What are the issues in first aid and emergency health training

After running front-line training for almost 4 years, the most intuitive feeling is that the content problems of this type of training are essentially failing to meet the real needs of users. Most of them are useless in mid-air, and few of them can be implemented to solve problems.

The most common thing is that the content is completely divorced from actual application scenarios. When I went to an Internet company for a special session, the ready-made PPT given by the partner started with a 20-minute history of cardiopulmonary resuscitation. The audience was full of programmers rushing to work on the project. Within 10 minutes, half of them had their heads down typing code. When asking questions during the practical session, several people didn't even know which floors to call 120 and whether there was an elevator. There is also a lot of general training content that targets young adults by default, and never specifically mentions special handling points for the elderly, children, and pregnant women. Last month, a new mother said that she had participated in community first aid training before. When her child choked on jelly, she hugged the child in the adult Heimlich position and did not dare to exert any force. Fortunately, the child coughed it out on his own in the end, and she is still scared when she thinks about it.

Don’t think that the only problem is that the content is too redundant. There are also many problems that are caused by professional adaptation that is messy and does not please both ends. Last time I went to an old community to provide training for retired elderly people, the hospital teacher invited said that "the depth of chest compressions should be 5-6 cm, and the frequency is 100-120 times/min", as well as a bunch of professional parameters for AEDs. The uncles and aunts in the audience frowned when they heard this. When the show was over, I asked an uncle Zhang what he had remembered, and he said he just remembered "call someone first when someone falls", and didn't understand anything else. In turn, advanced training is given to school doctors and full-time safety officers of enterprises. The content is too watery. It covers the three most common topics: hemostasis, bandaging, and cardiopulmonary resuscitation. It doesn’t even mention the content they just need, such as the location of intramuscular injection of epinephrine for anaphylactic shock and the boundaries of graded treatment for heat stroke in hot work. Many people complain after the class that “nothing they learned was used, and nothing they needed to use was learned.”

There are also many hidden content blind spots. We didn’t take it seriously before. Until last year, a volunteer participated in the training to run a marathon and was stained with the blood of a fallen runner while treating the wound. He came back and worried about it for almost three months, and even went through two infectious disease screenings before he felt relieved. Only then did we realize that 90% of the training now only teaches how to save others, and never talks about how to protect yourself before rescuing, or how to deal with situations where there is a risk of infection. There is another issue that is still being debated in the industry: Should the exemption clause for rescue by non-professionals be included in the training content? Some experts think that this is a legal matter and should not be included in health training. However, we all know that if you don’t explain clearly that “voluntary rescue does not require responsibility”, even if you teach the operation to a standard, most people will still not dare to do it if they encounter an accident, which is equivalent to teaching in vain.

Actually speaking, the problem with these contents is like making super spicy hot pot for people who love sweet food. There is nothing wrong with the ingredients, but the needs of the target audience are not found. Before doing training, you should find out who the audience is and what emergency scenarios they usually encounter, and then customize the content. Most of these problems can be solved.