.” Wan Xingwang believes that personnel training is the top priority of the group aid to Tibet, and hematopoiesis is far more important than blood transfusion. At the same time, the enthusiasm of the team can be gradually promoted.
it is understood that since 2015, a total of 227 medical staff have formed 82 undertaking teams, 263 of 568 new technologies developed are fully mastered by local medical staff, and more than 89 new projects have filled the gap in the whole region.
take the stroke disease of local masses as an example. The research team of Professor Liang Xiaofeng of CDC of Tibet found that the incidence rate of stroke in Tibet was the highest in China from 2017 to 2017. Therefore, it is of great significance and urgent to carry out the local treatment of stroke.
“our goal is to enable local doctors to master some practical clinical skills as soon as possible.” Shigatse City People’s hospital neurosurgery director Gao Hao told reporters.
how to teach? “There are 10 local doctors in our department, which is relatively weak in clinical basis, especially in the treatment of cerebrovascular diseases,” said Gao. Combined with the local disease spectrum and their own expertise, the department teaching was carried out through teaching, teaching rounds and operation guidance
“through nearly one year’s teaching, three doctors in our department have mastered the whole brain angiography, two doctors have preliminarily mastered the endovascular interventional treatment and craniotomy aneurysm clipping, and one doctor has preliminarily mastered carotid endarterectomy.” Gao said.
the reporter also learned that in order to speed up the construction of the stroke center, the superb team has applied for the purchase of “artificial intelligent microcatheter molding system for aneurysm interventional therapy” and “artificial intelligence simulation system for nerve intervention surgery”. The introduction of the above two systems can greatly shorten the training period of local doctors in interventional treatment and better serve the local stroke patients.
according to the data, in 2020, Shanghai medical aid cadres will lead 50 teaching staff, and 5 batches of medical group aid experts will teach 284 person times of local medical business backbone. Such as cardiovascular interventional treatment, endoscopic treatment, comprehensive treatment of chest wall surgery, embolectomy in stroke artery, hematological malignancy treatment, ERCP technology, arthroscopy and joint replacement surgery and other advanced technologies have been mastered by local medical staff.
“to help the local people improve their hematopoietic capacity, the first step is to teach doctors in Shanghai and Tibet.” Wan Xingwang said, “in addition to the early clinical teaching, now we also refer to the mature routine teaching and scientific research system in Shanghai. For example, in the first mock exam mode, every expert should teach 2~4 local medical students on average.
the second step is to gradually form inter hospital fixed-point teaching and training. For example, after communication, the medical school of Tibet University set up clinical medicine teaching points in the hospital, and regularly sent clinical medical interns to the hospital. In addition, the college has become a master’s training center of Medical School of Tibet University. This means that the medical staff in our hospital had few opportunities for academic training before, but now we can cultivate medical master students independently, so as to improve their thinking in clinical teaching and scientific research.
the third step, in the long run, is to promote the progress of remote consultation. Wan Xingwang believes that nowadays, from consultation on difficult diseases to normal consultation and consultation, as well as teaching rounds and teaching, interaction and contact can be formed one after another under the remote connection between Shanghai and Tibet.
“to a large extent, the progress of Shanghai medicine has benefited from a series of high-frequency and high-level free academic exchanges.” Wan Xingwang lamented that relying on the academic community resources in the rear area of Shanghai, all kinds of training courses and seminars have been gradually shared with the local administrative, information and other medical personnel. “In the next stage, we need to start the construction of reserve talent team and strengthen the training, so as to promote the existing middle-level cadres to carry out their work more actively and effectively.” Pigtail is the most delicious way to do, super simple, women often eat, beauty and beauty, delay aging