History and experience of the promotion of cardiopulmonary resuscitation abroad

        A whole set of first-aid system established by developed countries in Europe and the United States after dozens or even hundreds of years is quite a reference for emergency and first-aid work in our country, but whether it can work in our country is a big question. However, the direction of social development must be to respect human rights, and the first aid industry should be at the forefront of society.
Since the recognition of chest compressions in the 1950s and 1960s, it can be said that the development of emergency medicine has entered the fast lane. The success rate of cardiopulmonary resuscitation (CPR) has improved dramatically from the old days of waiting for the patient to die. Studies have even shown that the likelihood of resuscitation within four minutes of cardiac arrest is over 98%. In reality, the city of Seattle in the United States has become the world's most successful CPR city, its pre-hospital emergency success rate of about 60%, and ultimately can be discharged alive and can survive for more than half a year has reached 30%, while in China, this ratio is basically zero point a few, only in a few big cities have some reports, and in recent years the construction of emergency centers to make this embarrassing situation has been improved, but still far from satisfactory. still far from satisfactory.
The reasons for this situation are manifold. The United States adopts the practice of training first aiders, that is, as long as there are crowds of people will have first aiders, although they may not be very professional, but as long as they master the basic operating methods, many patients with cardiac arrest can be the first hand treatment and fight for rescue time; and the city within a certain range of the establishment of the corresponding emergency center, supporting facilities, well-developed transportation, smooth communications, which are necessary conditions for the rescue of patients. These are all necessary conditions for the rescue of patients. The example of Seattle cited above is a perfect embodiment of the American model.
The Franco-German model focuses more on building a specialized team of doctors than the American model. This approach also requires adequate coverage of emergency centers; of course, there are some non-specialized EMS personnel, but it is the doctors who are primarily responsible for emergency care. The advantage of this approach is that patients can get more professional and accurate treatment, but the time is not easy to guarantee.
Europe and the United States due to the industrialization of the city after the improvement of the quality of construction, creating a high-quality urban transportation and communication network, and because of the progress of management science, hospital management, emergency center management, air crash medicine, and emergency medicine are required to get the strong support of the community; this objectively also promotes the development of emergency medicine. Therefore, the most developed medical countries are also the most economically developed countries; the most economically developed places are also the best areas to carry out emergency medical work.
Rome was not built in a day. From 0 to 60%, the Americans have used nearly a century to reach this goal; during this period, both artificial respiration and heart pressure can be said to have a transgenerational significance. While today CPR, which can be mastered by a single person with half a day's training, can save lives in times of crisis, the spread of these techniques has taken decades. And it has taken decades to popularize these techniques.
In China, the economic backwardness is directly reflected in the serious lack of emergency facilities. Many city emergency centers have only begun to function properly in recent years, and many people go through life not knowing what they do. Doctors capable of completing standard CPR are even fewer, and the corresponding communication, transportation and other supporting facilities cannot be used effectively. This is something that Europe and the United States had to deal with in the early days of emergency care. When enough first-aiders enter the society, those who have sudden illnesses can be saved in time, which is why we can gradually hear more cases of resuscitation in the past few years.
Learning from others is for our own work. In my own case, I prefer the French-German model. As long as a doctor has mastered the operation of CPR, is able to control the airway, (endotracheal intubation), and can skillfully use a defibrillator, many patients can be given a chance to come back to life; and it doesn't require any profound theories.

The effectiveness of CPR, on the other hand, depends on the caliber and professionalism of the emergency physician. The same patient, different results often appear in the emergency work. Building up a group of high caliber EMTs is really the way to go. Professionalism determines whether a patient has a chance of survival, while confidence and determination are the guarantee that the patient will eventually be saved. We can't save all the patients, but we can use our power to save one.