What aspects are included in the relationship between first aid and emergency health

To put it bluntly, first aid is the forefront of the emergency health system, and it is the core link that extends professional medical protection to the first scene of an accident. The two are never separated, but are nested in each other.

Many people may think that these two things are out of reach. One is the practical skills of "rescuing someone if something goes wrong", and the other is a public health concept that sounds macroscopic, but it is not. I encountered something when I was doing emergency missionary work in the community two years ago. In the summer evening, some elders were playing chess in the pavilion of the community. Uncle Zhang suddenly collapsed while holding his chest. Uncle Li next to him had just learned how to operate an AED at our place last month. He ran to the convenience store at the entrance of the community to get an AED. The first defibrillation was completed in 4 minutes. When 120 calls came, Uncle Zhang could hum and talk. Later, the doctor said that if he had been delayed by two minutes, there would be a high probability of severe brain damage even if he was rescued. You see, Uncle Li used first aid skills in this incident, but the reason behind this is that when we did emergency health science popularization, we packaged and pushed AED point publicity, high-risk group accident predictions, and pre-hospital treatment specifications to residents. If we just show the first aid skills, Uncle Li might not even know where there is an AED in the community, let alone use it casually.

There are actually different views on the relationship between the two in the industry. Some colleagues who are engaged in first aid training believe that first aid is the core of emergency health. As long as the universal first aid penetration rate is increased, the coverage of grassroots emergency health will meet the standard. Some public health scholars believe that it cannot be so narrow. First aid is only a small part of the "incident handling" of emergency health. The previous risk investigation, science education, and subsequent referrals and rehabilitation follow-up are all within the scope of emergency health. I encountered a negative example last year. There was a rear-end collision with a car on the highway. The passing nurse immediately applied a hemostatic bandage to the injured person and handled it in a very standardized manner. Only when they arrived at the hospital did they discover that the injured person had severe hypoglycemia. No one paid attention during the first aid service and he almost fainted on the way to the hospital. Later, when we reviewed the situation, we said that if we had asked more questions about the past medical history and given more candy during the first aid service, this problem could have been avoided. This is actually a matter of separating the front and rear links between first aid and emergency health.

If emergency health is compared to a safety net that covers all accident risks, then first aid is the force-bearing belt at the front of the network. When an accident occurs, the first thing to catch people is this belt. Only if the belt is strong enough and widely spread out can the entire safety net behind it have room to work. If this belt breaks, no matter how strong the medical resources behind it are, they may not be able to catch up with the golden rescue time.

In fact, when we are doing grassroots practice, we have gradually integrated the two. We no longer teach first-aid actions such as cardiopulmonary resuscitation and Heimlich separately, but also teach everyone how to identify the signs of stroke in the elderly at home, how to prepare appropriate emergency medicine kits at home, how to protect themselves before rescuing people in emergencies such as fires and earthquakes, and even how to explain the on-site handling situation to the doctor when going to the hospital. We will mention a few words in class. To put it bluntly, first aid is never an isolated "life-saving technology". It is the most visible and tangible part of emergency health around ordinary people.