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Original caption: Beijing Metro launches DEA configuration, far from target of “200 units per 100,000 population”
Today (October 27), Beijing began rolling out automated external defibrillators (AEDs) at rail transit stations. By the end of 2022, all railway transit stations in Beijing will achieve full AED equipment coverage, and the frontline station staff training and certification rate will reach more than 80%.
The reporter saw the AED equipment in a visible position at Xidan Station on Beijing Subway Line 1 and Line 4, and attached instructions for use. The Beijing Transportation Commission stated that the AED equipment installation work will be implemented in three stages in an orderly manner. By the end of 2020, Metro Line 1, Line 2, Line 13, Line 4, Daxing Line, Daxing Airport Line, Yanfang Line will be completed. Wait for AED setup of 104 stations on 7 lines; achieve 84% equipment coverage by the end of 2021; Get full AED coverage of Beijing rail transit stations by the end of 2022.
Chen Zhi, director of the Beijing First Aid Center Training Center, called for the popularization of first aid knowledge: “One more chain of first aid in your mind.”
On September 25, 2020, a 45-year-old man died suddenly in a Beijing subway station. In 2016, Tianya’s deputy editor Jin Bo died suddenly at the Hujialou subway station in Beijing. Some netizens said “it seems like you have to fake AED”. Chen Zhi, director of the Beijing Emergency Center Training Center and health science expert at the Beijing Municipal Health Commission, instructed staff on the use of AEDs at the Xidan subway station in Beijing this morning (27 ). He accepted an exclusive interview with Voice of China News.
According to Chen Zhi, the AED is a type of first aid kit for the rescue of cardiac arrest. It can automatically identify abnormal heart rhythms and give electric shock defibrillation. It is suitable for general public use. Even if there are no professional medical skills and clinical experience, it can be treated according to the indications. People in cardiac arrest provide a timely rescue using “life-saving” electrical shocks. “In the event of cardiac arrest, there will be an AED at the first aid site, like a toothpick, and together with the other ‘cardiopulmonary resuscitation’, the use of two sticks together can greatly enhance the effect of pre-hospital first aid. The best rescue is in 4 minutes. Within 10 minutes at the latest, one minute earlier can increase the rescue success rate by 10%. “
△ Image source: Beijing Transportation Commission
Beijing Metro Corporation carried out employee first aid training in 2006. At present, non-professional first aid training certificates have become a necessary certificate for subway employees. According to the public first aid scientific training curriculum issued by the Beijing Health Commission in 2018, ordinary adults can master CPR and AED use after half a day of training.
Chen Zhi believes that what the city lacks is not just AED, but society’s attention to first aid and people’s mastery of first aid knowledge and skills. “The culture of first aid must be developed and rejuvenated along with the progress of our society.” The DEA should be included in planning and construction as a “necessary” building such as a fire hydrant. “If you build a building, you can’t open a building if you don’t pass fire control. There must also be an emergency control in public places in the city.” He believes that the advancement of social cognition can promote the formulation of laws and Related supporting regulations, in order to put the emergency system on the right track.
“I hope everyone knows that first aid is a survival skill and one of the foundations for the pursuit of a happy life. It is recommended that you take a day or two in your life to receive standardized training, and there will be more threads of first aid on your mind. ” Chen Zhi appealed through “News Have Opinions.”
Nanjing Red Cross Zhang Min Marathon used an AED to save people: the first real operation lasted only 4 minutes
On October 25, at the Yancheng Marathon site in Jiangsu, a participant suddenly fell to the ground and suffered cardiac arrest, a Red Cross volunteer who was also a runner rescued the patient through the DEA. The rescuer was Zhang Min, secretary of the Nanjing Red Cross Party Leadership Group and executive vice president, who told Voice of China “The news has opinions” on the rescue process.
Zhang Min said that when she ran for about 10 miles, a male contestant who was five or six meters from her suddenly fell to the ground. After judging that the patient was unconscious, emergency work quickly began. While Zhang Min was doing CPR, he asked other volunteers to bring the AED equipment. “About a minute, they went to get the AED. I quickly placed the electrodes on the lower left and upper right of the patient’s chest. The AED discharged once and the patient woke up. After that, I followed the prompts of the AED. The patient woke up very quickly. High. “
Zhang Min said that from the moment he found out that the patient fainted to the moment he woke him up to communicate with him, it took about 4 minutes for the patient to wake up. This is the first time you have used an AED in practice. “It is very important to operate first. Rescue is a race against time. The sooner, the less harm to the patient.” This operation also allowed Zhang Min to verify the security of the DEA. The AED can automatically detect if it needs to be downloaded. If not from cardiac arrest caused by ventricular fibrillation, it will not discharge.
“Mastering first aid skills is too important. At that time, many people took out their mobile phones to take pictures, but no one could help me with first aid knowledge. If there are more people who have relevant knowledge and can help me together, I would rather see . “Zhang Min is not without regrets.
Experts suggest the distance and difficulty of AED popularization in China: 8.90% of people in developed countries will use AED
Beijing has started installing AED equipment at the stations. Chen Zhi, director of the Beijing Emergency Center Training Center, said the first step is to solve the problem of AEDs “with / without” in the Beijing subway. The second step is to increase the number of units according to the ideal configuration density, and then The goal of 100,000 people deploying 200 units is moving forward.
Chen Zhi also pointed out three difficulties in completing the basic configuration in 2022. First, the question of financing: each AED sells for 20,000-30,000 yuan, and a large number of configurations will involve financing problems. Second, the question of social cognition. Many members of the public and some departments do not have a thorough and complete knowledge of AEDs, and promoting awareness also requires a certain process. Third, management and enforcement issues should allow people who encounter emergencies to use the AED immediately and to popularize and train the public in first aid knowledge. “You cannot focus on AED like a machine. Behind it is the entire social system. It is the public domain in first aid knowledge and skills, first aid culture formation and social system building and improvement. first AIDS”.
Zhang Min, secretary of the Party Leadership Group and executive vice president of the Nanjing Red Cross Society, said that there is a large gap between the popularization of first aid in China and developed countries. “Between 80% and 90% of citizens in developed countries will use DEA. Under the current conditions of increasing training, At present, only about 1% of people in Nanjing can use it skillfully.” Zhang Min said that the number of DEAs in the United States has reached 700 out of 100,000 units, and the number of cities with high DEA penetration rates in China is far from insufficient.
In 2015, Shanghai took the lead in launching DEA in China. In 2018, the first batch of DEA entered Hongqiao Railway Station and Shanghai Railway Station. Currently, the number of DEA in the city has reached more than 1,600; In January 2020, all Shenzhen subway stations Platform level is equipped with AED, a total of 557 units, and more than 10 lives have been successfully saved; In August 2020, Nanjing Metro announced that it will achieve full AED coverage, a total of 169 units, at least one in each subway station.
Zhang Min said that Nanjing’s goal is to reach 50% of citizens in 10 years to be able to master emergency rescue technology, with an installation density of at least 10 units per 10,000 people and 4 units per kilometer, ” ensure AEDs can be worn and received within 10 minutes. “
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