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Don't miss the golden time! How to properly and effectively press AED on cardiopulmonary resuscitation

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Many people will think that first aid is a long way from their own. But for people who have sudden illness or accidents, it plays a vital role, even related to life and death. For the medical staff involved in first aid, the biggest wish for life and death is to save the emergency patients, but in reality, it is inevitable that many lives will disappear in front of them, so many regrets will be left.

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Emergency Consultant of Jiangsu Yancheng Emergency Center Tian Yuanting: In the process of getting out of the car, one thing that made me feel more profound is that there is a patient who has a history of heart disease. He felt chest pain the night before, but he did not take it seriously. He did not seek medical treatment in time and did not call us. 120, after taking some medicines, I fell asleep. As a result, my heartbeat stopped suddenly the next morning. When my family found out that we were calling us 120, we drove to the scene and immediately performed cardiopulmonary resuscitation, but unfortunately no Rescue.

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Beijing Emergency Volunteer First Aid Trainer My aunt had a heart attack, a sudden cardiac arrest, and then my uncle called the emergency number, but while waiting for the ambulance, her breathing suddenly disappeared. I was thinking at the time that I didn't pay for it in time or something. I didn't know until I got an emergency volunteer. If she had a cardiopulmonary resuscitation, she could save it.

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Emergency doctor at Beijing Anzhen Hospital: There are many (patients) who are sent to the hospital. It is indeed too late for us to treat them because we missed the initial golden treatment time.

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Zhang Guopei, Chief Physician, Department of Critical Care, Third People's Hospital, Yancheng, Jiangsu: Because the on-the-spot rescue in prime time is only 4 to 5 minutes, after a long time, it will cause irreversible damage to the brain. Some patients have recovered their heartbeats, but because of the lack of oxygen in the brain, the formation of vegetative and even brain deaths has a great impact on the family and society.

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Beijing 120 Emergency Center Dispatching Section Yao Nan: 120 is an emergency medical assistance call, you can call free when you need it, so when you call 120, you must calm down and listen to the command of our dispatchers. Then our dispatcher will ask you some questions, first of all, the specific address, first clear the address, the patient's symptoms, gender, age, address should be accurate to the building number, house number, unit door, house number.

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Why not shoot when the shot?

At present, there is a shortcoming in the popularity of first aid awareness and first aid skills in China. According to statistics, the first-aid penetration rate in China is less than 1%. The number of people who dare to save at a critical moment is even more rare. Most people who hold a first-aid certificate say they will have a lot of concerns in the event of an emergency.

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In the interview, the reporter found that many people were particularly happy when they got the first-aid certificate. They felt that they had the ability to save people, but they really encountered the injured, and they were afraid that the problem would be troublesome when they were rescued. On October 1, 2017, the "General Principles of the Civil Law of the People's Republic of China" was implemented. Article 184 clearly stipulates: "If the injured person is harmed by the voluntary implementation of the emergency assistance, the rescuer shall not bear civil liability." The responsibility of the goodwill rescuer The exemption rule, known as the "good man law," is intended to encourage good deeds to help the wounded.

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Associate Professor, China University of Political Science and Law Because if every non-professional is required to meet the professional's rescue standards, such a request is obviously too high, so we have fully noticed this in the process of legislation, and the purpose is to dispel the worries of the rescuers. Even if there is a causal relationship between his rescue behavior and the victim's damage, he can also use the 184 articles of the General Principles of Civil Law to be excused.

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Race against time

In fact, as long as you have a certain first-aid knowledge and are willing to "save and save", it is possible to save lives. First-aid experts urged: families, units, and public places should be the first scene of first-aid. If ordinary people can master some first-aid knowledge, they can make less regrets.

On December 14 last year, the 22-year-old Xiao Wang suddenly fainted in the office. Anyone who was present shouted, Mr. Wang always had a white face and no response.

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Shenzhen citizen Ye Renjie: I touched his neck veins for the first time and didn't respond. I immediately started giving him cardiopulmonary resuscitation. I learned cardiopulmonary resuscitation twenty years ago. We are not professional (health care personnel), but we have to arrive at the emergency center before we Create a good condition and save him back with cardiopulmonary resuscitation.

For patients with sudden cardiac arrest, the first time the eyewitness is on the scene is critical. The timely help of Mr. Ye, a colleague, played a very important role in saving Mr. Wang's life. On October 26, 2018, a male passenger on the 818 bus in Shenzhen was abnormal, and the passenger on the bus quickly called the bus driver. The bus driver immediately turned the front of the car to the nearest Longgang District People's Hospital, and after stopping the car, the chest passengers were given first aid to the sick male passenger with the help of another passenger, which saved valuable time for saving lives.

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Cui Yanbin, head of public safety volunteers in Shenzhen: Now our frontline staff has more than 2,000 drivers who have specialized training in cardiopulmonary resuscitation and rescue. It is expected that the first batch of 100 units (AEDs) will be placed in the hub station, which is equivalent to a mobile rescue package.

In fact, it is not difficult to master first-aid knowledge. As long as you are willing to "save and save", life will not disappear in the "hands-on".

On the morning of November 4, 2018, the public was on the way to buy a dish, and the road met a woman who could not afford to fall.

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Shenzhen citizen Zhu Xi: I ran over and looked at it, wrong, my body temperature was already low, my face was pale, my lips were purple, and I didn’t respond to the shot, then I hit 120.

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Under the guidance of 120 emergency doctors, Mr. Zhu first used cardiopulmonary resuscitation to pull the woman who had a sudden cardiac arrest from the hands of death.

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Shenzhen citizen Zhu Xi: The doctor was instructed very well. I kept pressing it all the time. I might have pressed it for three minutes. I looked at her face from pure pale, without any blood, to the face with red, her lips slowly not so purple, my heart was Very excited, I thought she should be able to save. Colleagues around me have heard this, they feel very good, I believe that many people are willing, especially young people (willing to learn first aid), after all, can help people, I believe that most people still have blood.

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High first aid training will be insufficient

The word "urgent" in first aid means that time does not wait for people. In a random interview in Beijing and Shanghai, the reporter found that only a small number of people know the first-aid knowledge, and the people who can correctly grasp the first-aid methods are minimal.

In the interview, the reporter found that although the public does not know much about first-aid knowledge, the willingness to learn and receive training is very strong.

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Shanghai Red Cross First Aid Trainer: The next thing I will show you is how to deal with it correctly when you find a wounded person fainting next to you.

This is a preliminary first-aid training site organized by the Shanghai Red Cross. Training like this is now four or five times a week, and the participants are enrolled at their own expense. Due to the limited number of venues and training teachers, the current training appointment has been scheduled for March this year.

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Shanghai citizen Li Wei: I feel that this training is very useful, not only has the value of actual use, but also greatly improved my confidence in dealing with this situation in the future.

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Zhou Xiaohang, Vice Minister of the Ministry of Relief and Relief of the Shanghai Red Cross Society: In our sixteen hours, it is equal to two days of such training, and we can train about 30,000 people every year. At the same time, we have some lectures, including two-hour, four-hour, eight-hour popular training.

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At present, there are 19 such training points in the Shanghai Red Cross Society, and the number of people who can be popularized every year can reach 400,000. But the demand for Shanghai's 24 million people is still far from enough. It is understood that at present, China's first-aid training is mainly based on the Red Cross and 120 Emergency Centers. Most of them are of public welfare nature, and a small amount is charged. It is also training for several hundred yuan for two days. In addition, there are some trainings carried out by social welfare organizations. Because there is no uniform standard for fees, some have reached several thousand yuan a day, which makes many people who want to learn first-aid knowledge discouraged.

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Cardiopulmonary resuscitation: correct and effective compression is important

Having said so many topics related to first aid, then move your hands and follow the emergency experts to learn how to perform CPR.

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Chest compression in cardiopulmonary resuscitation forms a temporary artificial circulation, using artificial respiration instead of spontaneous breathing. Experts say that in the process of cardiopulmonary resuscitation, correct and effective chest compressions are especially important. The correct pressure can ensure the blood supply of important organs, especially the oxygen supply of the brain, and can also achieve the effect of artificial respiration.

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Riding a squat may cause a fracture

In the process of on-site first aid, especially during cardiopulmonary resuscitation, there are many common mistakes that may cause secondary damage in the rescue of patients. For example, riding straddles that often occur can cause fractures.

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Jia Dacheng, expert bank expert of the Emergency Rescue Promotion Center of the Ministry of Civil Affairs: Now, the most common thing we have is riding a straddle, and riding on a person, and then this hand is put, it should be like this, he put it like this, so there is something wrong, you see this is two horizontal width, put This will not break the two sides. Then you look like this, the four horizontal fingers are wide, and the two sides are easy to break.

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Excessive action is a waste of time

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Another common situation is to stop for a while while doing cardiopulmonary resuscitation to see if there is any breathing. Once the patient's heartbeat respiratory arrest is determined, unnecessary assessments should be minimized, and redundant actions are a waste of time. While pressing, observe the reaction instead of stopping the cardiopulmonary resuscitation, try it on your nose or take the pulse again. There are four kinds of situations that can be stopped: an automatic defibrillator is the AED in place; two professional medical personnel arrive; three patients move their hands and feet; four are tired, and the personnel are replaced. Another important misunderstanding is that the automatic defibrillator is also the AED for professional use. In fact, the AED is for non-professionals. It is actually a fool machine. Just follow the voice prompts.

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Zhang Shimei, executive director of the Science Branch of China Medical Rescue Association: Even if you have never used it, you can operate it according to the language prompt. It is not a question of how many hours of training, how to explain the teacher, and how to use it after personal training. This is a misunderstanding and everyone is available.


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