Summary sample of basic first aid skills popularization training

The current conventional first-aid science popularization model of "teaching knowledge points + testing steps" cannot solve the core pain point of "fearing to do it when really encountering a problem, and forgetting all about it". Follow-up science popularization must put "stress response training", "psychological construction" and "knowledge point science popularization" in an equally important position. At the same time, the public's misunderstanding about "first aid must be zero mistakes" must be eliminated.

To be honest, I was stunned for a moment when I first got this data. For this training, we invited a senior nurse from the district emergency center to give a lecture. The knowledge points were all based on the national emergency science syllabus. The gestures of the Heimlich maneuver, the compression depth and frequency of CPR, and the steps to use the AED were explained two or three times. Key points were also highlighted before the paper assessment. How could the crotch be stretched like this in practice? The one who impressed me the most was a post-95s girl who ran a milk tea shop. She got full marks in the knowledge test. When simulating foreign body obstruction in the airway, she stood next to the dummy and stood stunned for three seconds. Her hands directly pressed on the dummy's ribs. When she came down, she told me, "My head was blank at that time. I just remembered to push up and forgot about everything else."

I have participated in many industry exchanges on first aid science in the past two years, and there are two completely different ways of thinking about this issue in the industry. Academic teachers have always insisted that in popularizing science, we must first strictly control the movement standards, and there will be no deviation of even one centimeter, otherwise it will easily cause secondary injuries. This statement is really not true. Last year, our district’s emergency department received a case. A kind person performed CPR on an old man who had suffered a cardiac arrest. The compression position was off by two centimeters, and two ribs were broken. Although the family members were not held accountable, the kind person himself felt guilty for half a year. But more front-line people who do practical science popularization hold the opposite view: it is much more important to dare to reach out first than to have completely standard movements. I met an old man at the market two years ago who had a date pit stuck in his airway, and his face turned purple and black. When I rushed to hug him, my hand position was a little off, and I pressed it to the epigastrium, and the date seed spurted out within two strokes. If I had stood there and recalled my standard movements for half a minute, the old man might have been able to hold it in.

In this training, we specially added a "distraction simulation" session that we had never tried before: a simulated subway station where someone fainted, and the staff were arranged to act as onlookers. Someone yelled at the top of their lungs, "Don't touch him, what will I do if I blackmail you?" Some people held up their mobile phones and came closer to take pictures, and there were still people nearby who blindly commanded, "You pinch the person, what's the use of just pressing the button." And guess what? 60% of the trainees who originally performed very standard movements stopped immediately after being shouted at. A few of them stepped aside and waved their hands and said, "I can't do it. Just wait for 120." This result shocked me even more than the low passing rate of the practical exercises. I always thought that people who didn’t know first aid didn’t learn it because they didn’t learn it. Now I realize that most of the problems are caused by the inability to pass the psychological test. This time, we deliberately printed the clause in the Civil Code that "the rescuer shall not bear civil liability if the recipient is harmed by voluntary emergency rescue" on the cover of the knowledge point manual, but we still couldn't stand up to the nonsense of others.

Interestingly, among the 32 elderly people over 60 years old who participated in this training, the passing rate of the paper assessment was only 62%. Many people could not remember that CPR should be pressed 100 to 120 times per minute, but the passing rate of the actual practice was 5 percentage points higher than that of young people. An aunt came down and said to me, "How can I remember the frequency? I just know that pressing hard is better than watching someone die." Don't tell me, the depth and frequency of her compressions are not much different, and they are much more stable than many young people with confused minds.

Of course, there are many problems in this training. We only prepared 4 CPR dummies and 2 airway obstruction dummies. Many people queued for 20 minutes to touch for 3 minutes. The time was up as soon as they found the feeling.； There was only one AED simulator, and by the end of the training, nearly half of the people had never tried to turn it on and apply electrode pads. The owner of a Sichuan restaurant across the street also asked us if we could provide practical training on stuck fish bones and scalding burns. Just last month, a customer in his shop was coughing after a fish bone got stuck.

I have been doing first aid science popularization for almost 4 years. I used to think that everyone must be taught to be a "quasi-professional first aider" to be qualified. Now I slowly understand that the purpose of science popularization is not to train certified first aid doctors, but to make ordinary people not just stand and call 120 when something happens. Even if you can’t remember the complete CPR steps, you still know to turn the fainted person over to avoid choking. ； Even if your Heimlich gesture is not completely standard, if you encounter someone whose airway is stuck, dare to go up and hug him twice. ； Even if you don’t know how to use an AED, knowing where the AED is hung at a shopping mall subway station and being able to call someone to pick it up quickly is useful enough.

Next time we plan to hold less afternoon-long lectures and more practical demonstrations like flash mobs on the street. People passing by will spend 5 minutes practicing the compression gestures twice, remembering the approximate location of the Heimlich, and knowing that the AED is a life-saving tool. After all, when something really happens, half a minute of reaction time is much more useful than memorizing ten pages of knowledge points.