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Speed up Intensive Care Medicine and Public Health Emergency Management

The proportion of ICU beds in general hospitals is about 3%

The number of ICU beds is generally appropriate for 2% to 8% of the total number of hospital beds and can be increased as to a suitable proportion. At present, ICU beds in general hospitals in china country account for about 3%, which is still much lower than 15% in the United States, especially grassroots hospitals are weak. The hospital trolley bed proportion is also much less the ICU bed.
ICU HOSPITAL BED

Hospital delivery bed

Although intensive care medicine has become an independent clinical first-level discipline, in many hospitals, intensive care medicine has not yet become an independent department of administration but is together with the anesthesiology department, emergency department, and other departments.
The corresponding supporting policies are also imperfect, such as the standardized training of resident physicians with involuntary intensive care, and the intensive care medicine has not been included in the subject catalog of the degree office of the Ministry of Education. Intensive medicine doctors are mostly transferred to other majors, and the lack of systematic training has also affected the level of the professional team.

How should the development of intensive care medicine be accelerated?

Intensive medicine needs to be reserved. That is to say, we do not necessarily have so many patients, but you must reserve it. Once there are major casualties, the call is coming, and the battle can be won, and the battle can be won, so as to reduce the hidden dangers to the lives of ordinary people.
Therefore, one of the profession suggests that it should accelerate the construction of the “popularization and team specialization” of the intensive care department and establish a public incident emergency medical center with the emergency department and intensive care department as the backbone to deal with various emergencies such as disasters and plagues to protect people’s lives.
This requires systematic training of professionals in intensive care medicine to improve the level of intensive care medicine.

How to improve and perfect it

First, the CDC is closely integrated with the hospital, prevention, and clinical, which is what we need to do next.
Second, the construction of emergency teams for disease control must be systematic, especially in each prefecture and city. Emergency public health rescue center. In this way, no matter what infectious diseases or major emergencies can be handled in this emergency center, it can better protect the lives of ordinary people.
To establish such a center, we must first build a timely and accurate monitoring and warning information system. Drawing on the experience of developed countries and combining it with the actual situation in the region of the country, we plan, focus, and step by step to build a sensitive and efficient early warning and emergency system suitable for regional characteristics. At the same time, the construction of emergency response network in urban public safety information-sharing network system will be integrated to form the functions of command and coordination, on-site monitoring, forecasting, medical treatment, material reserve, etc., and horizontal and vertical interconnection to respond to emergencies electronic information network system.
Moreover, talent is very important. The knowledge level and emergency decision-making ability of emergency management personnel should be improved, and an emergency management team with excellent qualities and outstanding abilities should be cultivated, especially professionals such as on-site first aid, epidemiology, inspection, health supervision and law enforcement, crisis communication, and health education.
Third, sufficient funds and materials are the prerequisite and important basis for the success or failure of emergency management. During the epidemic, problems occurred in the storage of emergency facilities, equipment, medical supplies, and medical equipment. Therefore, we should establish an emergency material reserve system and catalog for the prevention and control of major epidemics. In particular, protective equipment should be given priority to ensure protection, and emergency reserve materials can be rotated regularly. In terms of emergency funds, the government should increase funding for public health.