What are the relationship between poisoning and accidental first aid

The core conclusion is very clear. Poisoning is a type of sudden accident with a high incidence, and first aid for poisoning is the core branch of the accident first aid system. The two are nested, have common rules, and have different focuses. The essence of commonly used response methods is the targeted adaptation of the general principles of accident first aid in poisoning scenarios.

I have been doing pre-hospital first aid for almost 6 years, and I have encountered between 100 and 80 poisoning cases. More than half of the family members will subconsciously separate poisoning first aid from ordinary accidental first aid. When they come up, they ask whether they should pour soapy water or drink milk, and even forget the most basic accidental first aid safety principles. At the beginning of spring, we received a police report about organophosphorus poisoning. The old man quarreled with his family and drank half a bottle of pesticide. When the family found out, their first reaction was not to open the window to let out the smell, take off the old man's pesticide-stained coat, squat beside the bed and rush to pour water to induce vomiting. When we arrived at the scene, the family members themselves were dizzy from inhaling the volatile pesticides, and the smell of pesticides in the whole house was so thick that they couldn't open their eyes, which inadvertently increased secondary risks.

Nowadays, there are mixed opinions on the Internet about first aid for poisoning. When discussing the direction of science popularization within the industry, there were two different opinions. One group believed that inducing vomiting should be a must-learn skill for first aid for poisoning. After all, the operation threshold is low and it can quickly reduce the absorption of poisons. ; The other group believes that non-professionals simply cannot distinguish the contraindications for vomiting, such as strong acids and alkalis, and comatose patients, and blind promotion can easily lead to secondary harm. Now when we do community science popularization, we generally only mention clearly applicable scenarios for vomiting, and will not let people operate blindly regardless of the situation.

To be honest, you can treat accident first aid as a universal underlying operating system, and poison first aid is a specialized APP on it. If you don’t understand the system, blindly clicking on the functions will definitely cause problems. For example, when encountering inhalation poisoning such as carbon monoxide poisoning, you should first follow the requirements of ordinary accidental first aid, move the person to a ventilated area, and check conscious breathing. If this step is done in place, it will be a hundred times more effective than blindly looking for "detoxification remedies." If the person has stopped breathing, perform cardiopulmonary resuscitation first to stabilize his life, and then consider the exclusive treatment of the poisoning. This is the core connection between the two.

It really comes down to practical operation. You don’t need to remember so many fancy tricks. If you understand the core logic, you won’t make big mistakes. If you really encounter a poisoning situation, if you have not received professional training, you should first follow the ordinary accident handling procedures: first move the person to a safe environment without poisons, take off the clothes stained with poisons, use clean water to wash away the residual poisons on the skin, first check the consciousness and breathing, if the person is unresponsive and breathing, immediately perform CPR and call 120. If the patient is awake, able to communicate and cooperate normally, and you are sure that what he accidentally swallowed is not corrosive, such as excessive antihypertensive drugs or ordinary spoiled food, you can ask him to drink more warm water to stimulate the throat and induce vomiting, and try to expel the unabsorbed poison; if he is not sure what he ate, or the patient has already If you say you have a sore throat or a burning chest, it is most likely that you have taken something corrosive by mistake. Don't induce vomiting or feed the patient blindly. Pack up the remaining poison and the patient's vomit with you and take it to the hospital to see the doctor. This can save a lot of time in investigating the source of the poisoning. It is much more effective than just feeding half a cup of milk or soapy water.

Last month, we received a police report that a child accidentally swallowed half a tablet of antipyretic medicine. The parents hurriedly gave him half a cup of soapy water. As a result, the child vomited and developed esophageal edema. It could have been cured by observation at home, but instead he was hospitalized for two days. Do you think this is a loss? To put it bluntly, I don’t understand the connection between the two. First aid for poisoning is never a special skill separate from ordinary first aid for accidents. It is essentially a part of first aid for accidents. If you adhere to the general safety principles first and then talk about targeted treatment, you will not make a big mistake.