What is the difference between poisoning and accidental first aid

The core difference between the two is that the core logic of rescue is completely different - the first priority of poisoning first aid is to cut off the poison exposure and then deal with the injury, while the first priority of ordinary accident first aid is to deal with immediately fatal obvious injuries first.

When I was following a car at a grassroots first aid station two years ago, the police in the same neighborhood made two trips on the same weekend afternoon, which left a particularly deep impression on me. In one case, the tenant was poisoned by carbon monoxide with the windows closed and burning charcoal for heating in the winter. The smell of gas hit his face when he opened the door. The first reaction of the nurse we followed was not to rush up to touch the patient's consciousness. Instead, he opened all the windows and dragged the patient with the quilt to the ventilated corridor. Then she dared to start measuring blood oxygen and perform cardiopulmonary resuscitation. If we had been slow for half a minute, the two young men we entered might have fallen inside. On another trip, the aunt downstairs fell off the bench while she was drying herself under the quilt, and hit the back of her head. When she arrived at the scene, she immediately checked her pupils and felt whether the cervical vertebrae were misaligned. After confirming that no secondary damage would be caused, she dared to move the person to a stretcher. She first applied pressure to the bleeding area to stop the bleeding, in order to avoid delaying time due to intracranial hemorrhage.

Of course, there are different voices in the first aid circle now, saying that no matter what type of first aid, the first step is to check the environmental safety. This is actually true, but the directions of the two investigations are completely different. Most of the environmental inspections for ordinary accidents are risks that are visible to the naked eye: whether there are falling objects from high altitude, whether there are passing vehicles around, and whether there are open fire hazards such as electricity leakage or gas leakage. Once these are eliminated, you can basically start the rescue; but the risk of poisoning is mostly hidden, and you have to first look for any overturned pesticide bottles. , uneaten spoiled food, empty psychiatric medicine boxes, and even observe whether there are abnormal burns on the patient's skin and whether there are strange secretions in the mouth and nose. First, determine whether it is inhalation, ingestion or contact poisoning. Even when rescuing, you must wear gloves and masks to prevent yourself from being affected by poisons.

To put it bluntly, ordinary emergency first aid is like patching the hole in a leaking bucket. First plug the largest and fastest leaking hole, and give priority to stabilizing basic vital signs such as heart rate and breathing. In poisoning first aid, you must first remove the bottle that pours the corrosive liquid into the bucket. Otherwise, no matter how fast you repair the hole, the corrosive liquid will continue to be poured in, and the bucket will still rot.

I have met many anxious family members. When a poisoned patient comes up, they want to give the patient water to induce vomiting. In fact, this is a taboo. You don’t know whether the patient is eating strong acids, alkalis, or organophosphorus pesticides. Blindly inducing vomiting may repeatedly burn the esophagus, or even cause the poison to choke into the lungs and cause more serious problems. This is the best time to do it. The best method is to seal the remaining poison and the patient's vomit and take it to the hospital together, so that the doctor can quickly determine the type of poison and the corresponding antidote; but if it is an ordinary accidental hypoglycemic coma or heatstroke collapse, as long as the patient is conscious, feeding some warm sugar water and light salt water can help. There are two completely different ways.

Of course, the two have nothing in common. When a patient loses consciousness, they must first call 120, observe whether there is breathing or cardiac arrest, and perform cardiopulmonary resuscitation when indicated. Although the core logic is different, the ultimate goal is to seize the time to bring the person back.