How to identify poisonous mushrooms after a family of three was admitted to ICU after picking wild mushrooms

[Source: Weather Network]

Weather Network News, in the wild, do not step on mushrooms to eat, especially the mushrooms that look good, which may be more poisonous. Some mushrooms are very toxic and can be life-threatening in severe cases. Recently, a family of three in Zhengzhou, Henan was admitted to the ICU after picking wild mushrooms for consumption. According to doctors, there is no cure for toadstool poisoning. So, how do we identify poisonous mushrooms? Let’s learn together.

A family of three was admitted to ICU after picking wild mushrooms for consumption

Poisoned mushrooms

Recently, in Zhengzhou, Henan, Mr. Tao’s family was picking wild mushrooms on the mountain while traveling in the mountain pass. Multiple organ failure, life in danger! The doctor introduced that there is no specific drug for toadstool poisoning. The 4-year-old child and his mother are still in a coma, and both have liver failure.

How to identify poisonous mushrooms?

A look at the growing zone. Edible non-toxic mushrooms mostly grow on clean grass or on pine and oak trees, while poisonous mushrooms often grow in dark, damp and dirty areas.

Second look at the color. The surface of poisonous mushrooms is bright in color, with red, green, black, cyan and other colors, especially the purple ones are often highly poisonous and easy to change color after picking.

Three look at the shape. The cap of non-toxic mushrooms is relatively flat, the umbrella surface is smooth, there is no wheel on the surface of the mushroom, and the lower part is sterile. The stalks are slender or thick, easily broken.

Mushrooms

Look at the secretions. Tear off the stalks of the fresh wild mushrooms picked, the non-toxic secretions are clear as water (individually white), and the surface of the mushrooms is torn without discoloration; the toxic secretions are thick and red-brown, and are easily discolored in the air after being torn.

Five smells. Non-toxic mushrooms have a special fragrance, and poisonous mushrooms have strange smells, such as spicy, sour, and fishy.

Six is ​​the test. When picking wild mushrooms, you can rub the green onion on the mushroom cover. If the green onion turns green, it proves to be poisonous; otherwise, it is non-toxic if it does not change color.

Seven is the cooking test. When cooking wild mushrooms, put a few rushes, a little garlic or rice and cook them together. When the mushrooms are cooked and the rushes turn green or purple, they are poisonous, and those that turn yellow are non-toxic; It is non-toxic in its original color.

Eighth is chemical identification. Take the suspicious mushrooms collected or bought, take out the juice, soak it with paper, and immediately add a drop of dilute hydrochloric acid or white vinegar on it, if the paper turns red or blue, it is poisonous.

Toxic mushroom poisoning treatment:

Accidental consumption of poisonous mushrooms What to do

When the poisonous mushroom is eaten by mistake, it should be treated as soon as possible, otherwise it will cause serious consequences. When treating poisoned patients, the first consideration should be to help the patient to eliminate toxins from the body, so as to prevent the continued absorption of toxins and aggravate the condition. Detoxification in the early stages of poisoning is necessary and effective for all types of poisoning. Emetic: Physical emesis or medication can be used to induce emesis. If the patient takes a large amount of warm saline, 200~300ml of 4% warm saline or 200ml of 1% magnesium sulfate, 5~10ml once, and then chopsticks or fingers with short nails (preferably wrap the fingers with cloth) (safety objects) to stimulate the pharynx to induce vomiting; or under the guidance of medical staff, use copper sulfate, ipecac syrup, injection of related drugs and other medicinals to induce vomiting. Note that pregnant women should be careful to induce vomiting.

Gastric lavage: Severe vomiting is not necessary for gastric lavage. The earlier the gastric lavage, the better. Generally, the effect of gastric lavage is best within 4 to 6 hours of ingesting the poison. But even if it exceeds 6 hours, or even 12 to 18 hours, gastric lavage can still be performed according to the absorption status of the poison. Gastric lavage generally uses lukewarm water and normal saline. Potassium permanganate solution (1:2000-5000) can also be used. After gastric lavage, activated carbon can be poured into the adsorbent. The usage is to take 30~50g into 500ml warm boiled water and mix it into a suspension. The gastric tube is injected into the stomach, or egg white is used to absorb the poison.

Catheter: In order to remove the toxins that stay in the intestine, 10% magnesium sulfate can be taken orally for catharsis, but it is not suitable for patients with central nervous system, respiratory, cardiac depression or poor renal function to use magnesium sulfate . The use of magnesium sulfate can form hypermagnesemia, causing magnesium toxicity. Usually sodium sulfate catharsis is better. Mannitol or behenitol can also be used as a cathartic agent, especially after filling with activated carbon, it can increase the discharge effect of unabsorbed poisons. It was also suggested to take 30~60ml of castor oil orally as a cathartic.

Enema: A high-level enema with saline or soapy water can be used in patients who do not have diarrhea. 200-300ml each time, 2-3 times in a row.

Infusion and diuresis: In the early stage, a large amount of infusion can be used to excrete a large amount of toxins from the urine. Infusion can be 10% glucose, normal saline, etc., and intravenous diuretics are used at the same time. Generally, furosemide 20~40mg or 20% mannitol 250ml is intravenously injected, and repeated injections can be repeated if necessary. But pay attention to enter the fluid balance, but also pay attention to water, electrolyte balance and potassium chloride supplementation for patients with hypokalemia.

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