The relationship between first aid and emergency health is

The former is the first line of practical defense for the latter, and it is also the core hub that opens up the entire chain of "prevention-disposal-rescue". The two are not a subordinate relationship of inclusion and inclusion, but a symbiotic system that complements each other and jointly underpins public health.

Many people either take the relationship between the two too lightly, or tie them too tightly: or they think first aid is just a scrap of "if something goes wrong, call 120", and emergency health relies solely on regular physical examinations and stocking up on medicines.； Either they think that first aid is all there is to emergency health, and that all resources will be spent on buying equipment and training and everything will be fine. I came across these two ideas too much when I was training on the front line. Last summer, an old man downstairs in our community fainted from heat stroke after going to the supermarket. First, the onlookers took Fengyou essence and slapped him on his temples and forehead, almost choking him. The guy from Hao Property just finished our first aid class last month. He first carried the person to a shady door post, checked his consciousness and breathing, loosened his collar to fan, and gave him light salt water. By the time 120 arrived, he had mostly recovered, and there were no sequelae during follow-up visits. You see, if there is no correct handling in these few minutes at the scene, no matter how much science popularization the community has done on heatstroke prevention and no matter how many emergency beds the hospital has prepared, things will still fall apart when we get to the scene.

When we talked about having to attend the emergency health forum two years in advance, the experts from the two groups were quarreling red-faced. Public health prevention scholars feel that too many resources are now allocated to first aid: "An AED costs tens of thousands of dollars, and it may not be used for half a year if installed in a shopping mall. Using this money to screen elderly people in the community for fall risks and provide outdoor workers with heatstroke prevention and cooling points can reduce more than 40% of sudden accidents from the source. Isn't this better than waiting for an accident to happen before rescuing them?" ”This really makes sense. Last year, we in the United Industrial Park installed awnings and ice water buckets at all express delivery and takeout sites, and also required mandatory rest for one hour when the temperature exceeds 38 degrees. The number of heat stroke calls for help in the jurisdiction dropped by 42% throughout the summer, which is much more effective than installing 10 more AEDs. But the emergency clinical experts on the other side are not convinced: "Can you prevent the elderly from falling, and can you prevent the young people from staying up late and working overtime to have a heart attack? Can you prevent children from choking on jelly? The golden rescue window for cardiac arrest is only 4 minutes, and the survival rate drops by 10% for every minute it is delayed. Our tertiary hospitals have abundant emergency resources, right? It takes 120 minutes to arrive at the scene on average. It takes 11 minutes on average. If you don’t rely on on-site first aid during this window period, everyone will be cold by the time we arrive. What’s the use of taking more precautions in front of us? ”

Both sides are correct, but in essence, the positioning of emergency health and first aid is still unclear. I have been doing public first aid training for almost six years, and the most common question I get is, "I'm not a doctor, is it useful to learn this?" ”To be honest, emergency health is a protective net for everyone. Daily health science popularization, risk screening, and material reserves are the top layers of protection to try to keep accidents out, while first aid is the layer of mesh closest to the ground, specifically designed to catch accidents that leak out and are difficult to prevent. When AEDs were being installed in our community, some people came over to ask if they were new express cabinets and if they could store food. Now, over the past year, owners of three communities have been able to accurately tell the locations of AEDs. A supermarket owner just used the Heimlich maneuver to save a child who was choking on jellybeans last week.

It's really just a few minutes. No matter how many registration records you have in tertiary hospitals on your phone, no matter how much health insurance you buy, when someone around you suddenly falls to the ground and can't breathe, the only thing that can be used is the first aid knowledge you have in your mind and the AED you can touch in your hand. I recently gave a first aid training to a courier boy in my jurisdiction. A young man born after 2000 said that he was afraid to help an old man when he fell down while delivering orders. He was afraid of blackmailing someone, and he was also afraid that he would harm someone if he tried to rescue him. After the class, he patted his chest and said that he would definitely dare to do it next time he encounters him. "I know to call 120 first. I'll tap the shoulder first to see if the person is conscious. If I don't help him, it's over."

You see, this is the most real relationship between the two - in the final analysis, whether it is doing preventive science popularization or teaching first aid skills, it is to give ordinary people an extra key to protect themselves and the people around them. They don't have to figure out who belongs to whom. Being able to take cover when something goes wrong is better than anything else.