I. Overview (Basic Information of the Department)

1. The Emergency Department is a Hainan Provincial Key Specialty and the core department of the Hainan Provincial Clinical Research Center for Critical Illness. It also serves as the hospital's primary reception department and multi-center emergency platform for chest pain, stroke, trauma, etc. The department encompasses emergency areas at the Main Campus and the Donghu Branch, with a total of 107 open beds (80 at the Main Campus), including a Resuscitation Room (10 beds), an Intensive Care Unit (28 beds), and a General Ward (69 beds). It currently has 175 medical staff (55 doctors, 120 nurses), including 2 PhD holders, 16 Master's degree holders, 38 with senior professional titles, and 75 with intermediate titles.

2. The major emergency platform is primarily based at the Main Campus. Its entrance features a U-shaped dual-lane design, with each lane able to accommodate two ambulances simultaneously. Pre-hospital care can directly access the Resuscitation Room. The Emergency Resuscitation Room, Interventional Catheterization Room, and Emergency ICU are located along the same straight-line area. An elevator at the entrance of the Resuscitation Room provides direct access to the fourth-floor Emergency Operating Room. This enables seamless integration from pre-hospital to in-hospital care, to the operating room, and then to the ICU. Furthermore, facilities like billing, pharmacy, CT/X-ray room, laboratory, and color ultrasound room are located within the emergency zone, significantly reducing emergency response times through its structural design.

II. Medical Services

1. The annual emergency department volume is nearly 110,000 visits, with approximately 3,000 pre-hospital emergency cases. Inter-facility critical care transport for critically ill/complex patients from various city/county medical units accounts for about 40% (including provincial ECPR emergency transport). The Emergency General Ward/ICU can manage various types of critical illnesses and employs advanced rescue techniques including: bedside blood purification and hemoperfusion, ECPR, ECMO, IABP, PICCO, and bedside ultrasound. The Main Campus Emergency Trauma Ward is the primary department executing the hospital's "One-Click Activation" mechanism, capable of performing combined treatment for severe trauma and multiple injuries, and can independently perform damage control surgery and conventional surgery for acute orthopedic and abdominal injuries.

2. The Emergency Department was the first medical unit in the province to implement both the "One-Click Activation" mechanism for multiple injuries and ECPR emergency transport. The department has established linkage mechanisms with the 120 emergency system and multiple external medical institutions, creating a coordinated model from external hospital notification -> internal one-click activation -> on-site multi-disciplinary diagnosis/treatment -> combined surgery in the operating room. This shortens treatment time for severe trauma and improves surgical success rates, demonstrating the hospital's outstanding capability in multi-disciplinary collaboration. In response to life-threatening conditions such as severe "white lung" during the COVID-19 pandemic, and severe respiratory failure/shock caused by acute myocardial infarction, fulminant myocarditis, etc., which are not uncommon, the Emergency Department established an ECPR team in 2022. This team remains on 24/7 standby to accept tasks, performing ECPR rescue and transport within the hospital and between various city/county medical units. This provides a new rescue strategy for critically ill patients and improves the rescue success rate for patients with cardiac and respiratory arrest. The Emergency Department is currently the medical unit in Hainan Province with the most proficient capability and highest volume in providing this service.

III. Scientific Research

The Emergency Department was approved as the Hainan Provincial Clinical Research Center for Critical Illness in 2018. Department members lead 1 project funded by the National Natural Science Foundation of China, 1 sub-project of a Key R&D Program of the Ministry of Science and Technology, and over 10 provincial/ministerial-level projects. In the past five years, they have published over 70 papers, including more than 30 SCI-indexed papers, participated in compiling 5 monographs, applied for 3 patents, and obtained 3 software copyrights.

IV. Teaching & Education

The Emergency Department is one of the clinical practice bases in Hainan Province for standardized residency training in emergency medicine and for emergency specialist nurses. The department has a dedicated clinical multimedia demonstration classroom, projectors, CPR manikins, endotracheal intubation models, thoracentesis models, and other equipment for teaching purposes. In undergraduate education, it independently offers the university course "Emergency and Disaster Medicine" and accepts clinical internships for medical staff from within and outside the province. For postgraduate education and continuing education, it accepts trainees from the Hainan emergency medicine residency program and visiting healthcare professionals from various cities and counties, having successfully conducted multiple sessions of bedside emergency ultrasound, ECPR, and emergency specialist nurse training courses.

Building upon its medical, scientific, and educational foundations, the Emergency Department will comprehensively integrate resources, continuously improve the function of the provincial platform for advanced emergency care, shorten treatment times, increase success rates, and safeguard life and health.