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RE: If You're Bitten
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by petra on July 11, 2007
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It is shortened and not word to word, but these are the basic steps from a protocol EMT personnel would go by:
- IV started in the unaffected extremity ( 0.9% sodium chloride)
- depending on blood pressure adjust IV to keep systolic pressure above 90
- monitor for signs of anaphylaxis
- remove jewelry from the affected extremity
- if possible determine if the snake is venomous or not
- if the snake was destroyed bring it in closed container to the hospital
- mark and measure the area of envenomation, track progression (with a marker)
- maintain extremity level with heart.
- keep calm
- do not apply tourniquet
- do not apply cold pack
- splint the affected area
- apply sterile dressing
- do not apply ice
Petra
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RE: If You're Bitten
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by Cro on July 11, 2007
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Jahon, if you are that close to Loma Linda Hospital, you should skip the EMT`s and Paramedics and just walk / drive to the hospital, and ask them to call Sean Bush.
He is one of the most experienced snake bite doctors in the country.
Just tell them you want free treatment of your snake bite in exchange of them putting you on Venom ER, LOL !
Best Regards JohnZ
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RE: If You're Bitten
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by FLherp on July 11, 2007
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If you consider the edema associated with many crotalid envenomations, this is due to fluid shift. The fluid shifts from the vascular system to third (intracellular) space. The vascular system relies on the fluid to carry solid components. Some species (agkistrodon)cause a great deal more swelling than others, but it is comon in most crotalid envenomations. This will incapacitate little animals faster than a human, but the shift of fluid cvan result in hypovolemia, low BP, and shock.
Anaphylaxis is uncommon in snakebites, MOST people receive only one bite in a lifetime. There are a few people who have more...
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RE: If You're Bitten
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by petra on July 11, 2007
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FLherp, I'm aware that anaphylaxis is not common in snakebites, and it is usually the AV that causes it. I only wrote down what ever was in the actual protocol. My sister drives EMT and never had a snakebite call in her life. So I figured I'd ask what would they do. She had to look it up and was reading it quite fast so it is not word-to-word but pretty much step-by-step off of the protocol she had with her.
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RE: If You're Bitten
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by FLherp on July 12, 2007
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Anaphylaxis is uncommon in the admninistration of AV these days. Modern purification and digestion techniques lessen the bodies immune response to antivenoms, early products may have been more likely to cause an immune response.
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