What is the relationship between poisoning and accidental first aid?

To put it bluntly, poisoning itself is one of the four most common types of accidents. Poisoning first aid is an irreplaceable core component of the entire accident first aid system. It can even be said that whether there is a complete poisoning first aid response process is a core criterion for measuring the immaturity of a local accident first aid system.

I have been attending pre-hospital emergency services for almost 6 years, and one out of every five accidents I encountered was related to poisoning. Last month, I encountered an old lady who lived alone who had mixed up her antihypertensive medicine with her grandson’s calcium tablets and accidentally took half a bottle of antihypertensive medicine. Her family came to find her paralyzed on the sofa. I was confused and my first reaction was to follow the first aid methods for cerebral infarction: lay flat, lift the chin, and pinch the person's philtrum. I didn't think about the poisoning at all. If you compare accidental first aid to a safety net that provides cover for various emergencies, then poisoning first aid is the densest part of the network - accidents such as ordinary trauma, cardiovascular and cerebrovascular accidents, and drowning. Most of the treatment logic is to maintain vital signs first and avoid secondary injuries. However, for poisoning, there is an "invisible murderer" who continues to wreak havoc in the body. It is useless to just stabilize the physical signs. You must first find the right type of poison and block the damage in a targeted manner. Otherwise, it will be difficult to truly stabilize the situation no matter how hard you perform cardiopulmonary resuscitation.

Of course, there are different opinions on the connection between the two in the industry. Some colleagues who do public first aid science believe that there is no need to teach ordinary people too many targeted first aid operations for poisoning. After all, the types of poisoning are too complicated, and the logic of handling accidental ingestion, inhalation, and contact is very different. It is easy for ordinary people to get confused and it will not help. Two years ago, a young man accidentally drank toilet cleaning spirit and was poisoned. His daughter A friend induced vomiting according to the method found on the Internet. As a result, the strong acid repeatedly burned the esophagus. The problem that could have been solved by sending him to the doctor in time and using mucosal protectants ended up with esophageal stenosis and he was unable to eat normally for several months. This school of thought is that ordinary people who encounter poisoning accidents should just call 120, keep samples of suspected poisons, and don't operate blindly, and leave the rest to professionals.

However, many colleagues who work in emergency toxicology believe that basic poisoning first aid knowledge must be included in the general public accident first aid training. After all, the golden treatment time for many poisonings is only 15 to 30 minutes. For example, if organophosphorus pesticide poisoning is common in the countryside, Late, even if the patient is rescued, there is a high probability that there will be irreversible neurological sequelae. If the family can take off the patient’s pesticide-stained clothes while waiting for emergency treatment, and wipe off the residual pesticide on the skin with clean water, the effect of subsequent treatment will be much better.

In fact, when we go out to 120 and encounter residents, we occasionally stuff small palm-sized cards with the three most practical reminders printed on them: Don’t feed people random things to induce vomiting if they are suspected of poisoning. Keep the remaining poison, medicine bottles or vomitus, and tell the 120 dispatcher clearly what you ate and how much you ate. This is more effective than any fancy operation. Originally, the core of accidental first aid is not to let ordinary people act as temporary doctors, but to help the professionals behind to save more time.