Cali Poisoning is one of the core high-incidence scenarios covered by accidental first aid. The essence of the adaptation problem between the two is the mismatch between the general first aid rules and the specificity of poisoning treatment. To solve this problem, the core is to naturally embed the exclusive handling logic of poisoning into the full link of general accidental first aid, without having to build two completely independent systems.
When I was working at a grassroots first aid station last year, I came across a case of accidentally ingesting paraquat. When the family first discovered the case, their first reaction was to induce vomiting according to the conventional first aid experience of accidental ingestion. Instead, the corrosive agent burned the esophagus. By the time it was delivered to the station, the situation was much more dangerous than when it was first ingested. Don't think this is an exception. Many people have learned basic accidental first aid knowledge, such as cardiopulmonary resuscitation and hemostatic bandaging. However, when they encounter poisoning, they always subconsciously apply the same general treatment ideas, which leads to pitfalls.
To put it bluntly, emergency first aid is like the medical kit you keep at home, including common cold medicines, band-aids, and antipyretics. However, poison treatment is like prescription drugs reserved for acute and severe cases. You cannot use prescription drugs in the same way as treating common colds, nor can you simply take prescription drugs out of the medicine kit, otherwise you will be blinded when something happens. There are always two different schools of thought in the first aid circle. One group believes that there are too many variables in poisoning treatment. Different poisons - corrosive, neurotic, food-borne - have completely different treatment methods. It is better to carry out special training separately. Ordinary people do not need to remember too much. When encountering the corresponding scene, they can directly check the official guide. ； The other group believes that many people find it troublesome to learn first aid, and removing a separate poisoning first aid module will only raise the learning threshold and reduce the popularity. It is more practical to incorporate the core principles of poisoning first aid into existing first aid training.
In fact, community first aid science popularization in many cities is already trying the latter idea. At the end of the regular 2-hour first aid training, a small session of more than 10 minutes is added. It does not require you to memorize the solutions to dozens of poisons. Just remember a few core actions: First, immediately isolate the poisoned person from the poison. For example, if inhalation poisoning, move to a ventilated place quickly. If it is food-borne, do not let him touch the remaining poisons.； Also, don’t blindly feed people, induce vomiting, or give antidotes unless the 120 dispatcher explicitly tells you that you can do so. ； In addition, be sure to keep the remaining poison samples, leftover food, medicine bottles, and outer packaging for medical staff to see, which can save a lot of time for diagnosis.
Two months ago, there was a deliveryman in our jurisdiction. While delivering food, he encountered a tenant who was poisoned and had convulsions after taking illegal weight-loss drugs purchased online. He did not touch anyone. He first saved the remaining bottles of weight-loss pills on the table and screenshots of the order. When he called 120, he directly reported the name of the medicine to the dispatcher. The emergency department prepared the corresponding antagonist in advance. There was no delay in getting the person to the hospital, and everything was fine that afternoon. In fact, whether it is a separate special training or integrated into general first aid, the essence is to eliminate everyone's misunderstanding of accidents such as "poisoning". You don't need to be a professional first aid person, as long as you don't help in the most critical minutes, in fact, most of the problems have been solved.
