Nearly 60% of the college students surveyed are worried about "sudden death". Mastering this knowledge may save lives

  From the sudden death of a young actor who fell to the ground while recording a program, to the sudden death of a college student in the stadium, to the sudden cardiac arrest of Zhang Jingjing, a nurse from Shandong Province, and the death of sudden cardiac arrest after the rescue failed...The sudden deaths of youth groups frequently occur, and "sudden cardiac death" is affected by the society. attention.

September 12 this year is the 21st "World First Aid Day". A few days ago, the research team led by Lian Si, a professor and doctoral tutor of the National Institute of Opening up of the University of International Business and Economics, conducted a "Survey on Public First Awareness of University Students and the Use of Emergency Equipment" "The report came out.

The report shows that young students have a strong awareness of the risk of sudden death, and have a strong desire for learning and growth needs in terms of cardiopulmonary resuscitation and the use of automatic external defibrillators (AED), but the awareness rate of related knowledge and skills is low, and emergency The rescue capacity is obviously insufficient.

  Lian Si told a reporter from China Youth Daily and China Youth Daily: “As far as the entire society is concerned, youth groups, especially those born in the 1990s with high education, often have high self-requirements and expectations. However, being excellent has become a habit. At the same time, regular overdraft of the body has also become a problem that cannot be ignored."

  Since most sudden cardiac deaths occur outside medical institutions, such as homes, public places, etc., most of the first witnesses are not medical professionals. Therefore, if you master more first aid skills, you may be able to successfully rescue at the scene of the incident. Life and reduce damage.

  Over 90% of the respondents want to learn about cardiopulmonary resuscitation, and less than 5% can fully master it

  The "Research Report on College Students’ Public Awareness of First Aid and the Popularization of AED on Campus" (hereinafter referred to as the "Report") written by Lian Si’s research group shows that 58.13% of the surveyed college students are most worried about suffering from myocarditis/sudden cardiac death syndrome. It is much higher than the worry about other diseases; among all first aid knowledge categories, 61.46% of the surveyed college students said they want to know the knowledge of cardiopulmonary resuscitation most; they think the school is “very necessary” and “more necessary” to organize students to systematically learn about cardiopulmonary resuscitation The proportion of respondents with knowledge reached 92.57%, but only 4.86% were able to fully grasp the knowledge of cardiopulmonary resuscitation.

  "Based on this situation, it is very necessary to strengthen the young people's understanding of first aid knowledge, and at the same time improve their ability to control related equipment." Lian Si said that promoting first aid knowledge and AED operation skills among young people can effectively reduce the heart source. The mortality rate of sudden sexual death events has significantly increased the success rate of emergency rescue of heart disease and minimized the threat of sudden death to life; on the other hand, young people have a strong sense of social responsibility, and they have learned first aid knowledge and AED operation skills , Can promote the formation of a good public first aid atmosphere in the society, guide the public to actively share first aid knowledge and skills, and finally form a social atmosphere of first aid and daring to rescue.

  Poor living habits increase the probability of sudden death among young people, and the survival rate of those who are successfully rescued within the "golden 4 minutes" can reach 32%

  "Traditional beliefs mostly believe that sudden death is a senile disease and has little to do with young people. However, data in recent years have shown that young people are also at a high risk of sudden death." According to Hu Zhicheng, a member of the research team and the attending physician of the Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences The main cause of sudden cardiac death is organic heart disease.

Electrolyte or acidolysis balance disorders, stress or mood fluctuations also significantly increase the probability of sudden cardiac death in patients with organic heart disease.

In extreme cases, severe electrolyte or acidolysis balance disorders, stress or mood swings themselves can also lead to sudden cardiac death.

Many congenital or genetic diseases are more common in young people.

  "In addition, young people often stay up late and have a high proportion of bad habits such as smoking and drinking. In addition, the fast pace of life and the high pressure of work and study make electrolyte or acid solution balance disorders, stress or mood fluctuations frequent. ." Hu Zhicheng said.

  "Cardiac arrest is the main cause of sudden cardiac death." According to Hu Zhicheng, the rescue time of cardiac arrest is extremely short, and the rescue success rate is directly related to the time to start rescue.

In the event of cardiac arrest, timely and effective cardiopulmonary resuscitation is essential.

The survival rate of patients who are successfully rescued within the "golden 4 minutes" can reach 32%, and the survival rate of patients will drop by 7%-10% for every minute of delay in the rescue time.

Only by implementing effective on-site first aid to patients within the "golden 4 minutes" can the mortality rate of cardiac arrest patients be significantly reduced.

  "If a person with cardiac arrest is found outside a medical institution or in a place without defibrillation equipment, they should call for help immediately and begin cardiopulmonary resuscitation with bare hands; if in a medical institution or in a place with defibrillation equipment, defibrillation should be obtained quickly Check the patient’s heart rhythm, and immediately defibrillate if it meets the defibrillation indications, and strive to enable the patient to receive the most effective treatment in the shortest time and increase the survival rate of the patient.” Hu Zhicheng said.

  Hu Zhicheng stated that there is no clear warning signal before the occurrence of sudden death, which is "instantaneous death." Even if there are so-called warning signals, most of them are not typical.

However, if you have chest pain, suffocation and fatigue, palpitation, toothache, lower jaw pain and discomfort, as well as left shoulder, left upper limb, back pain, or blackness, transient consciousness disorder, syncope, etc. symptoms related to activities in the near future. See a doctor in time to determine the state of your heart.

  Create an atmosphere of “can save, know how to save, dare to save” so that everyone becomes the guardian of life

  The "China Cardiovascular Disease Report 2018" issued by the National Cardiovascular Disease Center estimates that 544,000 sudden cardiac deaths occur in my country every year, and an average of 1490 people suffer from sudden cardiac deaths every day.

However, among the large number of sudden cardiac deaths, the success rate of out-of-hospital rescue is less than 1%.

  The report of Lian Si's research group shows that lack of first aid knowledge is one of the reasons why college students are unwilling to participate in on-site first aid.

When encountering an unconscious person who stopped breathing, 68.33% of the respondents chose to "dial 120 and wait in place", and only 25.76% could "check it immediately and take first aid measures".

  "In this society with increasing uncertainties, any man-made controllable risk factor is the object of our efforts to reduce. Medical first aid requires not only the courage to come forward, but also certain first aid skills and experience. Face it AED, "do not use" or "dare to use" will affect the efficiency of use." Lian Si said.

  The survey found that the willingness of college students to use AED to rescue the wounded will increase after assuming that they have fully grasped the AED usage method. 90.28% of the respondents said that they are willing to use AED when they fully grasp the AED operating knowledge.

  The report further shows that even if they know about cardiopulmonary resuscitation and AED, college students still have certain concerns when rescuing others in emergency situations. The main reason is that they have no confidence in their first aid ability, fear of making mistakes, and need to take responsibility.

The research team believes that in addition to the inadequate training and publicity of relevant first aid knowledge and insufficient students' first aid ability, the incomplete legal system related to on-site first aid and the unclear division of responsibilities are also important factors that cause the above concerns.

  Lian Si said that for AED to function effectively, all groups in the society should work together to make contributions to the domestic first aid cause.

He suggested that the publicity and education of first aid knowledge should be strengthened; diversified and diversified forms of education and training should be continuously innovated and expanded; national first aid laws and regulations should be established and improved to encourage the public to act bravely; actively promote the deployment of AED equipment to accelerate Popularize the concept of first aid and catalyze the willingness of young people to rescue.

"Universities and education departments should play the role of propaganda and enlightenment; medical departments at all levels, the Red Cross and other related departments should act as feedback and guardians; government agencies and judicial agencies should act as guarantors and legislators The role of the contemporary youth group in promoting the improvement of national safety and first aid health literacy".

  "Only when the entire society has the awareness, atmosphere and skills of first aid, when the public encounters emergencies, they will not only'will save' or'dare to save', but also'willing to save', so as to truly build'everyone for me I am for everyone, "Everyone learns first aid, first aid for everyone" good social customs, let everyone become the guardian of life." Lian Si said.

  China Youth Daily·China Youth Daily reporter Zhang Manyu Source: China Youth Daily