The relationship between first aid and emergency health includes

The core of the relationship between first aid and emergency health is the logic of three-dimensional linkage - first aid is the most advanced rigid treatment link in the emergency health system, and emergency health is the knowledge support, scene extension and follow-up guarantee for first aid operations. The two are by no means a relationship of inclusion and inclusion, but a life protection community that complements each other.

To be honest, I have encountered such a thing before when I was doing emergency publicity in the community: Aunt Zhang, who lives in the old city, was peeling lychees for her three-year-old grandson at home. The child suddenly got stuck in his throat while running and eating. Aunt Zhang had just learned the Heimlich maneuver two days ago and held the child in her arms. The child spat out the lychee core after three times. At that time, he saw the child jumping around and didn't take it seriously. However, two hours later, the child began to cough up blood. When he was sent to the doctor, he found that the esophagus had been scratched by the lychee core and had a two-centimeter gash, and there was a secondary mild infection. I happened to be working in the emergency department at that time, and the receptionist sighed and said, this is a typical example of someone who only understands first aid actions but does not understand emergency health management after first aid. In the past two years, academic circles have actually been quarreling over this matter. One group insists on the "emergency end point theory" and believes that the completion of pre-hospital first aid actions and the patient's escape from immediate life danger is equivalent to the completion of the emergency health closed loop. ； The other group advocates the "full cycle theory" and believes that 72 hours of risk monitoring after first aid, subsequent damage repair, and even psychological intervention after the incident are all part of emergency health. Now the latter has gradually become a consensus in the industry, but many ordinary people still think that "rescuing them is enough."

Don’t think that this kind of thing is far away from you. A similar thing happened in our office building last year: a young programmer on the 27th floor stayed up for three consecutive nights to revise projects. During a meeting in the afternoon, he suddenly held his chest and complained of pain. The colleague next to him didn’t dare to shake him, so he supported him first. He sat back on the chair and called 120. He accurately reported that he had hyperlipidemia and a family history of coronary heart disease during his physical examination last year. When the ambulance arrived, the doctor on board directly brought him appropriate thrombolytic drugs. Finally, he was sent to the hospital in time and he was fine without even inserting a stent. Many people don't know that this operation of "avoiding secondary injuries and accurately providing medical history information" is the core part of first aid, and these judgments all come from the emergency health common sense accumulated in daily life - if you don't know that you can't move around when you have a myocardial infarction, and you go up to hold someone up and run to the elevator, maybe the person will disappear halfway.

There is still a controversial point now, which is whether ordinary people should learn invasive first aid operations. Many front-line emergency doctors hold an objection: Ordinary people do not have a systematic medical foundation and have not received practical training. In emergencies, they will casually perform operations such as cricothyroid puncture and fingertip bloodletting, which can cause infection in mild cases and directly injure vital organs in severe cases. However, scholars in the field of public health have a different view: If you really encounter situations such as being buried in an earthquake or being under extreme lockdown, and it is impossible to send a doctor in time, mastering some basic knowledge of invasive operations may be able to buy a few hours of prime time for subsequent rescue. The current compromise plan in the industry is also very practical: ordinary people can first understand the non-invasive and high-error-tolerant operations such as Heimlich, cardiopulmonary resuscitation, and compression hemostasis. Those who are really interested in advancing can participate in paid practical training from the Red Cross or formal medical institutions, get a certificate, and then study more in-depth content. Don't follow the wild tutorials on the Internet to practice blindly. Two years ago, I met a young man who learned CPR from a short video. He failed to control his strength when he was pressing on a drunk friend who had fainted. He broke three ribs and punctured his lungs, which caused big trouble.

Many people always think that "first aid is for saving others. I am in good health and emergency health has nothing to do with me." This is actually the biggest misunderstanding. Last month, there was an online ride-hailing driver in our jurisdiction. He suddenly felt numbness in his left arm and tightness in his chest while driving. He immediately pulled over to the side of the road and took half a tablet of nitroglycerin before calling 120. He was later diagnosed with acute myocardial infarction. When he was sent to the hospital, the doctor said that if he had continued to drive for five minutes, he might have died suddenly in the car. He himself said that he had read the popular science on precursors of myocardial infarction that we posted before and made a note of "Be alert if your left arm is numb." This is how you integrate first aid knowledge into your own emergency health management. To put it bluntly, when you have low blood sugar, you know to squat down first and not to hold on. When your fever reaches 39 degrees, you know to take antipyretics first and then go to the hospital instead of carrying it. This is first aid for yourself, and it is also the core part of personal emergency health.

In fact, the relationship between the two is not that complicated to put it bluntly, just like the fire extinguisher and smoke alarm in your home: first aid is the can of fire extinguisher. If there is a fire, you can take it out as soon as possible to put out the fire. It is a critical moment.； Emergency health includes daily installation of smoke alarms, fire blankets, escape ropes placed at the door, and even annual fire drills. From daily risk prevention, to correct handling of incidents, to subsequent damage recovery, the entire chain is covered. Neither one of them will work. If you only have a fire extinguisher and don't check for hidden dangers, you won't be able to stop a fire if it breaks out. ； If you only install an alarm and don't use a fire extinguisher, you will have to wait until the fire breaks out. They are all matters related to our lives. It never hurts to know more about them.