The relationship between poisoning and accidental first aid is

Poisoning itself is the highest type of accidental injury, and at the same time it is a secondary risk that is easily missed in other types of accidental emergency treatment. The two belong to the two-way correlation of primary and derivative embedding, and risk and treatment promoting each other.

Many people's impression of poisoning still stays in the event of "drinking pesticides" and "eating poisonous mushrooms", but in fact, in the past eight years, I have received nearly 30% of the accidental alarms, ranging from hydrogen sulfide leakage in factories to the elderly eating fungus soaked overnight for medical treatment, and even some parents coated the baby with half a bottle of essential balm to prevent prickly heat, which caused the child's skin to absorb toxic syncope. I sorted out several kinds of primary poisoning accident scenes that are most easily overlooked in daily life. Many ordinary people really can't think of it:

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Speaking of which, many people may not believe that poisoning is the easiest to hide in an accident scene that seems completely unrelated to it. I still remember a car accident policeman who happened last year: a truck pulling a chemical cleaning agent rear-ended a private car on the highway, and the driver of the private car got stuck in the cab, and his face was covered with blood. Our first reaction was to rescue the trauma first. As a result, as soon as we got to the side of the car, we smelled a pungent sweet smell. The new comrades in the team didn't take it seriously. They squatted on the side and cut their seat belts for two minutes, then shook it and fell down. Only then did we realize that the cleaning agent bucket was leaking and the volatile gas was toxic.

At present, there is no unified standard answer to the disposal of poisoning risk in the first aid circle. The two factions have been arguing for many years: one faction insists that "eliminating risks takes precedence over saving people", especially for unexplained mass casualties and confined space accidents, we must first take the detector to sweep the environment and make sure there is no poisoning risk before entering, otherwise we will increase casualties in vain; The other school thinks that "the golden emergency window is only four minutes, and if the patient's heart stops, it will be hopeless long after you have finished the test", arguing that as long as you wear the basic gas mask and gloves, you can investigate the poisoning risk while disposing. Both statements are supported by real cases. In the final analysis, it is necessary to judge according to the situation on the spot, and there is no absolute right or wrong.

I have been a policeman myself for so many years, and I don't have much high-end experience, so I have developed a small habit: at the first second after I arrive at the scene, I will sweep around for any crooked bottles, abnormal smoke and food pills scattered on the ground, and then smell if there is any strange smell. Even if I fall down the stairs and have a faint heart attack, I will ask my family members more, "Have you eaten anything special or touched any chemicals before?" Last time, I received an alarm that the old lady fainted at home and broke her head. We glanced at the balcony at the scene and saw half a bag of opened rodenticide scattered on the side. We quickly measured the blood concentration first, and it turned out that the old lady knocked over the rodenticide when she was cleaning, and she was poisoned and fainted before she fell. If she came up, she would have to deal with the wound on her head first, and something might happen.

To put it bluntly, first aid has never been a textbook process. The boundary between poisoning and accidents is often blurred. If you pay more attention, you may be able to find out the poisoning risk hidden behind the accident and save one more life.