What are the requirements for first aid and emergency health training content

The current core requirements for first aid and emergency health training content in the industry are essentially based on "learn to be able to use it, dare to use it, and do not cause trouble". It does not mean that you have enough class hours and how many knowledge points are taught to meet the standard. It must be completely followed by the daily scenarios of the trainees.

Last year we conducted training for the express delivery site in Wangjing. The courseware we initially prepared included the identification of pulmonary embolism and the professional classification of trauma dressings. The trial lecture was interrupted by a little brother after 10 minutes. He said that these things are not usually encountered at all. He wanted to know how to stop bleeding after falling, how to save heat stroke in summer, and whether to help passers-by if they fainted. We changed the courseware that day. All professional terminology was converted into vernacular. The depth of chest compression was not only 5-6 centimeters, but almost the width of an ID card. The operation steps of the AED were also simplified to "tear off the sticker and listen to the prompts." Even the Heimlich maneuver was specially divided into two scenarios: an adult and a baby in the hand. It was practiced and taught for two hours. After the end, a boy was randomly selected to ask what to do if someone has a stuck throat. He could directly tell the steps, which is effective.

Of course, there are a lot of controversial contents. We will thoroughly explain the views and applicable boundaries of both sides to everyone, and will not just talk about the so-called "standard answers." For example, when it comes to the Heimlich maneuver for young children, one group of people believes that ordinary parents have not undergone repeated practical training and can easily break their children's ribs if they use incorrect force. It is better to give priority to teaching the basic operation of patting the back and pressing the chest. The other group believes that in a critical moment, even if the movements are not standard, it is better than doing nothing and waiting. When we train mothers in the community, we will clearly explain the risks of both operations, and even let everyone try it on a simulation doll to feel the strength for themselves, which is much more effective than force-feeding knowledge points. There are also things like whether to teach wound suturing in outdoor scenes. Many niche outdoor survival trainings will teach it, but mainstream pre-hospital first aid training is not recommended for ordinary enthusiasts. After all, there are no sterile operating conditions, suturing can easily cause serious infections, and may also accidentally damage nerves. When we train outdoor team leaders, we will also make this boundary clear: If it is really 20 or 30 hours away from the hospital in an uninhabited area, emergency treatment can be done. If you can drive to the hospital in half an hour, it is safest to apply pressure to stop the bleeding and send the doctor to the hospital.

Another requirement that is easily overlooked is that the content must be updated in a timely manner to keep up with the latest clinical guidelines. You cannot teach with old courseware from ten years ago. For example, many people used to know that you need to hang upside down to control the water when drowning, and apply toothpaste and soy sauce to burns and scalds. These misconceptions still appear in many old trainings. Every time we do training, we will deliberately bring out these erroneous operations to refute the rumors. We tell everyone that after rescuing someone from drowning, they should check for breathing and heartbeat as soon as possible. If not, go straight to CPR. For burns and scalds, rinse with room temperature water for 15 minutes and don’t apply anything else.

And now when we do training, the proportion of practical exercises will basically not be less than 70%. It is really useless to just watch PPT and videos. An internet company came to us before and said they wanted to do an online video recording class for their employees, but we rejected it outright. If you watch the video a hundred times, you will find that you can’t press the chest compression or it’s in the wrong position. How to put a tourniquet without damaging the nerves, and how to fix a fracture without causing secondary injuries. If you don’t practice these two or three times with a simulator, you won’t dare to do it if something happens to you. Oh, yes, we are now also adding random scene simulations. For example, when doing training in an office building, we will suddenly shout "Someone has fainted over there" to see whether everyone's first reaction is to surround them first or call 120, and whether anyone remembers to find an AED. After practicing this once, everyone is more impressed than taking ten pages of notes.

By the way, we also deliberately set aside ten minutes for each training to talk about the "good person clause" in the Civil Code. Many people are afraid to rescue people because they are afraid of taking responsibility. It is clearly stated that those who voluntarily perform first aid and cause damage to the recipients will not bear civil liability. This will really increase everyone's willingness to dare to use it. This is also an indispensable part of the current first aid training content. After all, it is more important to dare to use first aid than to know how to use it.