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Snakebite in Korea: A Guideline to Primary Surgical Management.

Rha JH, Kwon SM, Oh JR, Han BK, Lee KH, Kim JH - Yonsei Med. J. (2015)

Bottom Line: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resulting in a skin graft.Skin necrosis occurred in two patients, and one of these patients received a skin graft.Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Yonsei University Wonju College of Medicine, Wonju, Korea. nakjh78@naver.com.

ABSTRACT

Purpose: Snakebite is an emergency which causes local symptoms such as pain and edema around the bite. Systemic symptoms may also develop, such as dizziness or renal failure, and may even cause death. The purpose of this research was to assess the validity and safety of snakebite protocol for surgery when treating snakebite patients.

Materials and methods: Retrospective research was performed on patients who were admitted after being treated at the emergency center from January 2008 to December 2012. When necessary, debridement was also performed, and 46 of 111 patients (41.4%) underwent debridement. Those who had received debridement without antivenom administration due to a positive skin reaction test were classified as group A, and group B received antivenom and delayed debridement. We reviewed the emergency and admission charts of the patients in each group and recorded and compared their age, sex, bite site, severity of local and general symptoms, time to receive antivenin, and complications.

Results: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resulting in a skin graft. In group B, there were 36 patients (78.2%), 19 (52.7%) of whom developed cellulitis. Skin necrosis occurred in two patients, and one of these patients received a skin graft. Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed.

Conclusion: The treatment protocol implemented to treat snakebite patients admitted to the emergency center during this research was safely and properly followed during surgical treatment.

No MeSH data available.


Related in: MedlinePlus

Treatment protocol of snake bite.
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Figure 1: Treatment protocol of snake bite.

Mentions: The guidelines for the management of snakebite were developed based on the author's experiences and on published studies (both domestic and abroad) (Fig. 1). Vital signs of patients were checked upon arrival to the emergency room, and the species of the responsible snake was confirmed during history-taking. The severity of the bite wound was evaluated primarily to determine the administration of antivenom, and laboratory tests including complete blood count, general chemistry, coagulation profile, and creatinine kinase were performed to discover and manage systemic symptoms or treatments.


Snakebite in Korea: A Guideline to Primary Surgical Management.

Rha JH, Kwon SM, Oh JR, Han BK, Lee KH, Kim JH - Yonsei Med. J. (2015)

Treatment protocol of snake bite.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4541680&req=5

Figure 1: Treatment protocol of snake bite.
Mentions: The guidelines for the management of snakebite were developed based on the author's experiences and on published studies (both domestic and abroad) (Fig. 1). Vital signs of patients were checked upon arrival to the emergency room, and the species of the responsible snake was confirmed during history-taking. The severity of the bite wound was evaluated primarily to determine the administration of antivenom, and laboratory tests including complete blood count, general chemistry, coagulation profile, and creatinine kinase were performed to discover and manage systemic symptoms or treatments.

Bottom Line: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resulting in a skin graft.Skin necrosis occurred in two patients, and one of these patients received a skin graft.Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Yonsei University Wonju College of Medicine, Wonju, Korea. nakjh78@naver.com.

ABSTRACT

Purpose: Snakebite is an emergency which causes local symptoms such as pain and edema around the bite. Systemic symptoms may also develop, such as dizziness or renal failure, and may even cause death. The purpose of this research was to assess the validity and safety of snakebite protocol for surgery when treating snakebite patients.

Materials and methods: Retrospective research was performed on patients who were admitted after being treated at the emergency center from January 2008 to December 2012. When necessary, debridement was also performed, and 46 of 111 patients (41.4%) underwent debridement. Those who had received debridement without antivenom administration due to a positive skin reaction test were classified as group A, and group B received antivenom and delayed debridement. We reviewed the emergency and admission charts of the patients in each group and recorded and compared their age, sex, bite site, severity of local and general symptoms, time to receive antivenin, and complications.

Results: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resulting in a skin graft. In group B, there were 36 patients (78.2%), 19 (52.7%) of whom developed cellulitis. Skin necrosis occurred in two patients, and one of these patients received a skin graft. Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed.

Conclusion: The treatment protocol implemented to treat snakebite patients admitted to the emergency center during this research was safely and properly followed during surgical treatment.

No MeSH data available.


Related in: MedlinePlus