What are the requirements and standards for first aid and emergency health training

At present, the core requirements of domestic first aid and emergency health training are "scenario adaptation, practical operation priority, compliance and evidence-based". The general standards are mainly based on the "Public First Aid Knowledge and Skills Popularization Standards" issued by the National Health Commission and the "First Aid Training Outline" of the Red Cross Society of China. There is no absolutely unified content package. The core is to enable trainees to actually use it, rather than to obtain a certificate through formality.

I have been doing first aid training for companies and communities for almost 7 years, and I have seen too many formal trainings. The last time I did internal training for an Internet company, the previous supplier only talked about the history of first aid development for 2 hours without even bringing a simulator. After class, the employees didn’t even know where to press on the chest. This is not called training, it is a waste of time. Regardless of the group's training, cardiopulmonary resuscitation, AED use, and the Heimlich maneuver are the unbreakable core, and the operating standards cannot be vague. For example, the depth of compression must be 5 to 6 cm, and the frequency must be 100 to 120 times per minute. If the compression is crooked or the force is not enough, it will be in vain. I had contact with an aunt in the community before. I took three purely theoretical classes in the past two years. I actually encountered my grandson eating peanuts and getting stuck in his throat. His hands were shaking and he couldn't lift it up. Later, I practiced with our simulator three times. Last year, I encountered an accident and took out the foreign object in two minutes. If I hadn't practiced it in real life, I wouldn't have dared to do it.

Of course, not all trainings have the same content. When training for primary and secondary schools, you have to put things that children often encounter, such as stampede escapes, burns and scalds, cold showers, and correct bleeding from noses, and small games and interactions, otherwise the children will not be able to sit still. I also can’t remember; when training for chemical plants and machinery processing plants, priority must be given to specific scenarios such as cleaning chemical burns, preservation of severed limbs, and power outages due to electric shock. If you teach assembly line workers how to deal with altitude sickness for a long time, it will be of no use at all.

There are also different voices in the industry. Some people think that public training does not need to teach too complicated operations, such as cricothyroid membrane puncture and wound suturing. Ordinary people are not qualified to learn but will easily do bad things with good intentions. Others think that as long as the assessment is strict, there is no harm in teaching more emergency skills. There are also many people calling for emergency recognition to be put at the forefront. Not to mention, there was a student who took a formal class before and only remembered to do cardiopulmonary resuscitation if he fainted. Fortunately, he was stopped by a person next to him when his colleague fainted due to hypoglycemia. Now our training will first teach the logic of "evaluate the environment first, then judge conscious breathing, and finally rescue" to avoid this kind of mistake.

As for the qualification standards for training, formal training now basically requires that the proportion of practical operations should not be less than 70%. You cannot get a certificate by memorizing a few multiple-choice questions. You must be able to really standardize the operations, and you must be able to deal with different scenarios. For example, if you simulate encountering someone fainting in a shopping mall, you must first call someone to call 120, find a nearby AED, and then judge the patient's condition. If you cannot pass these details, a full score on the theoretical test will not be considered qualified.