Emergency Should Not Be A 24-hour Clinic


More than 70% of emergency patients are not "urgent"

In hospitals, especially in large hospitals and emergency rooms, the situation is similar: doctors, patients, and family members came and went, crying, shouting and moaning.

According to Zhong Dongbo, deputy director of the Beijing Municipal Health and Family Planning Commission, the number of emergency rooms in Beijing has increased four-fold to five-fold in the past 10 years. Among them, the number of emergency clinics in three first-class hospitals is about 10 million each year, with an average of about 250 visits per day.

"Emergency has become a 24-hour clinic, long-term overload." Zhou Rongbin, director of the Emergency Department of the Beijing Military Region General Hospital, said the survey found that patients in the emergency department really need emergency treatment of not more than 30%, more than 70% The emergency medical treatment. Cold fever, high blood pressure, diabetes and other chronic diseases, and even did not have time for work, get off work convenience to hang emergency patients abound.

"Emergency department forever lack of bed!" Zhou Rongbin is very worried about this.

First determine whether urgent treatment is required

So what kind of patients should go to emergency? Beijing Union Medical College Hospital, deputy director of emergency department Guo Shu-Bin said that the emergency department mainly for all acute and acute exacerbation of disease, such as patients with some unknown etiology in the case of some acute symptoms, it should be as soon as emergency medical treatment. There are also some sudden traumatic injuries, but also to emergency treatment.

It should be noted that some diseases need emergency treatment, but also with the patient's own basic conditions. Guo Shubin explained that to a cold, for example, if it is young, the symptoms are not serious, in the emergency treatment and general out-patient is not much difference, but if it is a cold in the elderly with underlying diseases, is likely to cause more serious Consequences, then you can go to emergency medical treatment. Under normal circumstances, emergency or not, we must first determine whether the patient needs emergency treatment, whether there is life-threatening and so on. With the shortest possible time to identify the cause of the disease, while removing incentives to stabilize the patient's condition, is conducive to the next treatment.

In addition, the director of emergency department of Beijing Tiantan Hospital Guo Wei told reporters that in many countries, fever but no dehydration or serious complications, are not considered as the scope of emergency treatment.

The order of treatment depends on the seriousness of the situation

Emergency department, and sometimes patients or their families because of the order of treatment have a dispute, and even fight. So, emergency treatment in the end should come after the first, or the sub-priority it?

People's Liberation Army 304 Hospital Emergency Department Director Zhao Xiaodong said that to the emergency, there should be respect for the concept of life. For critically ill patients need to race against time, often a few minutes, it may be related to the patient's life and death. Therefore, the emergency department of the patient's rescue should be based on the actual condition of the principle, patients should also follow the arrangement of professionals.

Zhao Xiaodong explained that the emergency patients are generally divided into four levels: one is endangered patients, directly assigned to the emergency room; two are critically ill patients, most of whom need immediate rescue; three are emergency patients, usually placed in the emergency room for treatment; Four is the lightest part of the patient, neither belonging to urgency nor danger. If there are too many patients in Level 4, they will occupy a large amount of emergency resources, resulting in insufficient rescue manpower for those who are critically ill. I hope this part of patients can make use of the out-patient services of the next day.

Source: AEM Editorial Office