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.
 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

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s