People's Daily Health Client Reporter Tan Qixin
On October 26, the National Health Commission issued the setting standards for the National Critical Care Medicine Center and the National Critical Regional Medical Center, which required that both types of centers should rely on the tertiary Class A comprehensive hospital with outstanding characteristics in the discipline of critical care medicine, and should have Critical Care Medicine and intensive care medicine teaching and research department. This also means that the National Critical Care Medicine Center and the Critical Regional Medical Center will be launched soon.
"The doctor in the critical care department is a well-deserved 'special force of medical care' and has always been at the forefront of clinical medicine facing life and death." Many clinicians in critical care medicine said in an interview with the People's Daily Health Client that they sincerely hope that the National Medical Center and the National Regional Medical Center will be launched as soon as possible, setting a benchmark for the development of regional critical care medicine disciplines. At the same time, they will radiate advanced diagnosis and treatment technology to ordinary medical institutions, driving the comprehensive improvement of regional critical care medicine diagnosis and treatment capabilities to meet the urgent needs of patients.
2020, Yuan Weifang (formerly), deputy head nurse of the Department of Critical Care Medicine of Shanghai Seventh People's Hospital, performed B-ultrasound for a severely ill patient with new coronary pneumonia in Wuhan. Photo by Shen Bohan
The discipline of critical care medicine started late, and the professional talent reserves were insufficient. The busy rescue, the lights were on day and night, and the sound of the monitor ventilator tickling... These are true portrayals of the intensive care unit (ICU).
In the impression of Professor Yang Chunhua, director of the Department of Critical Care Medicine of the Sixth Affiliated Hospital of Sun Yat-sen University, the intensive care unit of the hospital where he is located has truly become an independent department, which only started in the 1980s. Since the 1990s, the former Ministry of Health has designated "whether to establish an ICU in intensive care unit" as the evaluation standard for grade hospitals.
"At that stage, there was no major in critical care medicine in medical schools. Doctors in critical care medicine were not professional, but were temporarily transferred from other departments." Yang Chunhua told reporters.
July 4, 2008, was regarded as a "mileage" day by many critical care medicine doctors. On that day, the National Standardization Committee officially approved critical care medicine as a secondary discipline in clinical medicine, with the discipline code: 320.58. Immediately after the next few months, the former Ministry of Health positioned critical care medicine as the first-level diagnosis and treatment subject of my country's medical institutions, with a code of 28, and promulgated the "Guidelines for the Construction and Management of Critical Care Medicine (Trial)". From then on, the development of critical care medicine in China has entered a new stage.
"Wenchuan earthquake, the new crown epidemic... Thanks to its excellent performance in many major public health events, doctors in other specialties have gradually gained a deeper understanding of the importance of critical care medicine, and ordinary people have also understood more what ICU is." Liu Jun, director of the Department of Critical Care Medicine in East District, Suzhou Municipal Hospital, told reporters that compared with traditional medical disciplines, the discipline of critical care medicine emphasizes more comprehensive diagnosis and treatment solutions. Most critically ill patients often show multiple organ functional damage or failure. At this time, it is not a simple addition and subtraction of the diagnosis and treatment plans of various specialties. It is necessary to consider more the mutual influence between organs, which undoubtedly puts higher requirements on the training of doctors in the discipline of critical care medicine.
" In the intensive care department, a doctor needs to complete the regular training and then exercise in the ICU for 3 to 5 years before he can become a mature doctor who can stand alone. Medical staff in the critical care department face patients hanging on the front line of life and death every day. alternates day and night, and without strong psychological qualities, it is difficult to stay." Yang Chunhua further mentioned that at present, the intensive care department is not attractive to young medical students, and in the industry, the call for strengthening the construction of the discipline talent echelon is constantly rising.
radiates advanced technology to grassroots hospital , so that the benefits of discipline progress can be put on patients
While publishing the standards for setting up the National Critical Care Medicine Center and National Critical Regional Medical Center, the National Health Commission has also released a list of difficult and critical diseases including more than 60 types of diseases such as severe infectious diseases, as well as a list of core technologies related to critical care medicine including more than 50 technologies such as intravascular pressure monitoring.
"Addressing difficult and critical patients is the focus on the construction of the medical institution's own capabilities.Although my country's critical care medicine is developing rapidly, its foundation needs to be further strengthened, and core diagnosis and treatment among regions is uneven. We hope that the National Medical Center, as the "highland" of my country's critical care medicine, will truly play a leading role after its implementation, and will radiate advanced diagnosis and treatment technology to surrounding grassroots medical institutions more. "In Liu Jun's view, only in this way can the benefits of the progress of medical disciplines be truly put into patients.
Yang Chunhua deeply feels that the development of critical care medicine in my country still faces many challenges and has greater room for development. " Whether it is to improve diagnosis and treatment technology or promote the development of disciplines, 'people' are important cores. hopes that with the attention of the country, all regions can pay more attention to the construction and development of inter-regional critical care medicine disciplines, improve the current treatment of critical care doctors, retain talents for critical care medicine disciplines, especially the critical care medicine departments in primary hospitals, and at the same time, formulate a systematic specialist team training plan. In the future, I hope that more young doctors will be willing to devote themselves to our subject. ”
