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Residential communities are not only the “last kilometer” for residents’ daily life and rest but also the “first rescue site” for sudden medical emergencies. How can we ensure the “golden four minutes” truly serve as the critical window for life-saving? At last year’s Municipal Two Sessions, Zhang Ning, a member of the Municipal Committee of the Chinese People’s Political Consultative Conference (CPPCC), and others proposed “Strengthening the Construction of Medical Emergency Response Capabilities in Residential Communities” (Proposal No. 271). A round of consultation and practice centered on “protecting lives” quietly unfolded in Lishui.

This life-related proposal was designated by the Municipal CPPCC as a publicly handled proposal. In May last year, the Municipal CPPCC solicited public suggestions through platforms such as the “Lishui Release” WeChat official account and the Yuan News App, making “how to build community emergency response” a hot topic of public discussion for a time. From medical staff and community workers to ordinary residents, suggestions poured in from all directions.

“In the emergency room, we have seen too many regrets due to delays during the ‘golden four minutes’,” said Zhang Ning, a member of the Municipal CPPCC and vice president of the Municipal People’s Hospital, discussing the proposal’s original intent. He noted that some people experienced sudden cardiac arrest in their communities, but with no one on-site able to provide assistance and no equipment available, they missed the optimal rescue time by the time the ambulance arrived. There were also cases of children choking at home while parents did not know how to perform the Heimlich maneuver.

In Zhang Ning’s view, community emergency response faces “three mismatches”: the mismatch between emergency equipment and needs; the mismatch between residents’ emergency skills and emergency needs; and the mismatch between emergency response mechanisms and emergency needs. He believes that emergency response cannot rely solely on 120 emergency services; “pre-hospital emergency care” must be extended to residents’ side.

In July last year, a special “three-meeting” consultation was held. The Municipal CPPCC organized proposal handling units, including the Municipal Health Commission, the Municipal Finance Bureau, and the Municipal Construction Bureau, to communicate face-to-face with the proposer, community representatives, and citizens, further advancing the implementation of the proposal. Questions such as how to deploy AEDs, how to implement training, and how to handle subsequent maintenance were laid out one by one at the meeting, with countermeasures gradually clarified through consultation.

Handling proposals is not merely about “providing a reply” but about using them as focal points to drive systemic solutions. As the lead unit, the Municipal Health Commission seized the opportunity of handling this proposal to fully absorb opinions and suggestions from all sectors of society. In collaboration with multiple departments, it launched a series of “combined efforts”, addressing issues point by point to promote the overall enhancement of medical emergency response capabilities, achieving phased results. To date, over 1,240 AEDs have been installed citywide, with 63 deployed in residential communities and neighborhoods. A long-term mechanism for the deployment, maintenance, and management of AEDs has been established, with AED information integrated into the “Rescue in Lishui” 120 dispatching system, initially achieving coordination between community emergency resources and professional emergency forces. Lishui has also continuously carried out emergency rescue knowledge popularization and training, with over 230,000 rescue workers trained in total, and the popularization rate exceeding 53%, laying a solid foundation for self-rescue and mutual rescue among residents in the community.

From committee proposals to public suggestions, from inter-departmental consultations to institutional implementation, medical emergency response in residential communities is transforming from a “weakness” into a “defensive line”.

“Proposals are an important means for the CPPCC to perform its functions and a crucial channel for the Party and government to listen to public opinion, make scientific and democratic decisions, and promote work improvements,” said a relevant official from the Municipal CPPCC Proposal Committee. He added that the next step would involve continuously tracking the follow-up progress of the proposal, promoting the ongoing improvement of community medical emergency response capability construction, and further deepening proposal handling from “completion” to “substantive implementation”, ensuring that CPPCC proposals truly address the people's concerns and benefit their daily lives.