What is the difference and connection between poisoning and accidental first aid

In fact, both are essentially the core scenarios of pre-hospital emergency care. The core goals are to reduce the risk of death and disability as soon as possible. They will not skip the most basic first step of "assessing environmental safety and determining the patient's vital signs" because of different incentives. However, because the causes of the disease are so different, the priority of specific treatment and operational taboos can be said to be very different. If you are not careful, it will cause secondary harm to the patient.

Two police officers were sent to the community emergency team last month, and I was particularly impressed: First, there was an old man in the corridor of the old community who stepped downstairs and fell down. His head was covered with blood. When we arrived at the scene, our first reaction was to call him to see if he was conscious. We felt that the position of his neck was wrong, and we suspected that the cervical spine was fractured. As soon as I got back to the station, I received another police report. A two-year-old child from the neighborhood next door secretly drank half a bottle of toilet cleaning liquid while his grandma was cooking. When he arrived at the scene, he didn't dare to touch anything else. He first grabbed his family members and asked them if he drank acidic toilet cleaning liquid or alkaline pipe cleaners. If he knew it was a strong acid, he immediately stopped him. The grandmother wanted to induce vomiting for her baby. After strong acid corroded the esophagus, inducing vomiting would cause the esophagus to be burned repeatedly, which might lead to perforation. She quickly fed the baby some warm milk to neutralize it. Before leaving, she specially brought the remaining half bottle of toilet cleaning liquid with her so that the emergency doctor could quickly match the detoxification plan.

Don’t mention it, the team actually discussed relevant controversies during internal training. Some young team members who have just joined the industry feel that poisoning itself is a branch of accidental injury. After all, 90% of daily poisoning alarms are non-subjective situations such as accidental ingestion, aspiration, and accidental contact. They can be classified as unified training in accidental first aid. But all the veteran team members who have been on the front line for seven or eight years disagree. To be honest, when you go to the scene, you will know that there is a huge difference. Most ordinary accidental injuries are caused by mechanical external forces, such as falls, smashes, and burns. The logic of treatment is to avoid secondary injuries first, then treat the wounds and maintain physical signs. But poisoning is exogenous. The poison enters the body and takes effect. You don't even know what the poison is, whether it is corrosive, and whether it will react with commonly used first-aid materials. Blind operations will only make things more difficult. Some patients who deliberately take poisons also have to pay attention to whether they have a tendency to self-harm, which is completely different from the way of dealing with ordinary accidents.

Of course, this does not mean that the two are completely separated. I encountered a police officer in a high-speed car accident last year. Not only was the driver hit by the steering wheel and suffered rib fractures and intracranial hemorrhage, but when the blood was drawn, signs of alcohol and illegal drug poisoning were also found. At that time, both sides had to be taken into consideration. , you can’t just fix the fracture and forget to monitor him for cardiac arrhythmia caused by poisoning, nor can you just wake him up and forget that he may have cervical spine damage and dare not shake his head casually. This superimposed scene of the two will test the emergency personnel’s familiarity with the two types of handling logic the most. It sounds like cooking. The same thing is to make the food cooked and edible. The heat and seasoning steps for stir-frying vegetables and stewing ribs are completely different, but the basic logic of "turn on the fire, wash the pot, and turn off the heat" is the same. The same principle applies to first aid. The core is to save lives first, but how to operate it depends on the actual situation.

Ordinary people don’t need to panic if they encounter this kind of situation. Whether it is poisoning or an ordinary accident, call 120 immediately to explain the situation at the scene. The operator will guide you step by step to do the correct operation. If you are not sure, don’t move the patient casually or feed people casually. Basically, you will not make a big mistake.