What is the relationship between first aid and emergency health

Essentially, first aid is the front-end implementation carrier of the emergency health system. The two are nested relationships between "points" and "faces" - emergency health covers the entire chain of health protection from risk prediction, on-site treatment to subsequent recovery, and first aid is the core node that is stuck at the first moment of a risk outbreak and directly determines the direction of the situation.

I met my old acquaintance Aunt Zhang when I was doing emergency science popularization on the street last week. Her husband had a heart attack at home last spring. She just learned our training last month. She didn’t mess with people. She first supported the person on the sofa and took nitroglycerin. When she called 120, she accurately reported the house number of the community and her husband’s address. She had a history of coronary heart disease, and there were nearly 20 minutes left in the thrombolysis window when the ambulance arrived. In the end, the old man didn’t even have any postoperative sequelae. If she had been in a panic and fed someone water and helped her walk downstairs, the result might have been completely different. This is the most intuitive example of first aid directly realizing the value of emergency health.

Don’t think that first aid only happens in the few minutes after an accident occurs. The construction of first aid system and the promotion of science popularization are themselves the core work of emergency health. Looking at the statistics of disease control, the average survival rate of out-of-hospital cardiac arrest in my country is less than 1%. However, because Shenzhen has installed nearly 30,000 AEDs in public places in the past five years, it has regularly provided free cardiopulmonary resuscitation and Heimlich maneuver training to citizens. Last year, the core business The survival rate of out-of-hospital cardiac arrest in shopping malls and office buildings has risen to 11%, which is equivalent to one extra person surviving for every 10 people who have an accident. This essentially means that the "pre-emptive effort" of first aid has been done enough, and the emergency health ability has been directly improved to a higher level.

There are also different voices in the industry. Some scholars believe that first aid is purely on-site treatment technology and has nothing to do with back-end work such as chronic disease emergency management and post-disaster psychological intervention in emergency health. However, anyone who has actually been to an emergency site knows that this is not the case. When there was a heavy rain in Zhengzhou the year before last, I went with the rescue team to provide support. In addition to dealing with trauma and drowning patients, the frontline first responders also had to measure blood sugar and blood pressure one by one for the elderly who had been trapped in the underground garage for two or three days. Patients with diabetes and chronic obstructive pulmonary disease were given priority to be transported to prevent them from becoming emergencies due to drug withdrawal and poor environment. This means that the emergency scene has synchronized the back-end emergency needs of chronic diseases.

It may be easier for you to understand that emergency health is like a flood control embankment built for everyone's health. First aid is the row of flood control posts at the front of the embankment. People at the posts usually patrol and check for hidden dangers. If there are signs of piping surges or breaches, they can be blocked as soon as possible. There is no need to wait for floods to overflow into the home before rescuing. I have been doing grassroots training for the past two years and I can feel that now everyone's understanding of first aid is no longer a "skill that only doctors need to know". After learning it, many people will take the initiative to prepare first aid kits at home and install one-click rescue devices for the elderly at home. This means that the boundaries of first aid have slowly extended to daily health management, and the entire emergency health protection network has become increasingly dense.