Deputy Chief Physician's Year-end Summary
There is still a dream in life, and it is not a day of hard work. If the clinical practice is ice, seek no cold and heat.
"A few winds and rains, a few degrees of spring and autumn", since 1976 began to study medicine, study work, work and study, in a blink of an eye has been 26 years.
Twenty-six years ago, with the curiosity and mystery of medicine, I began to embark on the long road of studying medicine. After one year of study with the teacher, the "hanging pot" was practiced in a quiet village. Two years later, my father was killed by cancer, and he felt that his knowledge was poor and he was eager to pursue further studies. It coincided with the resumption of the college entrance examination, while practicing medicine, while reviewing, entered the Wenzhou Medical College in September 1979. After five years of diligent study and systematic training, I have mastered the basic knowledge, basic theories and basic skills of medicine. I graduated with the fourth place in the school in 1984, with the dream of medical students and the medical Devotion, embark on the front line of clinical work such as “being in the abyss, such as walking thin ice”.
After graduating, he was engaged in critical illness rescue work. Critical illness medicine was a young subject. It was not until the early 1970s that he became a sacred hall of medicine like other professions. There are many "virgin places" in this subject that have not yet been reclaimed. I have been searching for stones in the field of critical care medicine, and I have been searching for it. Through years of clinical practice, I have accumulated some clinical experience, especially in the establishment and maintenance of artificial airways, mechanical ventilation, infection, acute respiratory distress syndrome, and intractable heart. There are certain innovations in failure, cardiopulmonary resuscitation, thrombolysis, dic, and various intractable shocks. Since being named Deputy Chief Physician, the work, research, and works in the past five years have been as follows:
First, the artificial airway innovation is “to create a road in the no-road, and to open a new road in the road.”
The establishment and maintenance of artificial airway is one of the main methods of critical illness rescue, and it is also one of the basic measures to maintain airway patency in perioperative anesthesia patients. Artificial airway technology is widely used in icu, emergency room, anesthesiology and other clinical departments. How to establish and maintain the artificial airway is directly related to the patient's life and death. In the artificial airway establishment process, the medical staff is slightly careless, causing artificial airway sputum obstruction, tracheal intubation or tracheal cannula out, causing the patient to suffocate and die. If the tracheal tube cuff is not properly maintained, it will often cause tracheal erosion, ulceration, and even perforation. Therefore, artificial airway maintenance methods are different, and the effects vary widely. In the course of clinical practice, I feel that there is a monograph to guide the establishment and maintenance of artificial airways. Therefore, while doing clinical work, we began to collect and establish the latest information on artificial airway establishment and maintenance at home and abroad, set the strength of 100 schools, and collect clinical essence. It lasted for three years, standardized the artificial airway operation procedures, and edited the establishment and maintenance of artificial airway. A monograph, nearly 400,000 words, has been published by the People's Military Medical Press. This book is the first monograph in this field in China. It plays a certain positive role in promoting the rescue of critically ill diseases in China. 2. Working hard and focusing on clinical research and research, and undertaking the project of the Municipal Science and Technology Commission and the Municipal Health Bureau in the past three years. One of them has been completed and the results are being identified. In the past five years, he has published more than 12 papers in provincial and above magazines. In addition to publishing a monograph of "××××", he also participated in the compilation of a monograph of "××××", 60,000 words. The publication of the Second Military Medical University; the preparation of the "××××" handout 400,000 words, the contents of the XX Provincial Health Department Medical Continuing Education Project.
To undertake the Continuing Education of Medicine of the Provincial Health Department of the Ministry of Health - "One Critical Disease Surveillance and Therapeutics" project; undertake the XX Continuing Education of Medicine - "New Progress in Emergency First Aid" project. The XX provincial critical illness monitoring and treatment class has been held in five sessions. A total of 512 persons with the title of the above-mentioned doctors attended the training and training; a training course for the emergency development of the emergency department of XX was held. A total of 120 medical personnel participated in the training.
Third, research and development, skilled in the knowledge of critical illnesses to rescue new developments, new technologies and new knowledge at home and abroad; skilled in the operation of critically ill diseases; in recent years, early acute myocardial infarction, cerebral infarction thrombolytic therapy, non-invasive in vitro Techniques such as pacing, artificial airway establishment and maintenance; with the assistance of other departments, the diagnosis and treatment techniques for critically ill blood perfusion, plasma exchange, emergency gastroscopy, and bronchoscopy lavage. Acute respiratory distress syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation, refractory heart failure, vegetative state, respiratory failure, cerebrovascular accident, severe craniocerebral injury, multiple trauma, acute myocardial infarction, various shocks In addition to sepsis, it has accumulated a unique treatment method. The success rate of critical illness rescue reached the leading level.
Fourth, unite colleagues, when the good leader Yanyan led 54 general medical staff, the province took the lead in the implementation of emergency first aid → critical illness ward → emergency ward integrated management. The XX City ××××× Branch has been in the forefront of XX City ×× in terms of department building and technical strength, and has played the role of leading geese in the field of XX City×××. It undertakes tasks such as the XX City XX Quality Control Center and the XX City Poison Emergency Control Center; it is the collaboration unit of the International Emergency Rescue Center Network Hospital and the China Travel Rescue Center of the Ministry of Health.
On the way to medical treatment, how many hardships, how many joys, sent away a group of patients, and ushered in a group of patients, the time is slowly disappearing in this ushered in. Longitudinal and tidal world, Dahua is always seeking, not for good looks, willing to be a good doctor.
The spring is full of curtains, and the critically ill areas are explored. I have forgotten both things, and I will not regret when I run out of youth.
"A few winds and rains, a few degrees of spring and autumn", since 1976 began to study medicine, study work, work and study, in a blink of an eye has been 26 years.
Twenty-six years ago, with the curiosity and mystery of medicine, I began to embark on the long road of studying medicine. After one year of study with the teacher, the "hanging pot" was practiced in a quiet village. Two years later, my father was killed by cancer, and he felt that his knowledge was poor and he was eager to pursue further studies. It coincided with the resumption of the college entrance examination, while practicing medicine, while reviewing, entered the Wenzhou Medical College in September 1979. After five years of diligent study and systematic training, I have mastered the basic knowledge, basic theories and basic skills of medicine. I graduated with the fourth place in the school in 1984, with the dream of medical students and the medical Devotion, embark on the front line of clinical work such as “being in the abyss, such as walking thin ice”.
After graduating, he was engaged in critical illness rescue work. Critical illness medicine was a young subject. It was not until the early 1970s that he became a sacred hall of medicine like other professions. There are many "virgin places" in this subject that have not yet been reclaimed. I have been searching for stones in the field of critical care medicine, and I have been searching for it. Through years of clinical practice, I have accumulated some clinical experience, especially in the establishment and maintenance of artificial airways, mechanical ventilation, infection, acute respiratory distress syndrome, and intractable heart. There are certain innovations in failure, cardiopulmonary resuscitation, thrombolysis, dic, and various intractable shocks. Since being named Deputy Chief Physician, the work, research, and works in the past five years have been as follows:
First, the artificial airway innovation is “to create a road in the no-road, and to open a new road in the road.”
The establishment and maintenance of artificial airway is one of the main methods of critical illness rescue, and it is also one of the basic measures to maintain airway patency in perioperative anesthesia patients. Artificial airway technology is widely used in icu, emergency room, anesthesiology and other clinical departments. How to establish and maintain the artificial airway is directly related to the patient's life and death. In the artificial airway establishment process, the medical staff is slightly careless, causing artificial airway sputum obstruction, tracheal intubation or tracheal cannula out, causing the patient to suffocate and die. If the tracheal tube cuff is not properly maintained, it will often cause tracheal erosion, ulceration, and even perforation. Therefore, artificial airway maintenance methods are different, and the effects vary widely. In the course of clinical practice, I feel that there is a monograph to guide the establishment and maintenance of artificial airways. Therefore, while doing clinical work, we began to collect and establish the latest information on artificial airway establishment and maintenance at home and abroad, set the strength of 100 schools, and collect clinical essence. It lasted for three years, standardized the artificial airway operation procedures, and edited the establishment and maintenance of artificial airway. A monograph, nearly 400,000 words, has been published by the People's Military Medical Press. This book is the first monograph in this field in China. It plays a certain positive role in promoting the rescue of critically ill diseases in China. 2. Working hard and focusing on clinical research and research, and undertaking the project of the Municipal Science and Technology Commission and the Municipal Health Bureau in the past three years. One of them has been completed and the results are being identified. In the past five years, he has published more than 12 papers in provincial and above magazines. In addition to publishing a monograph of "××××", he also participated in the compilation of a monograph of "××××", 60,000 words. The publication of the Second Military Medical University; the preparation of the "××××" handout 400,000 words, the contents of the XX Provincial Health Department Medical Continuing Education Project.
To undertake the Continuing Education of Medicine of the Provincial Health Department of the Ministry of Health - "One Critical Disease Surveillance and Therapeutics" project; undertake the XX Continuing Education of Medicine - "New Progress in Emergency First Aid" project. The XX provincial critical illness monitoring and treatment class has been held in five sessions. A total of 512 persons with the title of the above-mentioned doctors attended the training and training; a training course for the emergency development of the emergency department of XX was held. A total of 120 medical personnel participated in the training.
Third, research and development, skilled in the knowledge of critical illnesses to rescue new developments, new technologies and new knowledge at home and abroad; skilled in the operation of critically ill diseases; in recent years, early acute myocardial infarction, cerebral infarction thrombolytic therapy, non-invasive in vitro Techniques such as pacing, artificial airway establishment and maintenance; with the assistance of other departments, the diagnosis and treatment techniques for critically ill blood perfusion, plasma exchange, emergency gastroscopy, and bronchoscopy lavage. Acute respiratory distress syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation, refractory heart failure, vegetative state, respiratory failure, cerebrovascular accident, severe craniocerebral injury, multiple trauma, acute myocardial infarction, various shocks In addition to sepsis, it has accumulated a unique treatment method. The success rate of critical illness rescue reached the leading level.
Fourth, unite colleagues, when the good leader Yanyan led 54 general medical staff, the province took the lead in the implementation of emergency first aid → critical illness ward → emergency ward integrated management. The XX City ××××× Branch has been in the forefront of XX City ×× in terms of department building and technical strength, and has played the role of leading geese in the field of XX City×××. It undertakes tasks such as the XX City XX Quality Control Center and the XX City Poison Emergency Control Center; it is the collaboration unit of the International Emergency Rescue Center Network Hospital and the China Travel Rescue Center of the Ministry of Health.
On the way to medical treatment, how many hardships, how many joys, sent away a group of patients, and ushered in a group of patients, the time is slowly disappearing in this ushered in. Longitudinal and tidal world, Dahua is always seeking, not for good looks, willing to be a good doctor.
The spring is full of curtains, and the critically ill areas are explored. I have forgotten both things, and I will not regret when I run out of youth.
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