Avery Poisoning itself is the core coverage scene of accidental first aid, and at the same time, a large number of routine accidents will be combined with poisoning injuries, and the technical iteration of poisoning first aid has been filling the loopholes in the evaluation and disposal of ordinary accidental first aid, and the two are nested and mutually reinforcing.
Last month, I went to the police with the community first aid team. The old couple mistakenly used nitrite as salt to mix cold dishes at home. After eating it for less than half an hour, their lips turned purple and dizzy. The neighbors had heard the community first aid science before, and they called 120 to induce vomiting. By the time we arrived at the scene, the symptoms had eased a lot. They were sent to the hospital for gastric lavage and observation for two days and then left the hospital. If the ambulance arrived, it might leave irreversible nerve damage.
Don't just talk about this clear poisoning accident. What many people can't think of is that most of the accidental injuries we usually encounter hide the hidden risk of poisoning. I have seen the statistics of fire fighting before. More than 80% of the victims in the fire were not burned to death, but first inhaled toxic smoke such as carbon monoxide and cyanide to get into a coma, and then missed the opportunity to escape. The year before last, I had a minor injury policeman in a shopping mall fire. A young man had only a shallow second-degree burn on his arm, but he kept complaining of headache and nausea. People in the same trade thought it was scary. I measured his carbon, oxygen and hemoglobin, and quickly gave him high-flow oxygen. Half an hour later, there was a high probability of brain edema.
Now there is also a debate in the industry that has not been completely concluded: whether the content of poisoning first aid should be included in the core package of accidental first aid popularization for ordinary people. Some people think that ordinary people don't have a medical foundation, and they can't remember so many treatment taboos of poisoning types. Maybe they will cause accidental inhalation and indiscriminate use of antidotes when vomiting, which will aggravate the injury. There is no need to add so much cognitive burden to everyone. The other school thinks that basic common sense such as "eating corrosive agents by mistake can't induce vomiting", "gas poisoning should be moved to a ventilated place first" and "84 and toilet cleaner can't be mixed" can at least reduce more than 60% of accidental pre-hospital deaths caused by poisoning as long as it is popularized. To be honest, I have been running for almost 10 years in pre-hospital first aid, but I think the core of this controversy is "the degree of popularization", and the common sense of basic identification must be pushed, but the disposal that requires professional operation really should not be let ordinary people get started. I have encountered cases in which someone accidentally drank toilet cleaner, and the family members blindly induced vomiting, which doubled the degree of esophageal burns.
| Common accident types | Common types of poisoning | First aid priority action |
|---|---|---|
| fire failure | Toxic smoke poisoning such as carbon monoxide and cyanide. | First move the injured person to a ventilated place to give oxygen, and then deal with burns and injuries. |
| traffic accident | Antifreeze/gasoline leakage inhalation poisoning, alcohol/drug poisoning of drivers and passengers | First, empty the foreign body in the mouth and nose, get rid of the leaking environment, and then deal with fractures and injuries. |
| Household cleaning accident | Chlorine poisoning caused by the mixture of 84+ toilet cleaner | Move the injured person to a ventilated place first, and don't blindly stop coughing and feed water. |
| Outdoor adventure accident | Poisoning by poisonous snakes/poisonous insects, poisoning by eating wild poisonous bacteria/wild vegetables by mistake. | First, the bite site was ligated near the heart, and the eater was induced to vomit, and then the bump injury was treated. |
When I gave first aid training to enterprises before, many people thought that poisoning was "eating the wrong thing", which had nothing to do with accidents such as car accidents, burns and falls. I always gave them an example, saying that accidental first aid is like repairing a faulty mobile phone. You can't just change the screen when you see that the screen is broken. Maybe the motherboard is still flooded. Poisoning is the "motherboard problem" hidden under the surface injury. If you don't check it out first, deal with the surface injury.
Two days ago, the city emergency center just updated this year's emergency operation guide, and added "investigation of poisoning signs" to the pre-evaluation link of all pre-hospital emergency treatment. To put it bluntly, no matter what kind of accident alarm comes out in the future, the first step is to see whether the injured person has any poisoning signals such as abnormal consciousness, discolored lips and special odor in exhaled gas, which is also a real hammer that the two are bound deeper and deeper.
