Overview

Sir Run Run Shaw Hospital (SRRSH), affiliated with Zhejiang University School of Medicine, is a comprehensive 3A hospital with a Chinese-American background, which has been known for its American-style management and people-oriented services. The Emergency Department of SRRSH based on the same model has integrated a series of Chinese elements in accordance with the national conditions, making it a more powerful role in providing better healthcare services.

At present, the emergency department of SRRSH has two emergency centers, Qingchun and Xiasha, as well as an emergency ward in Shuangling. Qingchun has 31 beds in the First Aid Room,12 beds in the Observation Room, 12 beds in the ER  ward and 11 beds in EICU; Xiasha has 9 beds in the First Aid Room, 7 beds in the Observation Room, 8 beds in ER  ward and 9 beds in EICU. There are more than 240 emergency medical staff members, and the total number of emergency patients exceeds 250,000 per year.

We now have 2 chief physicians and 6 associate chief physicians. About 10 residents for emergency standard training, and about 10 advanced training physicians are enrolled every year. As the ER Residency Training Base of Zhejiang Province, we undertake the teaching tasks of Zhejiang University School of Medicine. Two national treatment centers have been established: the National Advanced Stroke Center and the National Advanced Chest Pain Center. We pioneered the BE-FAST-V method in the screening of stroke patients, which can effectively reduce the misdetection rate and shorten the door-to-needle time.

The Emergency Department of SRRSH has established complete emergency diagnosis and treatment areas and procedures, including the emergency outpatient room, First Aid Room, Observation Room, emergency ward and EICU. And it has taken a leading role in medical technology, emergency education, academic level and influence in the Zhejiang province. At the same time, the Emergency Department of SRRSH has rich experience in undertaking various large-scale medical support tasks and COVID-19 vaccination support tasks every year. During the G20 Summit, we undertook major medical support work and completed the task.

Based on the fundamental concepts of “Patient’s needs come first” and "quality and safety", the emergency team of SRRSH adheres to the scientific approach of being realistic, rigorous, standardized and meticulous, and continues to improve the quality of treatment for patients with trauma, stroke and chest pain and elderly patients in critical condition. We strive to build an emergency medical team guided by the fundamental philosophy of "intensive joint rehabilitation for acute and critically ill patients begins in the emergency room”.We use the American ESI pre-screening system for rapid triage of patients to ensure timely and effective medical care. We also adopt the Attending Responsibility System, which means an Attending physician leads several emergency Fellows and Residents to form a medical team. Attending physicians are responsible for a series of medical activities such as emergency treatment, hospitalization, operation arrangement, consultation and follow-up after discharge. Attending physicians are also in charge of the management of emergency medical quality with decision-making power. All emergency physicians in the emergency department have received bedside critical ultrasound training and examination to conduct rapid, dynamic and non-invasive organ assessment for critical patients and guide effective diagnosis and treatment. For critical patients, we implement problem-oriented and targeted management, taking approaches such as checklists and Daily goals. For patients with an expected hospital stay of more than one month, we perform a minimally invasive technique represented by Penlight, namely percutaneous pneumonectomy combined with percutaneous gastrostomy and thus the airway and nutrition lifeline are established for patients. In so doing, we lay a foundation for the outcomes of critical diseases, and possibly enable those patients to be transferred to community hospitals and rehabilitation institutions and even returned to their families. At present, the department is building the SRRSH Medical association, with itself as the center, covering all the community hospitals in the Shangcheng District of Hangzhou and its surrounding areas. Through the community, it extends to families, and then to rehabilitation hospitals for chronic critical care management as a way to establish medical file sharing and graded diagnosis and treatment in the medical association.

In clinical teaching and academic research, the Emergency Department of SRRSH based on the actual clinical needs, combines scientific research innovation with clinical practice, embracing a series of rich achievements. The department hosts two professional academic journals "Journal of Emergency and Critical Care Medicine" and "Clinical and Education of General Practice", and ranks fifth in the Chinese Hospital Emergency Medicine Science and Technology Evaluation Metric Professional Ranking in 2020. At the same time, as one of the initiators of China Acute and Critical Care Simulation Teaching Alliance, we have carried out high-simulation teaching programs relying on The Asia Summit on Emergency and Critical Care Medicine  (ASECCM), which based on real clinical cases, to help the trainees familiarize themselves with the management of critically ill patients.

Academic Status

Established the first clinical big data platform in the field of emergency medicine in China, and the database has more than 1 million emergency cases so far;

Led the establishment of the China Emergency Clinical Big Data Alliance;

Clinical research based on big data has published nearly 30 SCI papers, 3 of which have IF of more than 18 points; Undertook a National Natural Science Fund project in 2019;

Undertook a Key R & D project of Zhejiang Science and Technology Department in 2021;

Ranked the fifth in the Chinese Hospital Emergency Medicine Science and Technology Evaluation Metric Professional Ranking in 2020;

Participated in the compilation of Standardized Training Materials for Emergency Medicine In China (People's Medical Publishing House);

Participated in the compilation of General Practice (People's Medical Publishing House);

Participated in the compilation of the Chinese trauma treatment course CTCT-B.

Academic Leader

Hong Yucai, M.M., graduated from the Medical College of Zhejiang University in 1991 and later received his master's degree and doctor's degree in surgery from Zhejiang University. In 2013 and 2017, he went to Upstate Medical University and Loma Linda University for further study. He has been committed to the life support of various critical diseases and comprehensive treatment of severe trauma for a long time. In 2004, he began to carry out clinical applications of and research on bedside ultrasound in critical patients. In 2006, he initiated PENLIGHT, a minimally invasive technology for the treatment of intractable aspiration pneumonia. In 2015, he began to explore standardized diagnosis and treatment of acute and critical diseases based on checklist and Daily goals. In 2017, he led the establishment of the Asia Society of Emergency and Critical Care Medicine; in the same year, he founded the Journal of Emergency and Critical Care Medicine, and established the Simulation Education of Emergency Department (SEED), which was gradually promoted inside and outside the province.

Academic  Participation

Director and Senior Attending of the Emergency Department

Deputy Director, Institute of Emergency Medicine, Zhejiang University

Vice chairman of the Emergency Medicine Branch of the Chinese Medical Education Association

Committee of Chinese Society of Emergency Medicine

Member of Disaster Relief Branch of China Medical Rescue Association

Vice chairman of chest Pain Professional Committee, Chinese Medical EducationAssociation

Vice chairman of the Emergency Branch of Zhejiang Medical Association

Member of Standing Committee of the Trauma Branch of Zhejiang Medical Association

Member of the Standing Committee of Pre-hospital First Aid Branch of Zhejiang Medical Association

Vice chairman of Zhejiang Medical Association poisoning branch

Director of Journal of Emergency and Critical Care Medicine

Editorial Committee of Chinese Journal of Emergency Medicine

Medical Care Service

Patients aged above 14, with acute and severe internal and surgical conditions requiring emergency treatment, including acute trauma, traumatic brain injuries, bone fracture, dislocation, laceration, burn; acute chest pain, acute abdominal pain; High fever, abnormal breathing, high or low blood pressure, tachycardia or bradycardia, arrhythmia, unconsciousness; acute hemorrhage, such as hemoptysis, hematemesis, hematochezia, different kinds of internal hemorrhage; abortion, severe dehydration and shock; seizure, coma; foreign bodies in ear, nose, pharynx, eye, trachea, bronchus and esophagus; acute eye pain, redness or acute visual impairment; cyanosis, dyspnea; poisoning, cutting the throat, hanging, drowning, electric shock; acute anuria; suspected severe contagious diseases; acute allergic diseases; and other patients suffering from diseases with acute onset, severe symptoms, rapid progression and poor prognosis need emergency treatment.