What are the ways to solve the relationship between poisoning and accidental first aid

Poisoning itself is one of the most common types of critical and severe accidents, and is the core coverage scenario of the accident first aid system. To straighten out the compatibility between the two and reduce the death and disability rate of poisoning accidents, the essence is to naturally embed the specific requirements of poisoning first aid into the entire process of routine accident first aid, without creating two completely separate systems.

A while ago, I picked up a 72-year-old man in the emergency department. He mistakenly took half a bottle of his grandson’s fructose-packed antihypertensive medicine. The family immediately followed the method found on the Internet and dug his throat to induce vomiting. The old man had reflux esophagitis, and he had bleeding from the esophageal mucosa. After he arrived at the hospital, he first treated the bleeding and then performed gastric lavage for poisoning. He suffered a lot for nothing. If the family had listened to the dispatcher’s instructions when they called 120, this would never have happened.

In fact, there are different voices in the industry about the connection between the two. Many first-aid colleagues before running to the hospital believe that there is no need to do separate science popularization on poisoning first aid. It is enough for ordinary people to keep in mind the points of routine accidental first aid: "get out of the dangerous environment first, ensure smooth breathing, and send to the doctor as soon as possible." After all, ordinary people cannot distinguish between organophosphorus poisoning and paraquat poisoning. The difference is that when you are really panicking, you cannot remember too detailed operations; but most doctors in the poisoning department don't think so. They have encountered too many cases in which pre-hospital treatment was wrong and turned into serious cases, such as those who mistakenly ingested corrosive poisons such as toilet cleaners and induced vomiting, and those who were poisoned by carbon monoxide and were wrapped in quilts to cover their sweat. They all applied the conventional accident treatment ideas to the poisoning, which in turn aggravated the damage.

I have been working in a grassroots emergency room for nearly 6 years. To be honest, both sides of the story are based on reality. There is really no need to argue about right or wrong. Accident first aid is like a multi-functional tool box that is always available at home. First aid for poisoning is the precision screwdriver specially equipped in it. You don’t need to take it out and put it separately. If you really need to tighten a small screw, just don’t use a wrench to tighten it.

Nowadays, 120 dispatch stations in many places have quietly changed their procedures for receiving police calls. As long as the caller says that he may be poisoned, the dispatcher will immediately ask about the type of poisoning and whether he is conscious. He will not wait for the ambulance to arrive before handling it. When the ambulance dispatches, it will also bring the corresponding antidote and disposal equipment in advance, so there is no need to return to the scene to get it. For ordinary people, there is no need to memorize too many poisoning first aid knowledge points. If you encounter a poisoning accident, move the person to a safe place as soon as possible - for example, if you are poisoned by gas, open a window and remove a vent. If you swallow it by mistake, don't feed milk or salt water and don't induce vomiting. Hold the remaining poisons, medicine bottles, etc. in your hands. When calling 120, tell clearly what you ate and how much you ate. That's better than anything else.

I met a mother last month. Her child mistakenly drank half a bottle of mosquito repellent water mixed with water. She did not dare to do anything blindly. She took the mosquito repellent water bottle and called 120. The dispatcher directly told her not to induce vomiting and took the bottle to the nearest pediatric emergency hospital. When we arrived at the hospital, we saw that the ingredients did not contain organophosphorus and directly performed an enema. The baby was happily discharged from the hospital the next day without any problems. In fact, to put it bluntly, whether it is poisoning or other accidents, the core of first aid is always not to cause trouble first, and then do the right thing. That is enough.