Stella In essence, poisoning is one of the most common sub-scenarios of accidental first aid. They are a typical nested relationship between "special scene" and "general system", and most of the time it is impossible to separate them for disposal. I've been working in the grass-roots first-aid point for almost five years, and 27% of the accidental first-aid alerts I received were related to all kinds of poisoning, ranging from vomiting and diarrhea after eating spoiled seafood to accidental ammonia inhalation at the construction site for medical treatment. The disposal of each case is to observe the general guidelines for accidental first aid first, and then add the special treatment of poisoning. There is no such thing as "separate calculation" at all.
However, there are indeed different views on the priority of the two in the industry now. Poison doctors in some specialized hospitals even suggest independent and sophisticated training in poisoning first aid. After all, the antagonistic schemes of different poisons are too different, and the use of specific antidotes also has strict indications. Ordinary volunteers can't learn completely and can't get medicine, so it is easy to make mistakes by forcing them to learn. However, we are more inclined to embed the basic treatment of poisoning into the training of ordinary accident first aid. After all, the golden first aid window is only a few minutes. Last autumn, an old man in our jurisdiction mistakenly took rodenticide as a antihypertensive drug. His wife just took a community first aid class last month, and urged the old man to vomit at the first time. When he dialed 120, he also brought the rest of the medicine boxes with him. It would be fine to wash his stomach in the hospital. If the professionals arrived, they might have absorbed it almost.
I have sorted out the disposal logic of several common types of overlapping scenes in daily life, and you can understand the correlation between them at a glance:
| Common scenes | General requirements for accidental first aid | Key points of special treatment of poisoning |
|---|
|------------------------|----------------------------------|--------------------------------|
| Families eat toxic substances by mistake. | Keep airway unobstructed, prevent vomiting and suffocation, and report to 120. | Keep poison samples and induce vomiting quickly when awake. |
|---|---|---|
| Field contact/food poisoning | Give priority to transfer to a safe area and prevent anaphylactic shock. | Cleaning contact parts and corrosive poisons are forbidden to induce vomiting. |
| Industrial chemical leakage poisoning | Do a good job of self-protection first to avoid mass casualties. | Take off the contaminated clothes and neutralize the corresponding poisons. |
| Group food-borne poisoning | Give priority to critically ill patients and report them to disease control simultaneously. | Keep all food samples involved and trace them uniformly. |
What many people tend to overlook is that poisoning itself will also lead to other unexpected first aid needs. For example, there are many people who are drunk and alcoholic, and there are many people who have broken their heads. When you deal with it, you should not just think about sobering him up, but also check whether there are ordinary injuries such as intracranial hemorrhage and fracture. In previous cases of carbon monoxide poisoning, the patient knocked over the thermos bottle when he fainted, and he still had second-degree burns. When he was sent to the hospital, he had to deal with both sides at the same time, and nothing could be done without it.
Seriously, for ordinary people, there is no need to entangle the boundary between the two. Just remember that whether it is poisoning or other accidents, you should first ensure your own safety and then save others. Do the basic disposal that you can do first, and leave the rest to professionals. There is no need to make such a clear classification.
