There are real emergency stories here.

Author:Fudan University press Time:2022.08.26

Directly hit "where the closest to death"

The emergency department is the first line of the hospital and is "the place closest to death". The story here is far more thrilling than the drama concentration: infection, failure, poisoning, trauma ... The cause of the patient is complicated and diverse, and the condition is changing rapidly. Here, people will deeply realize: Never know which one will come and the accident will come first. The world should cherish life and cherish health.

"Building the first liferack for patients" is the mission and heavy responsibility of each emergency person. In the shortest time, in the most complex and variety of environments, they make precise judgments on the patient's condition and effective treatment. As if the person who was about to fall into the abyss stretched out a powerful arm. There is no day and night, regardless of the rain, their footsteps never stop.

In fact, emergency medicine is a "young" discipline. In 1979, it was listed as the 23rd specialist of medical majors. Subsequently, the first emergency department of my country, Beijing Union Hospital, was established in 1983. In just 40 years, the scope and functions of emergency department have been developing rapidly. From the initial "first aid medicine" to the comprehensive disciplines of many Asian colleges such as emergency, recovery, urgency and critical illness, poisoning, trauma, and disaster. In this way, emergency doctors must have the minds that are not shocked and dangerous, and have meticulous logic of starting from the overall situation, starting from details, and tracing back to their origins, and they must have a solid and handy professional ability.

Domestic experts focus on summarizing emergency treatment

Infectious diseases are a common type of diseases in emergency department. They are the most adequate infections and severe infections. There are also some cases such as chronic infection acute seizures, chronic diseases, and even some difficult cases such as fever. It has the characteristics of many complex factors and rapid disease progress. However, in terms of rapid identification of infectious diseases, the detection of pathogens, and the use of antibacterial drugs, there are still many problems urgently needed to be resolved, and emergency anti -infective treatment capabilities need to be comprehensively improved.

On March 18, 2021, the Shanghai Medical Association Emergency Specialist Branch established the infectious group for the first time. Professor Chen Mingquan served as the first team leader. In order to adapt to the characteristics of emergency department in the new era, in order to make the use of emergency antibacterial drugs more reasonable and standardized, for the exploration of the emergency work model and the direction of discipline development, Professor Chen Mingquan initiated and organized the compilation of cases of emergency infectious disease cases. Summary typical cases of emergency infection, analyze the main contradictions, and achieve better balance in the timeliness of emergency response and the precision of anti -infection, and improve the clinical and academic level of emergency infection treatment.

Started in May 2021, Professor Chen Mingquan of Huashan Hospital and Shi Dongwei, deputy director of the Emergency Medicine Teaching and Research Office of Zhongshan Hospital affiliated to Fudan University, served as the editor -in -chief of this book. Professor Yu Xuezhong, director of the Department of Emergency Medicine, Xiehe Hospital, Professor Zhao Xiaodong, chairman of the Chinese Emergency Specialty Federation, and the full support and careful guidance of the chairman of the Chairman of the Shanghai Medical Association Emergency Specialist Professor Tong Yangyang, Professor Lin Zhaofen, Professor Pan Shuming, and other chairmen.

Covering a wonderful case explanation

In July 2022, the "Emergency Case Analysis (Infectious Articles)" led by the Emergency Department of the Emergency Department of the Emergency Department of the Emergency Department of the Emergency Science of Huashan Hospital of Fudan University of the Infectious Society of the Emergency Society of the Shanghai Medical Association was officially published. 、复旦大学附属中山医院、上海海军军医大学附属长征医院等10余家全国知名医院急诊科选送的60余例精彩案例中,掇菁撷华,甄选出极具参考价值的经典案例31例,共计280,000 words, divided into three chapters: routine diagnosis and treatment, clinical thinking, urgency and critical illness, covering various types of cases of acute and critical illness characteristics, representativeness of emergency diseases, and rare diseases of acute infections. And experts review several sectors to explain, aiming to summarize the standards of diagnosis and treatment, improve the thinking ability of clinicians, and improve the ability to treat the case of urgent crisis and severe infection.

The distinction of chapters is mainly due to the different focus of the case to convey the concept, rather than the severity of the condition itself. The "Diagnosis and Treatment" mainly describes the standard diagnosis and treatment process and conventional ideas of the disease. Some of the cases are even clinically rare cases, but the diagnosis and treatment specifications are finally successful. "Clinical Thinking" focuses on the speculation of key issues in diagnosis and treatment. When clinical conflicts, the direction of decision -making determines the good and evil of the prognosis. In this chapter, some clues can be seen and chaotic cases. How to clarify the head and grasp the main contradictions is the key. "Urgent and Critical Critical Critical", such as its name, shows the experience of diagnosis and treatment of intensive and complex cases. In this way, there is a general display of the characteristics of emergency infection cases.

"Emergency Case Analysis (infection)"

Chen Mingquan Shi Dongwei, editor

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