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Snakebite treatment at a southeastern regional referral center.
Am Surg. 1995 Sep; 61(9):767-72.AS

Abstract

Our objective was to determine the prevalence of poisonous snakebite victims admitted to a regional trauma center in Southeastern Georgia over a 10-year period, as well as the type of snake, grade of envenomation, treatment administered, morbidity and mortality, and outcome. Records of patients admitted to the center for snakebite from a 24-county catchment area during the 10-year period (January 1984 to January 1994) were retroactively reviewed. Sixty-three (63) bites in 62 victims of venomous snakebites were treated. The snake distribution was rattlesnake: 19 (30%), copperhead: 18 (29%), cottonmouth moccasin: 8 (12%), unknown: 18 (29%). Envenomation grades were Grade I: 20 (32%), Grade II: 24 (38%), Grade III: 10 (16%), and Grade IV: 9 (14%). Fourteen of 19 (74%) Grades III and IV envenomations were from rattlesnakes. Antivenin was used in all Grade IV and half of the Grade III envenomations. Antivenin was administered within 3 hours of injury in all but one case. Five patients had surgery. Two patients (both Grade I) developed anaphylaxes from antivenin given before hospitalization. All patients recovered. An average of 6 snakebites were treated each year. Expeditious transport, attention to the type of snake inflicting the bite, and judicious use of antivenin will result in a favorable outcome for the snakebite victim.

Authors+Show Affiliations

Department of Surgical Education, Memorial Medical Center, Savannah, Georgia 31403-3089, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7661472

Citation

Rudolph, R, et al. "Snakebite Treatment at a Southeastern Regional Referral Center." The American Surgeon, vol. 61, no. 9, 1995, pp. 767-72.
Rudolph R, Neal GE, Williams JS, et al. Snakebite treatment at a southeastern regional referral center. Am Surg. 1995;61(9):767-72.
Rudolph, R., Neal, G. E., Williams, J. S., & McMahan, A. P. (1995). Snakebite treatment at a southeastern regional referral center. The American Surgeon, 61(9), 767-72.
Rudolph R, et al. Snakebite Treatment at a Southeastern Regional Referral Center. Am Surg. 1995;61(9):767-72. PubMed PMID: 7661472.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Snakebite treatment at a southeastern regional referral center. AU - Rudolph,R, AU - Neal,G E, AU - Williams,J S, AU - McMahan,A P, PY - 1995/9/1/pubmed PY - 1995/9/1/medline PY - 1995/9/1/entrez SP - 767 EP - 72 JF - The American surgeon JO - Am Surg VL - 61 IS - 9 N2 - Our objective was to determine the prevalence of poisonous snakebite victims admitted to a regional trauma center in Southeastern Georgia over a 10-year period, as well as the type of snake, grade of envenomation, treatment administered, morbidity and mortality, and outcome. Records of patients admitted to the center for snakebite from a 24-county catchment area during the 10-year period (January 1984 to January 1994) were retroactively reviewed. Sixty-three (63) bites in 62 victims of venomous snakebites were treated. The snake distribution was rattlesnake: 19 (30%), copperhead: 18 (29%), cottonmouth moccasin: 8 (12%), unknown: 18 (29%). Envenomation grades were Grade I: 20 (32%), Grade II: 24 (38%), Grade III: 10 (16%), and Grade IV: 9 (14%). Fourteen of 19 (74%) Grades III and IV envenomations were from rattlesnakes. Antivenin was used in all Grade IV and half of the Grade III envenomations. Antivenin was administered within 3 hours of injury in all but one case. Five patients had surgery. Two patients (both Grade I) developed anaphylaxes from antivenin given before hospitalization. All patients recovered. An average of 6 snakebites were treated each year. Expeditious transport, attention to the type of snake inflicting the bite, and judicious use of antivenin will result in a favorable outcome for the snakebite victim. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/7661472/Snakebite_treatment_at_a_southeastern_regional_referral_center_ DB - PRIME DP - Unbound Medicine ER -