Challenges of managing snakebite envenomation in a deployed setting

被引：4
|
作者：
Johnson, Christopher [1 ,2 ]
Rimmer, J. [3 ]
Mount, G.
Gurney, I. [4 ]
Nicol, E. D. [5 ,6 ]
机构：
[1] Northern Deanery, Sch Anaesthet & Intens Care Med, Newcastle Upon Tyne, Tyne & Wear, England
[2] Royal Army Med Corps, Newcastle Upon Tyne, Tyne & Wear, England
[3] Derriford Hosp, Southwest Peninsular Deanery, Gastroenterol Dept, Plymouth PL6 8DH, Devon, England
[4] Frimley Pk Hosp, Emergency Med Dept, Camberley, England
[5] Royal Ctr Def Med, Dept Mil Med, Birmingham, W Midlands, England
[6] Univ London Imperial Coll Sci Technol & Med, Fac Med, London, England
来源：
JOURNAL OF THE ROYAL ARMY MEDICAL CORPS | 2013年 / 159卷 / 04期
关键词：
MANAGEMENT;
D O I：
10.1136/jramc-2013-000047
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Snake bite envenomation causes a significant health burden globally, especially in austere or resource poor settings. This case series describes envenomation in two adults and two children presenting to the Role 3 Medical Treatment Facility in Camp Bastion, Afghanistan. Each case has similarities with respect to the coagulopathy of envenomation but differs in terms of time delay to presentation and response to treatment, including reactions to antivenom. We discuss the challenges and ethical dilemmas in delayed-presentation snakebite, the diagnosis and treatment of coagulopathy and the role of antivenom and surgical debridement.
引用
收藏
页码：307 / 311
页数：5
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