Podcast # 343: Snake Bites

Podcast # 343: Snake Bites

Educational Pearls:

  • Snake bites commonly occur between April and October.
  • Rattlesnake bites are the most common.
  • Venom contains proteins/enzymes that cause local inflammation, coagulopathy, and systemic effects (hypotension, angioedema, renal failure, etc.) along with neurotoxins may cause fasciculations, ptosis, drooling, or hyporeflexia.
  • Management:
  • Mark site for swelling.
  • Monitor progression.
  • Elevate and immobilize injured limb and treat pain.
  • Check basic labs including coagulation studies, and update tetanus.
  • Antidote is CroFab and use if patient has systemic symptoms. Anaphylaxis is a known complication of CroFab
  • Avoid: ice, tourniquets, and incision and drainage.

References

Hifumi T et. al.. Venomous snake bites: clinical diagnosis and treatment. J Intensive Care. 2015 Apr 1;3(1):16. doi: 10.1186/s40560-015-0081-8.

Warrell DA. Snake bite. Lancet. 2010. 375(9708):77-88. doi: 10.1016/S0140-6736(09)61754-2.

Warrell DA. Envenoming and injuries by venomous and nonvenomous reptiles worldwide. In: Wilderness Medicine, 6th Edition, Auerbach PS (Ed), Elsevier Mosby, Philadelphia 2012. p.1040.

Episoder(1146)

Podcast 524:  Bacterial Endocarditis

Podcast 524: Bacterial Endocarditis

Contributor: Sue Chilton, MD Educational Pearls: More intracardiac devices and injection drug abuse are thought to be increasing incidence of endocarditis Classic signs of endocarditis have included:...

20 Des 20193min

Podcast 523:  A Dizzying Diagnosis

Podcast 523: A Dizzying Diagnosis

Contributor: Don Stader, MD Educational Pearls: It can be difficult to distinguish between central and peripheral causes of vertigo. Cerebellar stroke should be considered with any dizzy patient.  Si...

17 Des 20192min

UnfilterED #3: Dr. Katie Bakes & Dr. Pete Bakes

UnfilterED #3: Dr. Katie Bakes & Dr. Pete Bakes

Husband and wife Pete and Katie Bakes, both emergency physicians in the Denver-Metro area, reflect on their upbringings, the many lessons learned over their twenty year careers, and how they've evolve...

14 Des 20191h 43min

Podcast 522: e-Cigarette and Vaping Related Lung Injury

Podcast 522: e-Cigarette and Vaping Related Lung Injury

Contributor: John Winkler, MD Educational Pearls: Vaping-related lung injury initially presents with flu-like symptoms and can progress to respiratory failure requiring aggressive resuscitation inclu...

10 Des 20192min

Podcast 521: Traumatic Hyphema

Podcast 521: Traumatic Hyphema

Author: Jared Scott, MD Educational Pearls: A hyphema is blood in the anterior chamber of the eye, typically caused by trauma While there is a spectrum of disease, blurred vision and eye pain are com...

5 Des 20192min

Podcast 520:  Approach to the arresting patient

Podcast 520: Approach to the arresting patient

Contributor: Peter Bakes, MD Educational Pearls: Peri-arrest patients present a particular challenge to ED providers, as the differential is broad and time is critical  The differential for near card...

3 Des 20197min

CBHW Summit: The Cycle of Drug-Related Stigma - Implications for the Opioid Crisis

CBHW Summit: The Cycle of Drug-Related Stigma - Implications for the Opioid Crisis

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Michael Miller, Strategic Initiatives Coordinator, Jefferson County Public Health

27 Nov 201956min

CBHW Summit: A Strategic Framework for Addiction Medicine

CBHW Summit: A Strategic Framework for Addiction Medicine

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Judith Shlay, MD, MSPH, Associate Director, Denver Public Health, and Brooke Bender, MPH, Center for Addiction Medici...

27 Nov 201945min

Populært innen Vitenskap

fastlegen
rekommandert
jss
tingenes-tilstand
rss-rekommandert
villmarksliv
liberal-halvtime
sinnsyn
forskningno
rss-paradigmepodden
fjellsportpodden
nevropodden
rss-nysgjerrige-norge
diagnose
vett-og-vitenskap-med-gaute-einevoll
abid-nadia-skyld-og-skam
tidlose-historier
dekodet-2
smart-forklart
hva-er-greia-med