North American snake envenomation: diagnosis, treatment, and management

被引:76
作者
Gold, BS
Barish, RA
Dart, RC
机构
[1] Univ Maryland, Dept Surg, Div Emergency Med, Sch Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Off Dean, Baltimore, MD 21201 USA
[3] Denver Hlth & Hosp Author, Rocky Mt Poison & Drug Ctr, Denver, CO 80204 USA
关键词
D O I
10.1016/j.emc.2004.01.007
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A bite from a venomous snake is a medical emergency involving not only the affected site but also multiple organ systems. Rapid transport of a snakebite victim to a medical facility is paramount. Management decisions must be based on close clinical monitoring of the potentially erratic envenomation syndrome. Because of the many variables inherent in the management of snakebite victims, consultation with a physician specialist is recommended.
引用
收藏
页码:423 / +
页数:22
相关论文
共 41 条
[1]   COMPARISON OF A NEW OVINE ANTIGEN-BINDING FRAGMENT (FAB) ANTIVENIN FOR UNITED-STATES CROTALIDAE WITH THE COMMERCIAL ANTIVENIN FOR PROTECTION AGAINST VENOM-INDUCED LETHALITY IN MICE [J].
CONSROE, P ;
EGEN, NB ;
RUSSELL, FE ;
GERRISH, K ;
SMITH, DC ;
SIDKI, A ;
LANDON, JT .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1995, 53 (05) :507-510
[2]   Affinity-purified, mixed monospecific crotalid antivenom ovine Fab for the treatment of crotalid venom poisoning [J].
Dart, RC ;
Seifert, SA ;
Carroll, L ;
Clark, RF ;
Hall, E ;
BoyerHassen, LV ;
Curry, SC ;
Kitchens, CS ;
Garcia, RA .
ANNALS OF EMERGENCY MEDICINE, 1997, 30 (01) :33-39
[3]   A randomized multicenter trial of crotalinae polyvalent immune fab (Ovine) antivenom for the treatment for crotaline snakebite in the United States [J].
Dart, RC ;
Seifert, SA ;
Boyer, LV ;
Clark, RF ;
Hall, E ;
McKinney, P ;
McNally, J ;
Kitchens, CS ;
Curry, SC ;
Bogdan, GM ;
Ward, SB ;
Porter, RS .
ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (16) :2030-2036
[4]   Validation of a severity score for the assessment of crotalid snakebite [J].
Dart, RC ;
Hurlbut, KM ;
Garcia, R ;
Boren, J .
ANNALS OF EMERGENCY MEDICINE, 1996, 27 (03) :321-326
[5]   Efficacy, safety, and use of snake antivenoms in the United States [J].
Dart, RC ;
McNally, J .
ANNALS OF EMERGENCY MEDICINE, 2001, 37 (02) :181-188
[6]   NEW-MEXICO RATTLESNAKE BITES - DEMOGRAPHIC REVIEW AND GUIDELINES FOR TREATMENT [J].
DOWNEY, DJ ;
OMER, GE ;
MONEIM, MS .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1991, 31 (10) :1380-1386
[7]   THE EFFECT OF ANTIVENIN ON INTRAMUSCULAR PRESSURE ELEVATIONS INDUCED BY RATTLESNAKE VENOM [J].
GARFIN, SR ;
CASTILONIA, RR ;
MUBARAK, SJ ;
HARGENS, AR ;
AKESON, WH ;
RUSSELL, FE .
TOXICON, 1985, 23 (04) :677-680
[8]  
GOLD B S, 1992, Emergency Medicine Clinics of North America, V10, P249
[9]   SNAKE-VENOM POISONING IN THE UNITED-STATES - A REVIEW OF THERAPEUTIC PRACTICE [J].
GOLD, BS ;
WINGERT, WA .
SOUTHERN MEDICAL JOURNAL, 1994, 87 (06) :579-589
[10]   Bites of venomous snakes [J].
Gold, BS ;
Dart, RC ;
Barish, RA .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (05) :347-356