Objective:To explore the real experience and feelings of the medical and nursing staff in the Emergency Department of general hospitals in receiving patients with mental disorders, so as to provide reference for formulating corresponding interventions.Methods:From October to November 2021, a semi-structured in-depth interview was conducted with 16 Emergency Department medical and nursing staff from two Class Ⅲ general hospitals in Nanjing by objective sampling. Colaizzi method was used to analyze the data.Results:After analyzing the interview data, three themes were extracted, namely, the emotional experience in treating and nursing patients with mental disorders, the barriers to providing the best management for patients with mental disorders (barriers at the environment/resource level, barriers at the emergency medical and nursing staff level, and barriers at the patient level) , and the educational needs of receiving patients with mental disorders (improving disease awareness and mental health service ability, and changing the way of thinking) .Conclusions:The medical and nursing staff in the Emergency Department of general hospitals have different degrees of negative emotions when receiving patients with mental disorders. There are insufficient knowledge and ability and a series of barriers when providing mental health services for patients. Managers should take various measures to improve the physical and mental health of patients with mental disorders in Emergency Department.

Objective To observe the effect of cluster emergency nursing in treating patients with chlorfenapyr poisoning.Methods A retrospective analysis was performed for the treatment and nursing processes of 6 patients with chlorfenapyr poisoning.Results Among the 6 patients with chlorfenapyr poisoning,5 cases were orally poisoned and one case was poisoned by respiratory tract and skin absorption of toxins.All of the 6 patients with chlorfenapyr poisoning were treated through the green channel for poisoning treatment,and multidisciplinary cooperation cluster treatment and nursing as well as toxicant detection were carried out.One patient was excluded because no chlorfena-pyr component was detected in the toxicant detection;the remaining 5 patients had different degrees of fever,fatigue,nausea and vomiting and other symptoms in the early stage,and among them,4 pa-tients had high fever and aggravated degree of consciousness disturbance in the later stage of the dis-ease,and died of ineffective treatment for 2 to 11 days after poisoning(one patient was out of contact and was expected to die),with a mortality rate of 80％.Conclusion There is no specific antidote for chlorfenapyr poisoning,and the mortality rate is extremely high.After poisoning,blood,urine and other specimens should be collected as soon as possible for toxic examination.At the same time,early gastric lavage(within 6 hours),intestinal adsorption,gastrointestinal catharsis,enema and oth-er symptomatic treatments should be given.Continuous blood purification should be performed as soon as possible to remove blood toxins,and extracorporeal membrane oxygenation can be performed if con-ditions permit.

Objective To observe the effect of cluster emergency nursing in treating patients with chlorfenapyr poisoning.Methods A retrospective analysis was performed for the treatment and nursing processes of 6 patients with chlorfenapyr poisoning.Results Among the 6 patients with chlorfenapyr poisoning,5 cases were orally poisoned and one case was poisoned by respiratory tract and skin absorption of toxins.All of the 6 patients with chlorfenapyr poisoning were treated through the green channel for poisoning treatment,and multidisciplinary cooperation cluster treatment and nursing as well as toxicant detection were carried out.One patient was excluded because no chlorfena-pyr component was detected in the toxicant detection;the remaining 5 patients had different degrees of fever,fatigue,nausea and vomiting and other symptoms in the early stage,and among them,4 pa-tients had high fever and aggravated degree of consciousness disturbance in the later stage of the dis-ease,and died of ineffective treatment for 2 to 11 days after poisoning(one patient was out of contact and was expected to die),with a mortality rate of 80％.Conclusion There is no specific antidote for chlorfenapyr poisoning,and the mortality rate is extremely high.After poisoning,blood,urine and other specimens should be collected as soon as possible for toxic examination.At the same time,early gastric lavage(within 6 hours),intestinal adsorption,gastrointestinal catharsis,enema and oth-er symptomatic treatments should be given.Continuous blood purification should be performed as soon as possible to remove blood toxins,and extracorporeal membrane oxygenation can be performed if con-ditions permit.