Quote:
Originally Posted by Albert Clark
Treat prophylactically can be a gamut of different approaches to any specific wound, illness and or disability including but not limited to aggressive cleansing , irrigation and debridement, administration of medications ie tetanus and or antibiotics. In wounds that are suspicious for possibly causing deep tissue damage and having the potential for infectious processes. In this case a snake bite from a "giant constictor"that not only can cause extensive soft tissue damage and even neuromuscular damage treating prophylactically can certainly come into use. The saliva of a snake has many enzymes, bacteria and cellular bodies that can be injurious to human tissue in the event of a bite wound. "Treating prophylactically" can include the administration of medications such as tetanus and antibiotics.
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Dude..no, it does not include giving antibiotics. There is no such thing as "just in case"...you either have a pathogenic bacteria causing infection that you treat with appropriate antibiotics, or you employ watchful waiting/surveillance which is what I described to Savannah. Any numb-nutz can give a Z-pack for "just in case". All that does is increase antibiotics resistance and possible give you a case of
C. diff. Knowing when to treat appropriately is another story. As far as irrigation goes, what do you irrigate with Albert? I'm sure you're familiar with the studies that show tap water is equally efficacious as saline/sterile water and no higher incidence of infection rates, right? She could do that at home. If her tetanus was >10 yrs, she prob needs an update, if this was a
wild caught snake, and tetanus was out of date >5 yrs, time for new one. What the heck does this even mean: "
cellular bodies that can be injurious to human tissue in the event of a bite wound" C'mon man...if she didn't need sutures, she's moving all digits with appropriate feeling, and not showing signs of active infection, she can save her money and watch this thing at home.