Skip to content

Advertisement

You're viewing the new version of our site. Please leave us feedback.

Learn more

BMC Emergency Medicine

Open Access
Open Peer Review

This article has Open Peer Review reports available.

How does Open Peer Review work?

Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop

  • Eric J Lavonas1, 2Email author,
  • Anne-Michelle Ruha3,
  • William Banner4, 5,
  • Vikhyat Bebarta6,
  • Jeffrey N Bernstein7, 8,
  • Sean P Bush9,
  • William P KernsII10,
  • William H Richardson11, 12,
  • Steven A Seifert13, 14,
  • David A Tanen15, 16,
  • Steve C Curry3 and
  • Richard C Dart1, 2
Contributed equally
BMC Emergency Medicine201111:2

https://doi.org/10.1186/1471-227X-11-2

Received: 11 August 2010

Accepted: 3 February 2011

Published: 3 February 2011

Back to article

Archived Comments

  1. further issues with wound care

    13 September 2011

    John Benitez, Vanderbilt University Medical Center

    The authors are to be commended for putting together a good diverse group of experts on managing snakebites (Crotalid) in the US. It puts together an organized approach to evaluating the victim of a snake bite.

    I would encourage, and I hope there was no disagreement in the panelists, that antibiotics not be routinely used, unless there are clear indications for doing so. Also missing from the article was any statement of need for appropriate range of motion (ROM) exercises that a patient should be encouraged to do or taught to do to avoid further complications post discharge such as contractures and loss of function of digits. We routinely encourage AROM (and where necessary PROM) exercises for the patient during hospitalization and post-hospitalization. If followed up in clinic afterwards we also monitor their symptoms, labs if appropriate, and functional capacity in the extremity involved, and use it as an opportunity to review AROM. In certain cases we find that we need to instruct some physcal therapists as to the potential long term problem following a snakebite, and what to look for and what to encourage the patient to do, if they get consulted on such cases.

    Competing interests

    NONE.

Authors’ Affiliations

(1)
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority
(2)
Division of Medical Toxicology, Department of Emergency Medicine, University of Colorado School of Medicine
(3)
Department of Medical Toxicology, Banner Good Samaritan Medical Center
(4)
Oklahoma Poison Center, College of Pharmacy, University of Oklahoma
(5)
Pediatric Intensive Care Unit, Integris Baptist Medical Center
(6)
Department of Emergency Medicine, Wilford Hall Medical Center
(7)
Florida Poison Information Center
(8)
Emergency Care Center, Jackson Memorial Hospital
(9)
Department of Emergency Medicine, Loma Linda University School of Medicine
(10)
Division of Medical Toxicology, Department of Emergency Medicine and Carolinas Poison Center, Carolinas Medical Center
(11)
Department of Emergency Medicine, Palmetto Health Richland
(12)
Palmetto Poison Center, University of South Carolina
(13)
New Mexico Poison and Drug Information Center, College of Pharmacy, University of New Mexico
(14)
Department of Emergency Medicine, University of New Mexico School of Medicine
(15)
Naval Medical Center
(16)
Division of Medical Toxicology, Department of Emergency Medicine, University of California at San Diego

Advertisement