What are the relationships between poisoning and accidental first aid

At its core, poisoning itself is one of the most common coverage scenarios for accidental first aid. The two are dependent on the "special treatment branch" and the "general first aid system". They both share the underlying treatment logic and have their own boundary differences. Even the particularity of poisoning first aid continues to complement the entire accidental first aid treatment specifications.

Last week, the 120 call was received by the police during the day shift. A family of four on the third floor of an old residential area vomited and fainted half an hour after eating. The neighbor across the door called 120 when he noticed something was wrong. The first thing he did when he entered was to open all the windows wide and carry half a bottle of insecticide left in the restaurant outside the door - don't laugh at this troublesome neighbor. , his operation just hit the most common underlying logic between the two: whether it is poisoning, car accidents or fire burns, the first priority of accidental first aid is always to cut off the source of danger first to avoid further damage. In a poisoning scenario, it is to first get out of the toxic environment and remove suspected poisons. This set of logic is completely universal.

When we arrived at the scene and asked about the medical history, there were still uneaten fried green beans and cold fungus that had been soaked for almost three days on the table. The family’s lips were not cyanotic and there was no smell of gas. Gas poisoning was basically ruled out, and the next operation was different from ordinary accidents. If there is a fall, we first check the wound and fix it. When it comes to poisoning cases, the first priority is to clarify the type of poison. Not only do we need to ask what we ate and touched, but we also need to pack up the remaining suspicious food and the patient's vomit and bring it back to the hospital for testing. Otherwise, we will not be sure what antidote to use and whether hemoperfusion is necessary. In the past two months, we met an elderly person who accidentally took an unknown herbicide. His family members panicked and threw the remaining medicine bottles into the trash can downstairs. We went downstairs and rummaged for more than ten minutes to find it, which delayed a lot of treatment time. This is the most obvious difference between poisoning as a special accident and ordinary trauma first aid: its core treatment is to first find the "cause" and then treat the symptoms, while ordinary accident first aid often controls the "symptoms" first and then finds the cause.

Speaking of this, I have to mention a point that is currently very controversial in science fiction: if ordinary people are poisoned at home, can they induce vomiting and pour milk on their own first? At present, the views of two factions in the industry have not been completely unified. One faction adheres to the "prime time first" principle of accidental first aid, and believes that it is difficult for ordinary people to accurately determine the type of poison. As long as the patient is conscious, in the case of oral poisoning, first induce vomiting and drink warm milk to dilute it, which can at least reduce the absorption of poisons. Even if it is useless, there will not be much harm; Poisons and vomiting can repeatedly burn the esophagus. Drinking too much milk can easily cause vomiting, choking, and coughing, which can aggravate injuries. When doing community science popularization now, we can only compromise and say, give priority to calling 120. The operator will guide the operation according to the situation you describe. Just don’t mess around on your own. In fact, this is essentially the collision of general accident first aid principles and special handling requirements for poisoning, and it is still being continuously adjusted and optimized until now.

In fact, to put it bluntly, it is just like our daily practice of first aid. Basic cardiopulmonary resuscitation and hemostatic bandaging are common skills that can be used in all accident scenarios, while inducing vomiting, gastric lavage, and using special antidotes are "bonus points" specifically for special accidents such as poisoning.