ICU SAQs · Toxicology
Snake envenomation — the management
A CICM Second-Part SAQ on the snake envenomation — the VICC (the platelets the normal), the antivenom, the NOT the FFP early.
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Prompt
A farmer is bitten by an unidentified snake, presenting with oozing from the bite site, an INR above the measurable range, fibrinogen undetectable, platelets 220. Outline the management.
Question
A farmer is bitten by an unidentified snake, presenting with oozing from the bite site, an INR above the measurable range, fibrinogen undetectable, platelets 220. Outline the management.[2][4]
References3ShowHide
- [2]Park EJ, Choi S, Kim HH, et al. Novel Treatment Strategy for Patients with Venom-Induced Consumptive Coagulopathy. Toxins (Basel), 2020.PMID 32380672
- [3]Isbister GK, et al. Antivenom efficacy or effectiveness: the Australian experience. Toxicology, 2010.PMID 19782716
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.