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snake bites

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3.14.4 - Envenomation
from Section 3.14 - Environmental Injuries
- By Timothy Snow
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 425-427
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Summary

Key Learning Points
1. Whilst venomous creatures are endemic to specific regions, travel and exotic pets may cause envenomated patients to appear where not expected.
2. Anaphylaxis is the leading cause of death from envenomation.
3. Whilst creature identification can aid management, attempted capture by untrained individuals can create more problems, and thus should not be encouraged.
4. Management is primarily good basic first aid, anaphylaxis treatment and organ support.
5. Anti-venoms are available but can themselves be the cause of anaphylaxis.