From the perspective of front-line first-aid support personnel, the essence of basic first-aid skills is to focus on the principle of "saving lives first, then treating injuries", and the core covers three core dimensions: on-site risk assessment, basic life support and common injury treatment. It is not a step-by-step process, and it should be promoted simultaneously in many scenarios.
Last time when I was doing emergency support in the community basketball court, I met a young man who grabbed the backboard and fell to the ground and couldn't move his leg. My first reaction was not to go up and lift someone. I first scanned whether there was a loose basketball stand around my eyes and whether there was a sweaty and slippery area under my feet. I called the fans who were surrounded by me to step back two steps to leave enough ventilation space to confirm that there would be no secondary injuries at the scene before I went forward to check the injuries. At present, there is no unified view on whether to leave a certificate for the on-site evaluation. One group thinks that the golden first aid time is only a few minutes, so we can't waste time on shooting videos. The other group suggests that if someone else helps you or raises your hand, you can shoot a 10-second environmental video conveniently to avoid unnecessary disputes in the future. Both views are reasonable, and the core is to take care of it without delay.
When the site is safe, the first thing to judge is whether the injured person's life is in danger. This part uses the core basic life support skills. Last year, I gave a first-aid popularization class to my aunt in the community. One aunt used Heimlich method on the third day after she went back, and saved her little grandson who was stuck with half a peanut. If she waited for 120, she would probably have been suffocated by lack of oxygen. There is also the AED (automated external defibrillator) that can be seen everywhere in public places. Many people think that this is a professional equipment that they dare not touch. In fact, it is completely unnecessary. After starting the machine, there is voice guidance throughout the whole process, and even if it is touched for the first time, it can follow the operation. The machine will automatically judge whether the injured person needs defibrillation, and there will be no cases of electric injury caused by misoperation, so there is no need to be afraid.
If the injured person's breathing and heartbeat are normal, then you can start to deal with the specific injury. This part is the content of the injury that everyone usually contacts the most. A while ago, my aunt's cooking on the ground floor was splashed with oil. My first reaction was to put toothpaste on my hands. I stopped and pulled it under the faucet for 20 minutes, then I didn't get any blisters. There is also the sprain that everyone often encounters. In the past, it was the default to strictly ice, brake and raise, which is often referred to as the RICE principle. In recent years, the academic community has also put forward a new POLICE principle, arguing that it is not necessary to completely and absolutely brake, but appropriate moderate weight bearing can promote recovery. Ordinary learners don't have to worry about which one to press. Don't rub or hot compress in the acute stage. If the pain is severe, they will not make a big mistake if they are sent to the hospital in time to check the fracture.
I have compiled a few common scene operations that people are most likely to step on the pit, for your reference:
| Common scenes | Error operation | proper operation |
|---|---|---|
| Slight burns (no ulceration) | Apply toothpaste, soy sauce and plant ash. | Rinse with flowing cold water at room temperature for 20-30 minutes, gently take off the clothes adhered to the wound surface, cover them with clean gauze and send them to the doctor. |
| Foreign body stuck in throat when awake. | Pat your back vigorously and dig deep into your throat with your hands. | Stand behind the injured and hit the upper abdomen with Heimlich method with moderate force to avoid rib fracture. |
| Acute sprain | Massage the affected area, apply hot compress, and immediately apply a blood-activating plaster. | Give priority to ice compress within 72 hours, properly brake to avoid heavy load, and seek medical attention to investigate the fracture in time if the pain is unbearable. |
In fact, after doing first aid for so long, I have always told you that you don't have to think too complicated about basic first aid, and you don't have to ask yourself to handle all the situations. If something really happens, call 120 as soon as possible. Don't panic, what can you do, even if it's just to help evacuate the onlookers and show the way to 120 ambulances, it will be a great help.

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