CHAPTER 13 · 44 SOURCE ENTRIES

Handling Emergencies

紧急情况:先做什么

[← 回总目录](../README.md) 本节讲出了事先做什么、再做什么、什么不要做。急救和野外的条目算的是特定死因和活下来的比例。威胁和骗局的条目算的是钱和人身自由。两类数字不互相换算。条目的顺序按「这事多常见 × 做对做错差多少条命」从高到低排。这些条目首先是给你自己和配偶、直系亲属用的。心脏骤停有 79.2% 发生在家里,你最可能救的就是家里人。对朋友同事次之。对陌生人也不是一点好处没有,但这一档最低,还可能被讹、被卷进案子。所以这类条目把保护自己的动作和免责的条款写在前面。 本节只收几分钟内要做的动作。认出骗局、被人拿把柄要钱,处置要按天算,不在这一节。反诈的硬规则和七种高发骗局见

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13-001

Immediate chest compressions can save lives when someone collapses and stops breathing — call 120 and fetch an AED too

有人倒地没呼吸,立刻用力按压胸口,让旁人打 120 并找 AED

Most people you’d need to help are family members — 79.2% of cardiac arrests happen at home. When someone performs CPR, the survival rate jumps from 3.9% to 16.1%. If a person is unresponsive and not breathing, start compressions right away. Position your hands at the midpoint between the nipples, press down hard at 2 times per second, and keep going. Ask a second person to call 120 and bring an AED; you must not stop compressing.

Open the low-ROI detour

Move “Immediate chest compressions can save lives when someone collapses and stops breathing — call 120 and fetch an AED too” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-002

Elderly falls: if someone falls, first kneel down, call out to them, and dial 120 — don’t rush to help them up. It is perfectly legal to walk away from strangers; once you stop, however, you must not touch or move them.

老人摔倒、有人倒地,先蹲下喊他、打 120,别急着把人扶起来;陌生人这档走开也合法,停下来就别上手搬

This guidance is primarily aimed at one’s own elderly relatives and people you know well. First, check whether they’re breathing; if not, follow step 1 (perform chest compressions). Even if they are breathing, don’t lift them up — they may have suffered a stroke or fainting spell prior to the fall, and forced movement could worsen injuries. Instead, kneel down, speak to them, and ask if they remember how they fell. If they complain of back pain or seem to have a fracture, do not move them; call 120 right away.

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There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

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13-003

Sudden facial drooping, weakness in one arm, and slurred speech — call 120 immediately; don’t wait or drive yourself.

突然嘴歪、一侧胳膊没劲、说话说不清,立刻打 120,不要等、不要自己开车去

If someone’s face suddenly droops, they can’t lift one arm, and their speech becomes slurred, call 120 right away. Administering medication within 3 hours of symptom onset can increase the chance of regaining basic independence by about 1.75 times compared to not receiving treatment. Waiting 3 to 4.5 hours reduces this benefit to only 1.26 times. After 4.5 hours, there is virtually no difference. Be sure to note the exact time symptoms first appeared. Do not give water or medicine, and never drive the person to the hospital yourself.

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Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-004

Sudden dizziness, double vision, loss of vision in one eye, or inability to touch one’s nose — all warrant calling 120 for stroke suspicion

突然天旋地转站不稳、看东西成双、一只眼发黑,或者手指点不到自己鼻尖,也按卒中打 120

Out of 736 stroke cases, 14.1% showed none of the classic FAST symptoms at onset — no facial droop, no arm weakness, no slurred speech. Relying solely on those three signs would miss many cases. Adding checks for unsteady gait, double vision, or inability to touch the nose reduces that omission rate to just 4.4%. Any sudden dizziness, double vision, or failure to touch one’s nose should prompt an immediate call to emergency services and precise timing documentation.

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Today I keep a few minutes and avoid interrupting my default routine.

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13-005

One eye suddenly goes dark, as if a curtain has been pulled shut; even if it clears up within minutes, seek emergency care for stroke on the same day

一只眼睛突然像拉下窗帘一样黑掉,哪怕几分钟就自己好了,也当天按卒中去急诊

When one eye suddenly goes dark, as if a curtain has been pulled shut, it means a blockage has occurred in the blood vessels at the back of the eye. The longer the blockage persists, the less of the retina can be saved. This condition is also a form of cerebral ischemia, and the following days represent a high‑risk window for stroke. For patients in this situation, receiving evaluation and treatment on the same day reduces the likelihood of another stroke within 90 days from 10.3% to 2.1%. Seek emergency care at a hospital with a stroke center on the same day; do not wait until the next day to see an ophthalmologist.

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One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

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13-006

One eye is swollen, painful, red; there’s a rainbow halo around lights; plus headache, nausea, and vomiting — so an emergency eye visit is needed that same day.

一只眼又胀又痛、发红,看灯有一圈彩虹,还头痛恶心想吐,当天去眼科急诊

This is an acute glaucoma attack. Fluid can’t drain from the eye, so pressure spikes quickly. The longer it goes untreated, the more damage occurs to the optic nerve, and that damage is permanent. During Wuhan’s lockdown, patients waited an average of 241 hours before getting treatment; 21.87% ended up blind. In the same period the year after the lockdown, the average wait time dropped to 121 hours, and only 7.84% became blind. A total of 76 days of lockdown were covered in this study.

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I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-007

Chest pressure, tightness, or heaviness lasting more than 15 minutes without relief — call 120; do not drive yourself.

胸口压着疼、闷、发紧超过 15 分钟不缓解,打 120,不要自己扛也不要自己开车

If you feel chest pressure, tightness, or heaviness that lasts over 15 minutes without easing up, call 120 right away. For patients treated within 55 minutes of arrival at the hospital, the mortality rate within 30 days is 2.8%. For those treated later than 55 minutes, the rate rises to 9.7%. Every minute of delay means more heart muscle tissue dies. Do not drive yourself — losing consciousness while behind the wheel could lead to a second accident.

Open the low-ROI detour

Move “Chest pressure, tightness, or heaviness lasting more than 15 minutes without relief — call 120; do not drive yourself.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-008

Sudden tearing pain that spreads from the chest to the back and waist — call 120 and describe it as “pain moving downward”

突然像被撕开一样的剧痛,从胸口往后背、往腰一路挪,打 120 并说清「疼在移动」

This condition causes a tearing-like pain that starts in the chest and travels down the back and waist. When calling 120, simply describe it as “a tearing pain that’s moving downward.” Without surgery, treatment with medication alone results in a mortality rate of 58%. Its management is the exact opposite of that for heart attacks: doctors only order enhanced CT scans after suspecting this condition, not anticoagulant or thrombolytic therapy. Also mention any significant difference in blood pressure between both arms or absence of a pulse on one side.

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Today I keep a few minutes and avoid interrupting my default routine.

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13-009

A sudden “worst headache of one’s life” that peaks within an hour — go to the ER for a head CT right away

突然一记「这辈子最疼的头痛」,一小时内就到最疼,立刻去急诊做头颅 CT

The key point isn’t how intense the pain is, but how quickly it reaches its peak. In 2,131 people experiencing severe headaches that peaked within an hour, 6.2% had a ruptured blood vessel on the surface of the brain. Anyone aged 40 or older, with neck pain or stiffness, who was seen collapsing by others, whose headache started during physical activity, came on suddenly like an explosion, or has limited neck flexion when examined should go to the ER for a head CT. The vast majority of people who get tested end up fine, but missing even one case of bleeding can be fatal.

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Move “A sudden “worst headache of one’s life” that peaks within an hour — go to the ER for a head CT right away” to Future Me's calendar

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Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-010

After an elderly person suffers a head injury, they may develop unsteady gait, sluggishness, excessive sleepiness, or weakness on one side of the body two to three weeks later — a CT scan is recommended.

老人磕过头之后两三周到几个月变得走路不稳、迟钝、嗜睡或者一侧没劲,去做头颅 CT

After a head injury, blood usually starts accumulating only around the third week. At the time of impact, there may be absolutely no symptoms at all, and the person might not even recall the injury. The recurrence rate after surgery for this condition can reach 33%, while the mortality rate may be as high as 32%. If an elderly individual suddenly appears confused, walks unsteadily, feels unusually sleepy, or shows weakness on one side, it’s important to first ask whether they fell or hit their head in the past two to three months, then proceed with a CT scan.

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Move “After an elderly person suffers a head injury, they may develop unsteady gait, sluggishness, excessive sleepiness, or weakness on one side of the body two to three weeks later — a CT scan is recommended.” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-011

A leg suddenly swells, feels tight, and is tender to the touch — seek medical care promptly; if shortness of breath or chest pain develops suddenly, call 120 immediately.

一条腿突然肿起来、发紧、按着疼,尽快就医;再加上突然喘不上气或者胸痛,立刻打 120

If one leg suddenly swells, becomes noticeably thicker than the other, and is painful to press, get a leg vein ultrasound done as soon as possible. Should shortness of breath, chest pain when taking a deep breath, a rapid heartbeat, or dizziness appear, a blood clot may have traveled to the lungs — call 120 right away. Among people diagnosed with pulmonary embolism, 17.4% die within three months. Sitting still for more than four hours roughly doubles the risk, though the actual chance for any one person remains very low.

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Move “A leg suddenly swells, feels tight, and is tender to the touch — seek medical care promptly; if shortness of breath or chest pain develops suddenly, call 120 immediately.” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-012

For severe bleeding, first press firmly on the wound with your hand; if this fails on limbs, apply a tourniquet and call 120 immediately.

大出血先用手死死压住伤口,四肢压不住就上止血带,同时打 120

Begin by pressing hard on the wound with your hand or a cloth; if bleeding on a limb persists, fasten a tourniquet and call 120 right away. Once applied, never loosen it. Among battlefield casualties, 90% who received a tourniquet before going into shock survived, compared to only 10% who got one after shock set in; all five patients who needed a tourniquet but did not receive one died. Position the tourniquet above the wound, twist it until bleeding ceases, and record the time. Never substitute shoelaces or ordinary rope. For neck or torso injuries, only compression is allowed—no tourniquets may be used.

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Move “For severe bleeding, first press firmly on the wound with your hand; if this fails on limbs, apply a tourniquet and call 120 immediately.” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-013

For dog or cat bites and scratches, rinse the area with soap and running water for 15 minutes, then get vaccinated on the same day.

被狗、猫咬伤或抓破皮,先用肥皂水和流水交替冲 15 分钟,当天去打疫苗

Once rabies symptoms appear, the fatality rate is practically 100%. Rinsing with soap and water followed by vaccination is the sole safeguard. First, rinse the affected area with alternating streams of soap and running water for 15 minutes, then seek medical care on the same day. If the skin is broken and the wound has been licked, this constitutes a category III exposure, requiring the extra passive immunization product. The fact that a pet has been vaccinated does not alter this classification; exposure level is determined solely by the nature of the injury, not by the animal’s background.

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Move “For dog or cat bites and scratches, rinse the area with soap and running water for 15 minutes, then get vaccinated on the same day.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-014

Immediately rinse a burn with cool running water for 20 minutes; avoid applying toothpaste or soy sauce

烫伤后立刻用凉的流动水冲 20 分钟,别抹牙膏酱油

Rinsing a burn with cool running water for at least 20 minutes within 3 hours of injury reduces the likelihood of needing skin grafts to roughly 60% of the rate for those who do not perform this step. Use cool water, not ice water, as ice application can worsen the damage. If clothing sticks to the wound, do not pull it off forcefully; after rinsing, cover the area with a clean cloth and head to the hospital. Never apply toothpaste, soy sauce, sesame oil, or flour to the burn. Even if you remember to rinse later, doing so within 3 hours still provides benefit.

Open the low-ROI detour

Move “Immediately rinse a burn with cool running water for 20 minutes; avoid applying toothpaste or soy sauce” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-015

Sudden widespread rash, difficulty breathing, or dizziness — treat as anaphylactic shock; call 120 immediately and explain the situation clearly.

突然全身起疹、喘不上气或者发晕,按过敏性休克处理,立刻叫 120 并说清楚

If someone suddenly develops a full-body rash along with trouble breathing or dizziness, treat it as anaphylactic shock. Call 120 right away and clearly state “suspected anaphylactic shock” so emergency responders can bring epinephrine with them. Epinephrine is the first-line treatment; antihistamines and steroids act too slowly to be effective in such cases. Individuals who have experienced this before should consult a doctor for an epinephrine auto-injector and learn how to administer it to the outer midsection of the thigh — this can be done even through clothing.

Open the low-ROI detour

Move “Sudden widespread rash, difficulty breathing, or dizziness — treat as anaphylactic shock; call 120 immediately and explain the situation clearly.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-016

Someone is having a seizure — clear the area, place them on their side, time the episode, and don’t put anything in their mouth.

有人抽搐倒地,清开周围、让他侧躺、看表计时,什么都别往嘴里塞

Move any hard objects away from the person. Lay them on their side with their mouth facing down, and start timing the seizure. Don’t hold them down, don’t force their mouth open, and don’t put anything into their mouth — doing so can easily damage teeth and jaws. Call emergency services if the seizure lasts more than 5 minutes, if it stops briefly then starts again, if the person doesn’t respond afterward or has trouble breathing, if it occurs in water, or if this is the person’s first seizure ever. Only give water after they’ve fully regained consciousness.

Open the low-ROI detour

Move “Someone is having a seizure — clear the area, place them on their side, time the episode, and don’t put anything in their mouth.” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-017

Diabetic patients suddenly start shaking, break out in cold sweats, and have slurred speech — first give 15 grams of sugar, then retest after 15 minutes

糖尿病人突然发抖、出冷汗、说话不清,先给 15 克糖,15 分钟后复测

First, give 15 grams of sugar — sugar cubes or a small carton of juice both work fine. Retest blood sugar levels after 15 minutes; if they’re still low, repeat the process. A blood sugar level below 3.0 mmol/L is medically significant hypoglycemia. If a person reaches a stage where they need outside help to manage it, it can be fatal. Never feed anything to someone who is unconscious — they could choke, so call emergency services right away.

Open the low-ROI detour

Move “Diabetic patients suddenly start shaking, break out in cold sweats, and have slurred speech — first give 15 grams of sugar, then retest after 15 minutes” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-018

If someone is electrocuted, cut the power first, then use a dry wooden stick to pry the source of electricity away; never pull the victim by hand directly.

有人触电,先断电,再用干燥的木棍之类挑开电源,不要直接上手拉

First, turn off the power, or use a dry wooden stick to move the electrical source away before touching the victim. Pulling them by hand directly can turn one victim into two. If the victim isn’t breathing after being freed from the current, immediately perform chest compressions as described in step 1 of this section — don’t hesitate to act just because it’s an electrical injury. Never attempt to handle situations involving downed high-voltage lines or nearby electrical equipment on your own; instead, move to a safe distance and wait for utility workers to cut the power.

Open the low-ROI detour

Move “If someone is electrocuted, cut the power first, then use a dry wooden stick to pry the source of electricity away; never pull the victim by hand directly.” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-019

If a carbon monoxide alarm goes off, or if several people in a room suddenly get headaches, nausea, or dizziness, get everyone outside before calling for help.

一氧化碳报警器响了,或者一屋子人同时头痛恶心,先出门再打电话

When the alarm sounds, or when multiple people in one room start experiencing headaches, nausea, and dizziness, move everyone outdoors first and then call for help. Do not stay inside trying to figure out what’s happening, and do not go back inside to turn off any valves. The fact that symptoms improve once outside is a very strong indicator of carbon monoxide exposure. In 2018 alone, China reported 11,523 deaths caused by carbon monoxide poisoning; most of these occurred in winter, and the majority of victims were at home.

Open the low-ROI detour

Move “If a carbon monoxide alarm goes off, or if several people in a room suddenly get headaches, nausea, or dizziness, get everyone outside before calling for help.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-020

If someone accidentally ingests detergent, pesticides, or medicine, do not induce vomiting — take the container and seek medical help right away; if it splashes into the eyes or onto the skin, rinse thoroughly with water for at least 15 minutes.

误服清洁剂、农药、药物先别催吐,带上瓶子立刻就医;溅到眼睛或皮肤用大量清水至少冲 15 分钟

If someone swallows detergent, pesticides, or medicine, do not make them vomit — spitting out corrosive liquids would burn the esophagus all over again. Instead, have them drink some milk or egg whites, then head to the hospital right away while bringing the product container and its instructions. If the substance gets into the eyes or onto the skin, rinse with copious amounts of water for a full 15 minutes; for eyes, gently hold the eyelids open while rinsing and avoid rubbing. Mixing disinfectants with toilet cleaners can produce chlorine gas.

Open the low-ROI detour

Move “If someone accidentally ingests detergent, pesticides, or medicine, do not induce vomiting — take the container and seek medical help right away; if it splashes into the eyes or onto the skin, rinse thoroughly with water for at least 15 minutes.” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-021

In case of splashes of acids, alkalis or other chemicals on the body, immediately remove contaminated clothing and rinse with copious amounts of running water; for eyes, gently pull the eyelids apart and rinse thoroughly before leaving the scene.

酸碱等化学品溅到身上,立刻脱掉污染的衣服、用大量流动清水冲,眼睛要掰开眼皮冲,冲够时间再走

Follow three simple steps. First, strip off any clothing, shoes and socks that have been exposed — the areas covered by fabric sustain the worst injuries. Second, rinse both skin and eyes with plenty of running water for at least 15 minutes; the Hunan Provincial Emergency Management Department recommends 20–30 minutes, so err on the side of caution. Third, pull the eyelids apart to rinse the eyes thoroughly, then head straight to an ophthalmologist. Use lukewarm water, never hot.

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Move “In case of splashes of acids, alkalis or other chemicals on the body, immediately remove contaminated clothing and rinse with copious amounts of running water; for eyes, gently pull the eyelids apart and rinse thoroughly before leaving the scene.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-022

Dizziness, nausea, lack of sweating or confusion in high heat — move to shade immediately, remove clothing and apply cool water to cool down; do not give water to anyone who is unconscious, call 120 right away.

高温下头晕、恶心、不出汗或意识不清,立刻挪到阴凉处脱衣泼水降温,意识不清的不喂水、打 120

Red, hot skin, slurred speech and confusion are signs of heatstroke. It can take just minutes for someone to go from feeling dizzy to losing consciousness, and the mortality rate is very high. Immediately move the person to a cool, well‑ventilated area, strip off their clothes and use cool water or wet towels to bring their temperature down while calling 120. Never give water to someone who is unconscious — it can cause choking.

Open the low-ROI detour

Move “Dizziness, nausea, lack of sweating or confusion in high heat — move to shade immediately, remove clothing and apply cool water to cool down; do not give water to anyone who is unconscious, call 120 right away.” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-023

For people suffering from heatstroke, as long as they remain conscious, they should drink small amounts of cool, lightly salted water or sports drinks at frequent intervals — never gulp down large quantities. Alcohol and sugary drinks must be avoided.

中暑的人只要清醒,就少量多次喝凉的淡盐水或运动饮料,别猛灌、别喝酒和高糖饮料

Only conscious individuals should drink. Consume cool, lightly salted water or sports drinks in small portions, about 500–1000 ml per hour. Do not drink too much at once; vomiting can cause liquid to enter the airways, which is far more dangerous than heatstroke itself. Alcohol and sugary drinks must be avoided, as they cause further fluid loss. Applying cool water to the skin or using ice packs on the neck, armpits, and inner thighs is recommended — cooling should always come before rehydration. Never give anything to drink to someone who is unconscious or speaking incoherently.

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Move “For people suffering from heatstroke, as long as they remain conscious, they should drink small amounts of cool, lightly salted water or sports drinks at frequent intervals — never gulp down large quantities. Alcohol and sugary drinks must be avoided.” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-024

Stay low to the ground during a fire, test doors before opening them, and never use elevators — once outside, don’t look back

火灾时贴地爬、摸门再开门、门烫就别开,走楼梯不坐电梯,出去了别回头

Drop to the ground and crawl toward the nearest exit, staying under any smoke layer. Before opening a door, touch the handle and door surface first; if either feels hot or smoke is seeping through the crack, don’t open it — instead, head toward the other exit. Open the door slowly, and shut it immediately if thick smoke rushes in. Always use stairs instead of elevators, since power outages can trap you inside them. Once outside, never turn back to retrieve belongings. If your clothes catch fire, stop where you are, lie down, roll on the ground, and shield your face with your hands.

Open the low-ROI detour

Move “Stay low to the ground during a fire, test doors before opening them, and never use elevators — once outside, don’t look back” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-025

Upon seeing someone drowning, shout for help and call 110/120, then reach out a pole or floating objects — never enter the water yourself

看到有人溺水,先叫人和打 110/120,伸竿、抛漂浮物,自己不下水

A drowning person instinctively pulls their rescuer underwater, so anyone who enters the water risks drowning too. The proper sequence is: shout for help → call emergency services → extend a long pole or rope → throw life rings, empty buckets, or plastic bottles → if the victim is on shore and not breathing, start CPR immediately. Never form a human chain by holding hands and entering the water. Globally, roughly 300,000 people drown each year; this ranks as the fourth leading cause of death among children aged 1–4.

Open the low-ROI detour

Move “Upon seeing someone drowning, shout for help and call 110/120, then reach out a pole or floating objects — never enter the water yourself” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-026

If someone is choking and can’t speak, stand behind them and perform 5 back blows followed by 5 abdominal thrusts; if they collapse, start CPR immediately.

有人噎住说不出话,站到背后做 5 次拍背加 5 次腹部冲击,倒下就做心肺复苏

First ask, “Are you choking? Can you speak?” If the person can still cough forcefully or make sounds, let them keep coughing — coughing often dislodges the object on its own. If they can’t speak, stand behind them and give 5 back blows followed by 5 abdominal thrusts, repeating this sequence until the object comes out or the person loses consciousness. Once they collapse, begin CPR right away and call emergency services. For pregnant women or very overweight individuals, perform chest thrusts instead. Never reach into someone’s mouth to try to remove an unseen object.

Open the low-ROI detour

Move “If someone is choking and can’t speak, stand behind them and perform 5 back blows followed by 5 abdominal thrusts; if they collapse, start CPR immediately.” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-027

If lost or stranded in the Gobi Desert, a desert, or any remote area, stay put next to your vehicle. First, transmit your location, then shield yourself from the sun and retain body heat, conserve water, and avoid wandering off.

在戈壁、沙漠、无人区迷路或车坏了,留在原地或车旁,先报位置,再遮阳保温,省水,不乱走

Stay right where you are, preferably next to your vehicle — it serves as the best shelter from the sun. The proper sequence is: if you have a signal, send your location first and then make a call; next, shield yourself from the sun and retain body heat; then conserve water by staying motionless during the day and only moving after nightfall when it cools down; avoid wandering off; finally, use reflective surfaces, smoke, or three fire piles to signal for help. Be sure to share your route, destination, return date, vehicle type, and license plate details with someone before you depart.

Open the low-ROI detour

Move “If lost or stranded in the Gobi Desert, a desert, or any remote area, stay put next to your vehicle. First, transmit your location, then shield yourself from the sun and retain body heat, conserve water, and avoid wandering off.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-028

Shivering, slurred speech, and unsteady walking are signs of hypothermia; change into dry clothes, wrap up, warm the torso first, and give sweet hot drinks instead of alcohol

发抖、说话含糊、走路打晃是失温,换掉湿衣、包起来,先暖躯干,喝热甜饮不喝酒

When body temperature drops below 35°C, hypothermia sets in. Victims start to shiver, speak unclearly, walk unsteadily, and have trouble thinking. Remove any wet clothing and wrap the person in a thermal blanket or dry clothes, making sure to warm the torso before the limbs. Offer sweet hot drinks, but avoid alcohol — it suppresses shivering. The absence of shivering does not mean improvement; it actually signals worsening condition. If the person loses consciousness, begin CPR immediately.

Open the low-ROI detour

Move “Shivering, slurred speech, and unsteady walking are signs of hypothermia; change into dry clothes, wrap up, warm the torso first, and give sweet hot drinks instead of alcohol” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-029

After a snake bite, stay still, remove rings and watches, and rush to a hospital offering antivenom — no cutting, no suction, no tight binding

被蛇咬,坐下别动、摘掉戒指手表、尽快送医院打抗蛇毒血清,不切、不吸、不绑死

Sit down and stay motionless; immobilize the bitten limb. Remove any rings or watches right away, as swelling will set in quickly. Get to a hospital with antivenom as fast as possible — this is the only treatment capable of reversing most toxic effects. Do not cut the wound, do not suck out venom with your mouth, do not apply ice, and do not tie anything so tightly that the skin turns purple. Avoid alcohol and physical exertion. If possible, take a photo of the snake from a safe distance — do not try to catch it.

Open the low-ROI detour

Move “After a snake bite, stay still, remove rings and watches, and rush to a hospital offering antivenom — no cutting, no suction, no tight binding” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-030

First, figure out what kind of building you’re in during an earthquake: if it meets seismic safety standards, stay right where you are; if it’s an old structure prone to collapse, head outside right away.

地震时先看自己在什么房子里:符合抗震设防的楼里就地躲,会垮的老房子门在几步外就出去

First, determine what kind of building you’re in. For structures built after 2001 that meet seismic codes, you’ll need to go down stairs or through a hallway to exit — so stay put: protect your head and neck, crawl under a solid table, and hold onto its legs tightly. In single-story homes, older brick buildings, or makeshift houses without seismic protection, the exit is just a few steps away — so leave immediately. Under no circumstances should you jump from heights, use elevators, or try to run down stairs while the ground is shaking.

Open the low-ROI detour

Move “First, figure out what kind of building you’re in during an earthquake: if it meets seismic safety standards, stay right where you are; if it’s an old structure prone to collapse, head outside right away.” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-031

When encountering bears, wild boars, or packs of wild dogs, don’t run, don’t scream, don’t make eye contact — instead, turn sideways and back away slowly.

遇到熊、野猪、成群野狗,别跑,侧身慢慢退开

Never run — bears can sprint uphill or downhill just as fast as racehorses. Also, don’t climb trees; both black bears and brown bears are excellent climbers. Stand your ground and keep speaking to the bear in a low, calm voice. Once it stops moving, turn sideways and back away slowly. If a brown bear attacks, lie down and play dead: place your hands behind your neck and spread your legs apart. For black bear attacks, do not play dead — run toward a vehicle or building; if escape is impossible, fight back using whatever is at hand. In case of dog bites, follow the steps outlined in item 13.

Open the low-ROI detour

Move “When encountering bears, wild boars, or packs of wild dogs, don’t run, don’t scream, don’t make eye contact — instead, turn sideways and back away slowly.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-032

If caught in a thunderstorm outdoors, get into a hard-topped vehicle or building; avoid ridges, lone trees, water surfaces, and metal objects

野外遇上雷雨,钻进有硬顶的车或建筑,避开山脊、孤树、水面和金属

There is no safe spot outdoors during a thunderstorm. You must get into a hard-topped vehicle or building; convertibles and motorcycles do not qualify. Tents, gazebos, areas under trees, or rocky outcrops also do not count as shelter. Stay away from open areas, mountain ridges and peaks, isolated tall trees, water surfaces, and metal railings or poles. If a group cannot all fit together, spread out rather than huddling close. Begin retreating the moment you hear thunder; it is only safe to leave 30 minutes after the final clap of thunder.

Open the low-ROI detour

Move “If caught in a thunderstorm outdoors, get into a hard-topped vehicle or building; avoid ridges, lone trees, water surfaces, and metal objects” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-033

Gradually increase your sleeping altitude when heading to high elevations; if symptoms worsen, descend immediately — don’t tough it out.

上高原按睡眠海拔(当晚睡在多高)慢慢升,症状加重就下撤,不要硬扛

This guideline focuses on sleeping altitude, not daytime elevation. Sleeping above 2,450 meters already poses a risk of altitude sickness. Once above 3,000 meters, you should only raise your nighttime altitude by 500 meters per night, allowing an additional day of acclimatization for every 1,000-meter increase. Symptoms such as headache, nausea, unsteady gait, altered mental state, or shortness of breath even at rest indicate the need to descend. Descending takes priority over oxygen therapy or medication.

Open the low-ROI detour

Move “Gradually increase your sleeping altitude when heading to high elevations; if symptoms worsen, descend immediately — don’t tough it out.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-034

To remove a tick, use fine-point tweezers to pull it straight out along the skin — don’t apply oil, don’t use heat

被蜱虫叮住,用尖头镊子贴着皮肤稳稳拉出来,别涂油别用火烧

Use fine-point tweezers to grasp the tick’s head right against the skin, then pull steadily outward. Never apply oil, use heat, or yank sideways — doing so can force infectious fluids into the skin and often leaves the tick’s mouthparts embedded. After removal, write down the date. If you develop fever, rash, or fatigue in the following weeks, be sure to mention the tick bite to your doctor.

Open the low-ROI detour

Move “To remove a tick, use fine-point tweezers to pull it straight out along the skin — don’t apply oil, don’t use heat” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-035

Always boil any water taken from the wild before drinking it; one minute of boiling is sufficient — there’s no need to extend the time just because you’re at high altitude.

野外的水一律烧开再喝,滚开一分钟就够,不用因为海拔高多煮

Any microbes capable of causing illness through water are killed within seconds at boiling temperature. Boiling for an additional minute simply provides a safety margin for any possible oversight; it isn’t necessary to prolong the process at higher elevations. If boiling isn’t feasible, use a filter or chemical purification tablets instead — each method has its own limitations regarding which pathogens they can eliminate. Even crystal-clear streams and meltwater can harbor parasites.

Open the low-ROI detour

Move “Always boil any water taken from the wild before drinking it; one minute of boiling is sufficient — there’s no need to extend the time just because you’re at high altitude.” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-036

If a stranger demands money in a remote area, hand over cash, avoid any confrontation, note their features, and call police after escaping

荒郊野外被陌生人索财,钱给他,不动手,记特征,脱身后报警

Give him the money, do not fight back, and do not argue. By demanding a few hundred yuan, he is committing robbery — a crime punishable by at least three years up to ten years in prison. If he enters a residence, uses a weapon, or causes serious injury or death, the sentence rises to ten years or more, even life imprisonment or death. If you chase after him and strike him after he has taken the money, that is no longer considered self‑defence. Immediately after escaping, write down his appearance, accent, vehicle license plate, and the direction he fled, then call 110.

Open the low-ROI detour

Move “If a stranger demands money in a remote area, hand over cash, avoid any confrontation, note their features, and call police after escaping” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-037

If you stumble upon a group fight, walk away immediately — don’t try to break it up, don’t stand around watching, and don’t pick up any weapons on the ground. If you want to call the police, retreat to a safe distance and dial 110.

撞见一群人打架,退开走人,别上去拉架、别围观、别捡地上的家伙;要报警就退到安全距离打 110

If you intervene, your actions shift from “trying to calm things down” to “taking part in a fight.” Participating in a group brawl can land you in prison for up to three years; if many people are involved, it happens on a road, or weapons are used, the sentence rises to three to ten years. Watching isn’t worth it either — the more onlookers there are, the messier the scene gets, and you’re more likely to get hurt. The right move is to walk away. If you do want to call the police, step back to a safe spot and dial 110, clearly stating the location, how many people are involved, whether anyone is carrying knives or sticks, and if anyone has collapsed.

Open the low-ROI detour

Move “If you stumble upon a group fight, walk away immediately — don’t try to break it up, don’t stand around watching, and don’t pick up any weapons on the ground. If you want to call the police, retreat to a safe distance and dial 110.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-038

If you may have been exposed to HIV, get PEP within 72 hours — the sooner, the better

可能被 HIV 暴露了,72 小时内去拿阻断药,越早越好

If you suspect you’ve been exposed to HIV, 72 hours is the hard deadline — ideally you should start PEP within 2 hours. The medication must be taken for 28 consecutive days. After 72 hours this option is no longer available, so don’t wait until the next day to decide.

Open the low-ROI detour

Move “If you may have been exposed to HIV, get PEP within 72 hours — the sooner, the better” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-039

After saving someone and getting injured or incurring expenses, first seek compensation from the perpetrator and yibao; then apply for recognition as a person acting in the public interest.

救人受了伤、搭进了钱,先找加害人和医保,再去申报见义勇为确认

If you get hurt while saving someone, you’re not simply out of luck. Those injured while acting in the public interest should receive treatment first, with costs covered afterward. Medical bills are the responsibility of the perpetrator; if the perpetrator flees or cannot pay, basic medical insurance steps in. Even without a perpetrator, the person you saved is legally obligated to provide reasonable compensation — this is a legal requirement, not a matter of personal generosity. At the same time, you should apply for official recognition as a person acting in the public interest so that any injuries can be treated under workers’ compensation rules.

Open the low-ROI detour

Move “After saving someone and getting injured or incurring expenses, first seek compensation from the perpetrator and yibao; then apply for recognition as a person acting in the public interest.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-040

Knives, rebar, glass piercing the body – apply pressure around the foreign object to stop bleeding; do not pull it out

刀、钢筋、玻璃扎进身体,压住异物周围止血,不要把它拔出来

Pulling out the object can cause severe bleeding and makes it harder for doctors to assess the extent of the injury. The correct approach is to call 120, then use your hand or a dressing to apply firm pressure around the object to control bleeding and keep it stable so it doesn’t move. If internal organs are visible through an abdominal wound, do not push them back in; simply cover them with a clean, moist dressing. For chest wounds where air bubbles are escaping, do not seal them with plastic wrap – doing so can cause the lung to collapse.

Open the low-ROI detour

Move “Knives, rebar, glass piercing the body – apply pressure around the foreign object to stop bleeding; do not pull it out” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-041

If a fracture is suspected, don’t move the injured area — keep it supported and apply cold for up to 20 minutes; never try to realign it yourself.

怀疑骨折就别再动那个部位,托着不动、冷敷 20 分钟以内,别自己掰正

Any injury to a limb should be treated as a possible fracture at first — being able to stand or move does not rule it out; only an X‑ray can confirm it. Keep the injured part still, supporting it with your hand or using a triangular bandage or rigid splint to hold it in its original position. Apply cold as soon as possible, but never for more than 20 minutes at a time. Do not attempt to realign the bone yourself. For open fractures where bone pierces the skin, first stop any bleeding and cover the wound with a clean dressing; do not push the bone back into place.

Open the low-ROI detour

Move “If a fracture is suspected, don’t move the injured area — keep it supported and apply cold for up to 20 minutes; never try to realign it yourself.” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-042

After sexual assault, go to a safe place and call 110; do not shower, wash clothes, or tidy the room before a medical exam, and visit a hospital within 72 hours.

被性侵之后,先到安全的地方打 110;验伤之前别洗澡、别洗衣服、别收拾房间,72 小时内去医院

Physical traces on the body, on clothing, and in the room are the most crucial evidence for identifying the perpetrator. Therefore, avoid showering, washing clothes, or cleaning the area before a medical exam, and call 110 as soon as possible. Emergency contraceptives are readily available at pharmacies and work best when taken early. Within 72 hours, visit a hospital so a doctor can determine if PEP is necessary.

Open the low-ROI detour

Move “After sexual assault, go to a safe place and call 110; do not shower, wash clothes, or tidy the room before a medical exam, and visit a hospital within 72 hours.” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
13-043

When a baby under 1 year is choking and cannot cry out, alternate 5 back blows (face-down) and 5 chest thrusts — never press the belly

不满 1 岁的婴儿噎住哭不出声,趴着拍背 5 下、翻过来按胸口 5 下,轮着做,别按肚子

If the child can still cough or cry audibly, let them cough while you watch closely. If they cannot cry, their face turns blue, call 120, lay the baby face-down on your forearm, and give 5 back blows with the heel of your hand between the shoulder blades. If that fails, roll them over and give 5 quick thrusts on the center of the chest. Keep alternating — never push on the belly. If the baby becomes unresponsive, switch to CPR.

Open the low-ROI detour

Move “When a baby under 1 year is choking and cannot cry out, alternate 5 back blows (face-down) and 5 chest thrusts — never press the belly” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
13-044

If a baby under 1 is unresponsive and not breathing normally, call 120 on speakerphone and perform infant CPR: 30 compressions, then 2 breaths

不满 1 岁的婴儿没反应、没正常呼吸,开免提打 120,做婴儿心肺复苏:按 30 下吹 2 口气

No response to foot stimulation and no normal breathing — call 120 on speakerphone and do not stop. Encircle the chest with both hands and compress with two thumbs; if you cannot encircle, use the heel of one hand, about 4 cm (1.5 inches) deep, about 2 compressions per second. After every 30 compressions, give 2 breaths covering mouth and nose. Most infant cardiac arrests start with breathing failure; CPR that includes breaths improves survival.

Open the low-ROI detour

Move “If a baby under 1 is unresponsive and not breathing normally, call 120 on speakerphone and perform infant CPR: 30 compressions, then 2 breaths” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off

Source snapshot: a994b6a0c90598b0fe15cb837343f438dbf7b95d. Every original stays available in Chinese alongside the English edition.