What are the ways to solve the relationship between poisoning and accidental first aid

The core conclusion is actually very clear. Poisoning itself is one of the most common disposal scenarios in the field of accidental first aid. The two are typical correspondences between "scenario requirements" and "disposal plans." To open up the adaptation points of the two, the essence is to solve the three core problems of general public cognitive bias, non-standard on-site operations, and poor first aid link connection.

I have been doing pre-hospital emergency care for almost 8 years, and I have come across too many cases where the relationship between the two was unclear and delayed. Last year, I received a police report the week after entering Fuzhou. Three young men in the rental house ate wild mushrooms they picked in the mountains. At first, they had vomiting and diarrhea. Only when one of them started to lose consciousness did they call 120. By the time they were sent to the hospital, two of them had already developed acute kidney injury. The doctor later told us that if they had known it was poisoning as soon as they showed symptoms and it was an accident that required immediate first aid, and they had induced vomiting on their own and then waited for rescue, they would not have reached this point.

There is a lot of noise online about first aid for poisoning. Many people say that as long as the person is poisoned and induces vomiting first, there is nothing wrong. Others say that the risk of inducing vomiting is high. Ordinary people should not do it blindly. From our front-line perspective, both opinions are reasonable. There is no universal rule at all. It depends on the specific situation: If the person concerned is conscious and has accidentally taken non-corrosive things such as spoiled food or ordinary drugs, of course you can drink 300ml first. Use warm water on the left and right sides, and pick at the back wall of the throat to induce vomiting to reduce the absorption of poisons. If you accidentally take highly corrosive chemicals such as toilet cleaning spirit and caustic soda, inducing vomiting will cause the burned esophagus to repeatedly come into contact with poisons, and even cause perforation. At this time, drinking cold pure milk or egg white to protect the mucous membrane is the best choice. If it is an inhalation like carbon monoxide poisoning, the first priority is to move the person to an open and ventilated place and untie the collar to keep breathing smooth.

In addition to ordinary people's cognitive problems, the connection loopholes between pre-hospital and hospital also affect the efficiency of treatment. I have encountered family members who were so panicked that they couldn't even explain what medicine their children had mistakenly taken. When they arrived at the emergency department, they had to spend time doing a poison test to find the corresponding antidote, which wasted more than 20 minutes. Our jurisdiction has made a small innovation in the past two years. Whenever the 120 police station receives a poisoning-related request, it will press three first. A core question is asked to clarify the situation: what kind of poison was exposed, the approximate amount, and how long it has been. The information is sent to the emergency center in advance, so that the corresponding antidote, gastric lavage, and hemofiltration equipment can be prepared in advance. Last year alone, the average treatment time for poisoning first aid in our jurisdiction was shortened by 18 minutes, and the fatality rate dropped by 11.7%. The effect is real.

To be honest, many people always think that accidental first aid is a professional matter far away from them. In fact, nearly 70% of the poisoning incidents we received last year occurred in the homes of ordinary residents. From the elderly eating spoiled overnight vegetables, to children accidentally swallowing adults' antihypertensive medicine, to carbon monoxide poisoning caused by burning charcoal with windows closed for heating in winter, these are all-too-common scenarios. Understanding the logic of poisoning and accidental first aid can really save the lives of yourself and your family at critical times.