Felicity The most essential difference between them is that the injury mechanism is completely different. Ordinary accidents are mostly caused by physical and mechanical external forces, while poisoning is caused by exogenous toxic substances invading the human body, which directly determines that the logic of the whole process from the first rescue action to the subsequent medical treatment is completely different, and it is easy to be confused. I've been doing pre-hospital first aid for almost six years, and I've come across too many cases where the injury was aggravated by confusing two kinds of rescue methods. Last summer, a young man who was most impressed was poisoned by fake wine. Friends in the same industry thought that he was drunk and fell, so they helped him to lie down and tried to apply an ice pack to sober him up. It took nearly 40 minutes to get to the hospital, and finally his optic nerve was damaged and he almost lost his sight. What a pity.
It may be that the concept is a bit confusing. I have sorted out several nodes that are most easily confused in first aid at ordinary times and put them in the following table for easy comparison:
| Contrast dimension | First aid for ordinary accidental injuries | Poisoning first aid |
|---|---|---|
| Common scenes | Falling from high altitude, car accident, falling fracture, knife cut, burn and scald | Ingestion of poisons/expired food, inhalation of harmful gases, skin contamination by pesticides and toxic gas poisoning. |
| First rescue action | After confirming the safety of the environment, give priority to stopping bleeding and fixing the wound, and try not to move the injured unless the position is dangerous. | Cut off the source of poison at the first time (open the window for ventilation, take off clothes contaminated with poison, wipe the skin exposed to poison, and induce vomiting when it meets the indications), giving priority to reducing the absorption of poison and speeding up the discharge. |
| Core taboo | Move the injured suspected of spinal/craniocerebral injury at will, and blindly feed water and medicine to the comatose injured. | Give vomiting to patients who eat corrosive poisons such as strong acid and alkali by mistake, and discard the remaining poisons/vomit/medicine packaging at will. |
| Prepare for medical treatment | Try to tell the doctor the specific external force of the injury (such as how high it fell and what was hit) | Carry the remaining poisons, vomitus, medicines/food packages, which is convenient for doctors to quickly locate the source of the poison and deal with it symptomatically. |
Of course, there are different voices about the disposal of some marginal scenes in the industry. For example, it has been discussed before. If it is poisoning that leads to syncope and then leads to a car accident, should it be rescued according to poisoning or accident? There are also indications for inducing vomiting after eating low-concentration corrosive poisons by mistake. One school thinks that as long as the eating time is within 10 minutes and the intake is large, it can induce vomiting and reduce absorption. The other school thinks that it is necessary to avoid inducing vomiting to cause secondary burns under any circumstances. These disputes are actually professional discussions on extreme scenes. For non-professional ordinary people, it is completely unnecessary to entangle, and call 120 at the first time. Just make clear all the details you see-for example, did the injured person fall down before hitting something, or did he feel uncomfortable after hitting it? Did he touch strange drugs or food before? The dispatcher will give the most accurate on-site guidance according to the situation you described.
To put it bluntly, you can remember that the core of ordinary accident first aid is "protect the wound, don't add new injuries", and the core of poisoning first aid is "clear the poison quickly, don't leave future troubles". If you follow this general direction in ordinary scenes, you will basically not make a big mistake.
