Definite or suspected snakebite is a regular presentation in most parts of Australia. In contrast, severe envenoming is a rare but potentially lethal presentation. Few clinicians have the opportunity to develop sufficient clinical experience to feel comfortable managing envenoming.
Snakebite is a time-critical emergency presentation and a simple but robust approach is required to ensure adequate treatment should envenoming develop
References
- Brown SGA, Caruso N, Borland M et al. Clotting factor replacement and recovery for snake venom-induced consumptive coagulopathy. Intensive Care Medicine 2009; 35(9):1532-1538..
- Clinical Toxinology Resources web site at www.toxinology.com
- Sutherland SK, Coulter AR, Harris RD. Rationalisation of first-aid measures for elapid snakebite. Lancet 1979; 1(8109):183-185.
- White J: CSL Antivenom Handbook. Melbourne: CSL Ltd, 2001.
About Mike Cadogan
