The Emergency Department is a key specialty in Hainan Province and the main department of the Hainan Provincial Clinical Research Center for Acute and Critical Diseases. It also serves as the hospital’s multi-center emergency platform (covering chest pain, stroke, trauma, etc.) and the first-contact department. The department includes the emergency area of the main hospital and the East Lake Branch, with 107 open beds (80 in the main hospital emergency area). These beds are distributed as follows: 10 in the rescue room, 28 in the monitoring room, and 69 in the general ward. The department currently has 175 medical staff, including 55 doctors and 120 nurses. Among them, there are 2 doctoral students, 16 master’s students, 38 with senior professional titles, and 75 with intermediate professional titles.
The construction of the emergency platform is centered on the main hospital’s emergency area. The entrance to this area adopts a U-shaped dual-channel design, where each channel can accommodate two ambulances at the same time. Pre-hospital emergency services can directly reach the rescue room. The emergency rescue room, interventional catheterization room, and emergency ICU are located in the same linear area. An elevator at the entrance of the rescue room leads directly to the emergency operating room on the 4th floor, enabling seamless connection from pre-hospital care to in-hospital treatment, operating room, and monitoring room. In addition, the emergency area is equipped with a charging office, pharmacy, CT/X-ray room, laboratory, and color ultrasound room. This structural design significantly shortens the emergency treatment time.
The Emergency Department now handles nearly 110,000 emergency visits annually and about 3,000 pre-hospital emergency cases. Among these, inter-hospital emergency transfers of critically ill/difficult patients for medical institutions in various cities and counties account for approximately 40% (including ECPR emergency transfers across the province). The emergency general ward/monitoring room can treat various types of critical illnesses and carries out advanced emergency technologies, including bedside blood purification, hemoperfusion, ECPR, ECMO, IABP, PICCO, and bedside ultrasound. The trauma ward of the main hospital’s emergency department is the main unit implementing the hospital’s one-click activation mechanism. It can conduct joint treatment for various types of severe trauma and multiple injuries, and independently perform damage control surgery and routine surgery for acute bone and abdominal injuries.
The Emergency Department is the first medical institution in the province to launch the one-click activation mechanism for multiple injuries and ECPR emergency transfers. It has established a linkage mechanism with the 120 emergency system and multiple medical institutions outside the hospital, forming a linkage model from notification by external hospitals, one-click activation in the hospital, multi-disciplinary on-site diagnosis and treatment, to joint surgery in the operating room. This model shortens the treatment time for severe trauma, improves the success rate of surgeries, and demonstrates the hospital’s outstanding capabilities in multi-disciplinary collaboration. In response to life-threatening situations caused by severe respiratory failure/shock from conditions such as "white lung" during the COVID-19 pandemic, and acute myocardial infarction and fulminant myocarditis (which are not uncommon in daily life), the Emergency Department established an ECPR team in 2022. The team is on call 24 hours a day to undertake ECPR emergency treatment and transfer work within the hospital and between medical institutions in various cities and counties. This provides new emergency decision-making options for critically ill patients and improves the emergency success rate for patients with cardiac and respiratory arrest. Currently, the Emergency Department is the medical institution in Hainan Province with the most proficient capabilities and the highest workload in carrying out this service.
In 2018, the Emergency Department was approved as the Hainan Provincial Clinical Research Center for Acute and Critical Diseases. Members of the department have presided over 1 National Natural Science Foundation project, 1 sub-project of the key R&D program of the Ministry of Science and Technology, and more than 10 provincial and ministerial-level projects. In the past 5 years, they have published more than 70 papers (including over 30 SCI papers), participated in compiling 5 works, applied for 3 patents, and obtained 3 software copyrights.
The Emergency Department is one of the clinical practice bases in Hainan Province for standardized training of emergency specialists and emergency nurse specialists. The department is equipped with a clinical multimedia classroom, projectors, CPR manikins, tracheal intubation models, and thoracic puncture models for teaching purposes. In terms of undergraduate teaching, it independently undertakes the course "Emergency and Disaster Medicine" for the university and accepts clinical internship tasks for medical staff from inside and outside the province. In post-graduation education and continuing education, it provides training for standardized training students of emergency majors in Hainan Province and accepts advanced training for emergency medical staff from various cities and counties. It has completed multiple training courses on bedside emergency ultrasound, ECPR, and emergency nurse specialists.
The Emergency Department will fully integrate medical treatment, teaching, and research, continuously improve the functions of the provincial-level advanced emergency center platform, shorten treatment time, improve the success rate of treatment, and ensure life safety.
With over 30 years of development, ICU Ward 1 of the Second Affiliated Hospital of Hainan Medical University has become a national key specialty integrating clinical treatment, scientific research innovation, and teaching training. It is now the host unit of the Hainan Provincial Intensive Care Medicine Quality Control Center and a national standardized training base for intensive care medicine. In 2018, it was rated as a Class Ⅰ provincial key clinical specialty in Hainan Province, and in 2022, it was awarded the title of national key specialty. The department currently has 17 physicians (including 1 doctor and 4 masters), among whom 7 have senior professional titles (2 chief physicians and 5 associate chief physicians), and 2 are master’s supervisors. The nursing team has 50 members (including 1 associate chief nurse and 24 nurse supervisors). It has 24 open intensive care beds, admits over 1,500 critically ill patients annually, and maintains a rescue success rate of over 90%. The scope of treatment covers complex cases such as severe infections, multiple organ failure, severe trauma, and critically ill pregnant women.
Centered on multi-organ function support, the department has built a technical system featuring extracorporeal membrane oxygenation (ECMO), bedside blood purification (CRRT) for critical care, artificial liver, hemodynamic monitoring, and critical care ultrasound, forming a "full-chain" capability for acute and critical illness treatment. It specializes in the comprehensive treatment of acute critical illnesses such as acute respiratory distress syndrome (ARDS), septic shock, multiple injuries, poisoning, and massive gastrointestinal bleeding. It conducts hemodynamic monitoring combined with critical care ultrasound to achieve accurate bedside monitoring. It has established a provincial emergency and critical care transfer network to assist primary hospitals in intensive care treatment, significantly improving the rescue success rate at the primary level.
The department deeply participates in cutting-edge research on intensive care medicine at home and abroad. In the past 5 years, it has published more than 10 papers in SCI and core journals and presided over 5 scientific research projects at or above the provincial level. It hosts provincial continuing education programs on ECMO, critical care blood purification, and critical care ultrasound. The team has participated in dozens of domestic and international academic conferences and exchanges. As the Hainan Provincial Intensive Care Medicine Quality Control Center, it is committed to promoting the implementation of national quality control indicators, conducting supervision and rectification for intensive care medicine departments across the province, and formulating provincial intensive care quality control standards.
As a national standardized training base for intensive care medicine, the department is equipped with a skills training room and a multimedia teaching system. It regularly carries out bedside teaching, MDT case discussions, emergency simulation drills, and practical training on critical care ultrasound. The teaching team consists of 7 senior attending physicians and above (including 2 master’s supervisors) and implements a "one-on-one tutor system", focusing on the cultivation of critical care clinical thinking, emergency skills, and scientific research capabilities. It accepts more than 10 standardized training physicians and specialized advanced training physicians annually, providing intensive care medicine talents to hospitals at all levels in the province and supporting the discipline construction of intensive care medicine across the province.
ICU Ward 1 always adheres to the tenet of "life first". In the future, the department will continue to deepen multi-disciplinary collaboration, explore cutting-edge technologies in intensive care medicine, and fulfill the solemn commitment of "guarding the last line of defense for life".
Established in 2012, ICU Ward 2 of the Second Affiliated Hospital of Hainan Medical University is a modern intensive care unit integrating medical treatment, teaching, and scientific research. It undertakes the treatment of critically ill patients in the entire hospital. The department currently has 18 open beds and 47 full-time medical staff, including 8 with senior professional titles and 4 masters, forming a team of intensive care medicine professionals with exquisite skills and rich experience. It is equipped with advanced equipment such as ECMO, CRRT, DPMAS, invasive/non-invasive ventilators, PiCCO hemodynamic monitoring devices, bedside ultrasound, and bronchoscopes, enabling monitoring and supportive treatment for various critically ill patients.
As the core platform for emergency and critical care treatment in the hospital, it admits 820 patients annually with a rescue success rate of 71.5%. The main types of admitted patients include those with severe trauma, septic shock, multiple organ dysfunction syndrome (MODS), acute respiratory distress syndrome (ARDS), severe pancreatitis, and high-risk perioperative patients. The department implements 24-hour all-weather monitoring, has established a standardized assessment system for critically ill patients (such as APACHE II and SOFA scores), and provides precise and individualized treatment for patients based on the multi-disciplinary collaboration (MDT) model.
The hospital’s Intensive Care Medicine Department is the leading unit for the intensive care specialty of the Hainan Provincial Medical Quality Control Center for Acute and Critical Diseases. It was rated as a Class Ⅰ provincial key clinical specialty in Hainan Province in 2018 and won the title of national key clinical specialty in intensive care in 2022.
With the tenet of "saving lives and improving prognosis", the department continuously enhances its critical care capabilities:
Core Technologies: Routinely carries out technologies such as ECMO support, CRRT, DPMAS, artificial liver, critical care ultrasound, percutaneous tracheotomy, and fiberoptic bronchoscope alveolar lavage.
Quality Control: Has established standardized operating procedures (SOPs). Nosocomial infection indicators such as VAP (ventilator-associated pneumonia) and CLABSI (catheter-related bloodstream infection) have decreased year by year, and the mortality rate has dropped by 4.27% in the past three years.
Characteristic Diagnosis and Treatment:
Established a "septic shock rapid response team" to achieve bundled treatment within 1 hour.
Implemented a "goal-oriented analgesia and sedation" strategy to reduce the duration of mechanical ventilation.
Participates in the perioperative management of major surgeries in the hospital, providing support for 375 high-risk surgeries annually.
The department adheres to the development concept of "clinical practice driving scientific research, and scientific research feeding back clinical practice":
Research Projects: In the past three years, it has focused on research directions such as immune regulation of sepsis and ARDS lung protection strategies.
Academic Achievements: Published 12 SCI papers and 20 core journal papers.
Technological Innovation: Obtained 4 national patents.
Academic Exchanges: Members of the department hold positions in academic organizations such as the Hainan Intensive Care Medicine Branch of the Chinese Medical Association, the Cardiovascular and Cerebrovascular Disease Group of the Hainan Branch of the Chinese Medical Association, the Parenteral and Enteral Nutrition Branch of the Hainan Medical Association of the Chinese Medical Association, and the Hainan Provincial Medical Quality Control Center.
As the hospital’s intensive care medicine talent training base:
Teaching System: Undertakes teaching tasks for standardized training students, advanced training students, and interns, and has established a three-stage training model of "theory - simulation - clinical practice".
Teaching Achievements: In the past three years, it has trained 8 intensive care specialists, with a teaching satisfaction rate of 96%.
Simulation Teaching: Equipped with high-end simulation manikins, it regularly conducts scenario-based drills such as ECMO team collaboration and difficult airway management.
Discipline Construction: Has established a master’s training program in intensive care medicine in cooperation with Hainan Medical University to promote the sustainable development of the discipline.
With the goal of building a "regional intensive care medicine center", the department will focus on the following developments:
Sub-specialty Construction: Refine directions such as neurocritical care and cardiopulmonary critical care.
Smart ICU: Introduce AI early warning systems and teleconsultation platforms.
Clinical Research: Lead multi-center RCT studies to enhance the ability of scientific research transformation.
Domestic Collaboration: Establish joint training mechanisms with top domestic ICUs.
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