What happens when a patient is bitten by an exotic reptile.
Clinical Assistant Professor, Department of Clinical Sciences, Medical College of Wisconsin, MilwaukeeYou are working in the emergency department one evening when a 30-year-old man arrives via ambulance. On entering the patient's room, you notice swelling and edema of the right hand, as well as a puncture mark on the dorsal aspect of the right index finger. The patient states he was bitten by his pet snake while trying to feed the animal.
Fortunately, many facilities housing venomous animals have already imported antivenom in case of envenomation. These zoos, aquariums, and other facilities can then upload their inventory into the Antivenom Index. Now we knew what we needed, and where to get it. But how could we get the product to the patient? Toxicologists can identify appropriate antivenom and poison centers can track it down, but rarely can they deliver the compound, although at times they are involved inWe were left with two options. The first was to connect the zoo with the patient's hospital and hope the facility was willing to obtain the antivenom.
The patient transferred to our hospital and was met at bedside by the medical toxicology team, and 20 vials of antivenom arrived shortly after. He received treatment and had improved pain and swelling, and no persistent effects nearly 2 years later.
Toxicity Poisoning Toxins Wound Management Wound Care Hospitals Snakebite Snake Bite Snake Envenomation Fellowship Fellows Residency Residents Biologic Therapy Biologics Arizona Board Certification Boards Board Recertification Clinical Guidelines Guidelines Dorsum Dorsal Edema Fingers Hands Immunizations Vaccination Injury Pain
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