The relationship between first aid and emergency health is

The former is the front-end access port for the latter. It is the last step to transfer public-level emergency health plans and medical resource reserves to individuals' right to survival. It is also the core yardstick to verify the operating efficiency of the entire emergency health system.

Last year, I worked as a front guard for the food festival in the business district with the team of the district emergency center. I happened to encounter an uncle who was eating spicy crayfish and the shelled shrimp tail got stuck in his trachea. His face was bruised from holding it in. The girl from the milk tea shop next to her had just participated in the first aid training in our community last month. She rushed up and hugged her waist from behind and did the Heimlich. In less than 30 seconds, the shrimp tail spurted out. By the time our ambulance arrived, the uncle was already drinking mineral water to calm down his shock. You said that if no one knows first aid, by the 8-minute drive, the person might have been suffocated and brain-dead. This is the most intuitive value of first aid: no matter how perfect the emergency health system is, and no matter how fast 120 runs, it will not be able to catch up with the people around you who are helping you at the moment of the incident.

Of course, the industry is not without controversy. There are actually two completely different ideas about the positioning of first aid in public health circles. One is to advocate spreading it to the entire population, saying that as long as basic skills such as cardiopulmonary resuscitation, Heimlich, and hemostatic bandaging are covered in primary and secondary schools, office buildings, and communities, and AEDs (automated external defibrillators) are deployed within every kilometer, emergency health response time can be minimized. After all, the first four minutes of an accident are the golden life-saving time, and the only people around you can save you in these four minutes. But another point of view is that this matter should not be rushed. If ordinary people learn first aid once without regular retraining, it will be easy to have problems: I have seen someone pat the back of a three-year-old child with a stuck throat, and pat the foreign object originally stuck in the throat deeper into the trachea. In the end, it was taken out by a bronchoscope at the hospital. ； Two years ago, a young man broke three ribs while performing CPR for an elderly man who had a heart attack. The news that his family was claiming compensation also made many people hold a wait-and-see attitude towards "ordinary people learning first aid." This group even advocates the deployment of certified first aid specialists and complete first aid equipment in high-frequency accident scenes (such as business districts, schools, and sports venues), which is more efficient and lower risk.

In fact, despite the quarrel, both sides have agreed on one thing: the efficiency of first aid operations can directly reveal the shortcomings of the entire emergency health system. Last summer, the highest temperature in our district exceeded 40 degrees for half a month. The first-aid alerts for heat stroke tripled in the first week. Later, the National Health Commission immediately adjusted the emergency health plan. First, first-aid kits, ice packs and Huoxiang Zhengqi water were provided at all delivery stations and express delivery stations. All delivery workers were also given a one-hour special training on heat stroke first aid. In the next three weeks, the number of heat stroke alerts dropped by 42%, and even the number of heat stroke admissions to the hospital's emergency department dropped by more than half. You see, the pre-deployment of emergency health can reduce the burden on first aid, and in turn, problems on the emergency side can force the emergency health system to fix loopholes. The two are inherently screwed together.

I have been doing community first aid training for almost 4 years. When I first started giving lectures in communities, the aunts and uncles thought I was delaying their square dancing and said, "First aid is a doctor's job, and it is useless for us to learn it." Until last year, a 72-year-old grandma Zhang in our community had a heart attack at home. Her granddaughter was in the second grade of junior high school. She had just attended a popular first aid class at school last month. She gave her nitroglycerin as soon as possible. When she called 120, she clearly reported the house number, grandma’s past medical history and current symptoms. They also specially left someone to pick up the ambulance at the gate of the community. When they arrived at the hospital, the doctor said that if it were five minutes later, the patient would not be saved. After this incident, the registration for first aid classes in our community exploded. Many people said that first aid is not an unattainable medical term, but a skill that can really save family members.

To be honest, many people’s impression of “emergency health” is the notices issued by the Centers for Disease Control and Prevention, the emergency plans posted on the wall, and the emergency building of the hospital. However, few people realize that the location of the nearby AED stored in your mobile phone, the first aid kit in your bag, and the half-hour Heimlich maneuver you learned last year are actually part of emergency health. And first aid is the thread that connects all these links - it does not require you to have a professional medical background. It only requires that you dare to reach out and be able to reach out at the moment of the accident, and you can pull the person back from the door of death. This is probably the most essential connection between the two.