Focus on the construction of chest pain centers, see how this county hospital improves the ability to improve the critical condition

Cover reporter Zhou Jiayi

On August 27th, at the "Fourth China Healthy County Conference" and the comprehensive ability improvement of county hospitals in the new period, Cheng Yan, director of the Emergency Department of Jiangyou City People's Hospital, was invited to participate in the "Guidelines for the Construction Guidelines for the Construction of the Chemical Pain in the County Hospital" Essence The meeting mainly discussed the key factors in the construction of the chest pain center of the county -level hospital, the effective combination of the construction of the chest pain center and the effective combination of chronic disease management, and the organizational guarantee of the chest pain center.

Cheng Yan said that the golden time of urgency and critical condition is fleeting, and it is often not allowed to go to provincial hospitals for medical treatment. Therefore, improving the rescue ability of patients with severe critical illnesses is the focus of the work of county hospitals. For example, the most critical factor in the treatment of myocardial infarction is the rescue time, which can start from the following aspects. First, the emergency department and radiology department strengthen the cooperation mechanism to quickly complete the inspection of CT. Second, the emergency department as the core hub status of the first level of the patient should be responsible. When cooperating with the Department of Cardiology, the catheter room is started by emergency department. Especially for patients who need to use a ventilator for emergency intervention surgery, in the case of emergency doctors' guidance to use the ventilator, they help cardiac doctors to intervene in the catheter room to complete the rescue of patients with severe patients. The technical director of the chest pain center is set up by emergency department and cardiology, which can promote the departmental cooperation when rescue patients with severe chest pain.

In addition, Cheng Yan believes that in addition to solving the problem of first aid, the construction of the chest pain center must also pay attention to how to organize from emergency to prevention, from diseases to chronic diseases, and pay attention to the emergency system from public primary medical institutions. Management throughout.

The chest pain center is not a department or department, but a concept and a model. Jiangyou People's Hospital, as the first hospital with a national chest pain center in Jiangyou, has laid a solid foundation for the city's chest pain center by conducting staff training, improving treatment conditions, and integrated medical resources.

On April 11, 2019, the People's Hospital of Jiangyou City obtained the national certification of the chest pain center. The level of treatment has been greatly improved. The emergency "green channel" is unblocked, the standardized treatment of patients with acute chest pain is improved, and patients with urgent cardiovascular disease patients with urgency. Improvement of emergency ability, continuous improvement of workflow and management measures ... Patients are shortened to the shortest 12 minutes, which has greatly reduced the patient's mortality and disability rate, and achieved pragmatic results.

Compared with the screening of daily chest pain, the important mission of chest pain center and outpatient clinic is to set up a smooth "green channel ", Save life between seconds.

According to Cheng Yan, before the chest pain center was not established, patients with chest pain went from the disease to the hospital for treatment, and then from the hospital's examination and identification of the disease to taking corresponding treatment measures. In terms of patients, "time is life". If the blood vessels are not opened within two hours after entering the hospital, the risk of higher disability or even death will be faced.

After the establishment of the chest pain center, the people's medicine from Jiangyou City from the perspective of treatment, first treatment and then charging, timely diagnosis of high -risk chest pain patients, and timely "one -stop" three -dimensional treatment, and for low -risk patients with chest pain and chest tightness, patients with chest pain and chest tightness After the diagnosis, standardized treatment is given. At the same time, the chest pain center also adheres to the community and grass -roots hospitals to conduct chest pain knowledge training and other methods, weave the regional coordinated treatment network, and save the life of more patients with acute chest pain.

Cheng Yan said that in the future, the People's Hospital of Jiangyou City will continue to carry out the construction of the "five major centers" of emergency emergency emergency "five major centers" such as chest pain, stroke, trauma, critical maternal treatment, critical children and newborn treatment, and build an emergency and critical treatment system and the hospital. The information sharing network in the front yard, creating a modern emergency treatment platform, focusing on improving the ability to treat urgency and critical illness, providing patients with medical treatment green channels and "one -stop first aid" services to help the construction of "healthy Mianyang".

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