Summary of experience in basic first aid skills popularization training

For ordinary people to learn first aid, the two hurdles that should be crossed first are "the boundary of daring to take action" and "the standard of being able to take action." 90% of daily first aid regrets are essentially stuck here, and have less to do with whether the operation standard is sufficient.

When I first entered the training classroom, I was quite disapproving. I thought there were so many short videos online, why haven’t I seen the first aid steps? Coming to participate means that the unit requires you to gather the number of people. As a result, the lecturer did not show the PPT, but first showed three sections of uncoded public area surveillance, which made me break out in cold sweat. The first part is about a sudden death case in the subway last year. It was crowded during the evening rush hour. When the young man fell down, people around him pressed forward to ask if they could help. When someone realized that it might be a heart problem, everyone in the circle stepped back. You looked at me and I looked at you. No one dared to touch him, so he stood on the edge waiting for the ambulance. By the time 120 arrived, the golden four minutes had passed, and the person could not be saved. The second paragraph is about the news that was very popular last year. A young man saved an old man who had a heart attack in the market and broke three ribs. His family sued the court for a compensation of 80,000 yuan. Although the court finally found the young man not responsible based on the "good person clause" of the Civil Code, during the interview, he said that if he encounters such a thing again in the future, he really doesn't dare to do it casually. It is too disturbing. The third paragraph is the surveillance in the community. The grandma was feeding pistachios to her three-year-old grandson. The child got stuck and coughed. The grandma held her and patted the child on the back. After patting for half a minute, the child's face turned purple. When he was sent to the hospital, the nuts had become stuck in the main trachea and could not be rescued.

These three cases just hit the three common misunderstandings about first aid that ordinary people have: not daring to save, afraid of taking responsibility, and blindly saving. Interestingly, this training happened to have invited a senior lecturer from the emergency center and a lawyer who has done many people's livelihood litigation. The two people did not collude in confession beforehand. They had completely opposite views on "whether to take a video to keep evidence before rescuing people." It also allowed me to see different aspects of this controversial issue. Teacher Li from the emergency center has been doing pre-hospital first aid for 12 years. He has a very bad temper. He said this is pure nonsense. In the golden four minutes, if you take out your mobile phone and turn on the camera to adjust the focus, the person may be dead. If you really want to save people, the first priority is to determine the indications and get started. How can you have time to do this? But Lawyer Wang next to him spoke much more calmly, saying that he receives three or four cases every year in which well-meaning people rescue people and are blackmailed. Ordinary people have psychological concerns. If there are other people at the scene, you can shout, "Can someone please help me take a video to prove that I took the initiative to save the person. He has lost consciousness and needs first aid." It only takes three seconds to save people and reduce subsequent troubles. It is really not wrong. I sat down and thought about it for a long time, and I felt that both of them were right. To put it bluntly, it depends on the situation at the scene. If you are really alone, you must save others first. If there are people around, there is nothing wrong with helping to take a video. It is not a black and white matter.

I used to think that there was no room for error in first aid operations. For example, breaking ribs during cardiopulmonary resuscitation was an improper operation. As a result, Teacher Li directly showed us the clinical data and said that people over 60 years old generally have osteoporosis. Even if the operation is performed according to 100% standards, the incidence of rib fractures is about 30%. This is a normal complication and does not count as an operation error at all. As long as you follow the specifications, you are not responsible. To be honest, I had never dared to do cardiopulmonary resuscitation before, just because I was afraid that I would have to pay for breaking my ribs. After hearing this, the stone in my heart finally fell.

Only when I got to the practical stage did I realize that watching a short video ten times is not as good as practicing it once with my own hands. I always thought that cardiopulmonary resuscitation was just about pressing the chest? How simple? It was only when I was in front of the simulator that I realized what it meant to be difficult. The compression depth was required to be 5-6 centimeters and the frequency was 100-120 times/minute. My arms were shaking in less than two minutes and sweat was dripping down my chin. Teacher Li came over and tapped the back of my hand and said that your pressure is OK for a little girl, but it is useless for a 180-pound strong man because it cannot reach the heart muscle at all. As for the Heimlich, I used to think that everyone stood behind and held the belly, but that day I learned that pregnant women, extremely fat people, and people who have already lost consciousness when lying down cannot use abdominal thrusts, but must use chest thrusts. This is done for babies under one year old, and you have to tap the shoulder blades in reverse. If you make a mistake, problems will arise.

Oh, and there is also an AED. I always thought that this was something only medical staff could use, and that they needed to be able to read electrocardiograms. However, during the actual operation that day, I discovered that this thing is simply a "fool machine". When you open the cover, there will be a voice prompt. You can follow the AED. Just follow what it says and do what it says. When you put the electrode pads on, they will draw a picture for you, and it will be clear where to put them. If it says it can shock you, just press it. If it says no shock, you can continue doing CPR. No professional knowledge is required, as long as you can find the machine. We also simulated looking for an AED in a shopping mall that day, and we learned that many cities now have them in subways, shopping malls, and government affairs halls. You can find the location by searching the map on your mobile phone. I had never noticed it before.

What a coincidence, I was able to use the skills I learned within a week after the training. Last week I took my niece to KFC. When she was eating jelly, she ran around and got stuck. Her face turned red and she couldn't speak. Her mother was so frightened that she started crying. I reflexively picked her up, turned her over on my arm, and patted the middle of her shoulder blades three times, and the jelly spit out immediately. If I had left it alone, I would have just called 120 in a panic, and maybe I would have learned to slap people on the back online, which might have delayed things.

Now I have a portable first-aid kit in my bag, which contains iodine, hemostatic patches, disposable gloves, and a printed AED query procedure. This does not mean that I am ready to be a life-saving hero, but when I encounter something, I will not just stand on the side anxiously and shout "Is there a doctor?" Some people used to say, "Ordinary people don't learn first aid, but they still have to take responsibility for the wrong rescue." But now I feel that as long as you understand what situations should be treated and what situations should not be improvised, and follow standard operations, there is really nothing to be afraid of. After all, when the time comes, if you can grab an extra second, it might save your life. How can you have so much time to worry about it?