Experts call for automatic external defibrillators in public places and "disclaimers"

The 57 automatic external defibrillators (AEDs) installed in the T3 terminal of the Capital Airport have been a knot in Liu Zhaoqi's heart for two years. As the president of the Beijing Capital International Airport Hospital, he was fully aware that these instruments were "fire extinguishers" that could help people with sudden cardiac death. But since the "Olympic Games" in 2008, they have been installed for three years with international standards. However, it has always been shelved and has not played any role.

There are two reasons why they are not well-utilized: First, this type of instrument that should have been popularized by the public is not popularized in the public in China. There are very few people who will use it. Secondly, it is also the most important. Because there is no exemption from legal regulations, it will The non-medical personnel used are afraid of bringing trouble to themselves. They are reluctant or afraid to take the initiative in emergency situations. At the China Academy of Science Association's 52nd new academic viewpoint on the new academic journal held recently, several first-aid experts called for the introduction of automatic external defibrillators in China as soon as possible and the government implemented “disclaimers”.

Only 22 sudden deaths occurred in the Capital Airport in 2010, of which 16 were sudden cardiac deaths. In recent years, the incidence of sudden cardiac death in China continues to rise. The number provided by Yu Bo, dean of the Cardiovascular Hospital of the Second Affiliated Hospital of Harbin Medical University, shows that there are 544,000 sudden cardiac deaths each year in China, which is equivalent to nearly 1,500 deaths per day. Sudden cardiac death. Some cases occur in patients who have long-term coronary heart disease, and the other are due to mental stress or extreme fatigue caused by sudden death. The onset is due to the uncontrolled rhythm of the heart, which prevents the brain and other vital organs from getting blood supply.

Li Zonghao, executive vice president of the Chinese Medical Rescue Association, said that the key to the survival of such patients lies in the speed of rescue. In addition to performing cardiopulmonary resuscitation (artificial respiration and squeezing the heart), the vast majority of cardiac arrest patients require immediate shock defibrillation, which causes the heart to resume normal rhythmic beats. When the patient received electrical defibrillation within 1 minute, the chance of survival was 90%. If the defibrillation is performed after 10 minutes, the chance of survival of the patient drops to less than 5%. In a traffic-congested big city, emergency medical personnel often arrive at the scene more than 10 minutes. Therefore, he considered the automatic external defibrillator equipped at the onset of illness as a "fire extinguisher" for sudden cardiac death.

In 2005, U.S. President Bill Clinton delivered a radio speech to the people of the United States on the promotion of the automatic external defibrillator. He said that there are countless real stories about using this instrument to save lives: In the first 6 months of the automatic external defibrillator equipped at Chicago's Ohare Airport, 9 of the 11 sudden cardiac arrest patients were rescued at Las Vegas. In Sri Lanka's restaurants and casinos, automatic external defibrillators increased the survival rate of first aid from 14% to 57%.

Before and after this, the United States launched the public defibrillation entry plan. The Congress and the states have successively introduced bills to encourage the use of automatic external defibrillators in public places or private territories, and use defibrillators for emergency treatment for people who are “goodwill”. At the time, all their personal responsibilities were waived. Through the above method to improve the survival rate of patients with out-of-hospital cardiac arrest.

Li Zonghao has always been committed to promoting the widespread adoption of automatic external defibrillators in China. However, he regrets that until now, only a few public airports in Beijing, Shanghai, and Chongqing have been equipped with a small number of airports, and they are still facing difficulties. There are few people to use, there is no exemption, and people who do not dare to use are not willing to use it. More public places are completely blank.

The biggest feature of the automatic external defibrillator is that “non-medical staff can use after 20 minutes of training”. After connecting with the patient's body, the instrument can determine for itself whether defibrillation and how much defibrillation are required. Li Zonghao told reporters. Xiong Guangzhong, chief physician of the Second Xiangya Hospital of Central South University, said: “The price of one 30,000-50,000 yuan is much cheaper than CT, color ultrasound and other instruments, but it is only used in emergencies, and many hospitals are not widely used. "He thinks that at the moment, such instruments should be popularized at least in ambulances.

For the training of the public, Shi Ruofei, director of the Chongqing Emergency Medical Center, suggested that the experience of Europe, the United States, and Taiwan should be used to bring CPR, automatic defibrillation and other knowledge into the classroom of middle school students. Li Zonghao suggested that the national health administrative department should authorize the national trade associations to formulate a standardized CPR training and automatic external defibrillation training teaching program, obtain certification through examination examinations, allow more people to learn to use the apparatus, and call on the state to formulate relevant exemption regulations. Let more patients with sudden cardiac death receive treatment at critical times.