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Snakebite in Australia: a practical approach to diagnosis and treatment (December MJA article)

Eastern Brown Snake from Wikimedia site

Hi folks

The Dec MJA edition has a clinical update on snake bite in Australia. It is the most evidence based update so far.
Please read it here for free!
 
 Take home messages:
1. Pressure immobilisation bandage still advised. Probably of no use if bite greater than 4 hrs old.
2. Whole blood clotting test using glass vial no longer recommended. IsTAT INR definitely not recommended to assess snake bite coagulopathy
3. Retrieval to hospital that can do formal lab tests is recommended for any suspected snake bite
4. Admission to ED, 1 hr 6 hr and 12 hr labs are advised
5. If antivenin needed, 1 vial is recommended only now. polyvalent 1 vial should cover all suspected envenomations
6. FFP has been shown to improve coagulopathy but not outcomes like discharge times.
regards
Minh

 

2 Comments Post a comment
  1. Perfect timing for preparing my upcoming vacation in Aussie. I’ll take the article with me while running in Lake Monger. Thanks!

    December 17, 2013
  2. Reblogged this on MEDEST and commented:
    Aussie Aussie Aussie, Oi Oi Oi

    December 17, 2013

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