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Re: Just Scut'n along
Quote:
Originally Posted by MDT
The next step is to get providers to actually use the stupid stuff.
I was (unofficially) consulted on a case recently...patient was bitten by unknown pit viper in SE Oklahoma. Based on Snakebite Severity Score, patient needed CroFab. Let's just say that there may have been some indecision. By several hours. This drives me insane. Envenomation is a dynamic process, with frequent re-evaluation required and modification of treatment plan at a moment's notice. Just give the *%^$&!@# medicine if it is clinically warranted. We don't jack around with heart attacks (time is muscle)...we shouldn't be jacking around with pit viper envenomation (time is tissue).
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If there is certainty that that it was from a local pit viper species and there is a systemic envenomation you should never doubt using CroFab (unless allergies etc.)
Like you said: "Time is tissue" also for muscles.
The more muscle tissue is destroyed, the higher the CK levels in the blood are (eventually clogging up the kidneys.)
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My specimens: Latrodectus tredecimgutattus, Latrodectus hasselti, Steatoda paykulliana x2, Leiurus quinquestriatus hebraeus x2, Androctonus australis, Androctonus mauritanicus, Naja siamensis.
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