The relationship between first aid and emergency health is

The former is the most advanced core processing link in the latter system. It is the life-and-death buffer zone that connects sudden health risks with subsequent standardized diagnosis and treatment. It directly determines the outcome of more than 80% of mild health emergencies and the probability of survival in critical events.

I saw the effect of this buffer zone on the community basketball court with my own eyes last summer - 47-year-old Uncle Liu suddenly clutched his chest and fell to the ground after playing for half an hour. When the people around him were so panicked that they wanted to pinch him, a high school sophomore who just got his certificate at the street first aid training last week Xiao Zhou squeezed in, first felt the carotid artery to confirm the arrest, and immediately knelt down to perform chest compressions. When the owner of the arena next to him ran over with an automated external defibrillator (AED) that had just been equipped for three months, only 1 minute and 40 seconds had passed since Uncle Liu fell to the ground. Later, the doctors at 120 said that if they had waited until they arrived at the scene to deal with it, even if Uncle Liu was rescued, he would most likely be left with severe brain damage. Now he has returned to work 3 months after the operation. Except that he cannot play intense basketball games, he is no different from before.

However, there have been two different voices in the industry regarding the weight of first aid in emergency health. On the one hand, there are scholars in the field of public health who feel that the current popularity of first aid is too low, and the "first gate" of emergency health has not been established at all - my country's current out-of-hospital survival rate for cardiac arrest is less than 1%, which is far lower than the 10% or more in developed countries. The core reason is that there are too few people who know on-site first aid and the AED is insufficiently equipped in public places. They advocate that first aid training should be included as a compulsory course in primary and secondary schools, and that all crowded places such as business districts, venues, and schools must be equipped with AEDs. They even proposed legislating exemptions for people who take the initiative to rescue people to eliminate everyone's concerns. But the emergency medical staff on the other side also have concerns: many people are half-skilled in first aid. We met an old man who choked during a medical visit. A kind man used the Heimlich maneuver too hard and broke two of the old man's ribs. Although the foreign body was finally taken out, it also caused secondary injuries. They feel that instead of blindly pursuing "first aid for all people", it is better to focus on standardized training for key groups, such as security, property management, teachers and other positions that often come into contact with the public. First, solidify the first aid skills of these people, and then gradually spread them.

I had dinner with Dr. Zhang from the city's 120 emergency center a while ago. He said that after 12 years of emergency medicine work, the most regrettable thing is that he has encountered too many cases of "just a few minutes": a family of three suffered carbon monoxide poisoning while taking a bath in winter. When the family found out, they were so panicked that they only called 120 and did not know how to move the person to a ventilated area first. By the time they arrived, no one was there.； There was also a child who accidentally swallowed a nut and got stuck in his trachea. His parents patted him on the back for ten minutes without even thinking of using the Heimlich. By the time he got to the hospital, he had already suffocated for too long. “What do you mean emergency health? It’s not that we wait until our doctors arrive before calling an emergency. What you do the first minute you notice the danger is the most important part of emergency health. ”I still remember what he said after drinking some wine that day.

In fact, many people’s impression of first aid is still about big things like “rescuing a heart attack or drowning.” They don’t realize that many small problems they encounter in daily life are also within the scope of first aid and are part of emergency health: if an elderly person at home suddenly chokes while eating and can’t speak, you can avoid going to the hospital for tracheal intubation if you know Heimlich.； If someone faints from heat stroke outdoors in the summer, you can avoid developing heat stroke, which is extremely fatal, by moving the person to a cool place and unbuttoning the collar to cool down. ； When someone gets burned, if you run cold water for 15 minutes as soon as possible, you can save a lot of scars and greatly reduce the probability of subsequent infection. These seemingly inconspicuous little actions actually move the critical point of emergency health forward a lot.

I still have the WeChat Moments that Xiao Zhou posted on that day in my phone. It is accompanied by a photo of Uncle Liu’s family giving him a banner, and the text reads, “It turns out that what you spend half an hour learning in class can really save a life.” To be honest, first aid is never a high-end skill that only doctors can know, nor is it a showpiece in the emergency health system. It is the most practical safety gate that we ordinary people can hold in our hands. When something happens, the more you know it, the safer the people around you will be.