Fatal cerebral haemorrhage after tiger snake(Notechis scutatus)envenomation
作者:
James Tibballs,
Robert D Henning,
Struan K Sutherland,
Alan R Kerr,
期刊:
Medical Journal of Australia
(WILEY Available online 1991)
卷期:
Volume 154,
issue 4
页码: 275-276
ISSN:0025-729X
年代: 1991
DOI:10.5694/j.1326-5377.1991.tb121091.x
出版商: Wiley
数据来源: WILEY
摘要:
ObjectiveThis case report illustrates the threat to life posed by tiger snake venominduced coagulopathy, the importance of first‐ald, precautions with antivenom administration, the dose of antivenom and the necessity to monitor the coagulation status.Case summaryAn 11‐year‐old child was envenomated several times by a tiger snake (Notechis scutatus). Despite administration of three ampoules (9000 units) of tiger snake antivenom, fatal cerebral haemorrhage occurred. Inadequate tirst‐aid had been applied. The bite site was covered with a loose bandage instead of a pressure mmobilisation bandage. In hospital, facilities to monitor coagulation status were unavailable.ConclusionsMore public education is required in first‐aid management of snake envenomation. Frequent monitoring of coagulation status Is necessary to optimise antivenom and coagulation factor therapy.
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