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Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - EmergencyDepartment Management of North American Snake envenomations.
Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.
If able, can ask patients to watch the dog for developing signs of illness Immunoglobulin Inject around the site of the bite Remainder of injection in the deltoid (SAME side as bite) Vaccine Administer opposite side of immunoglobulin administration Total of 4-doses (0, 3, 7, and 14 days) If immunocompromised, will need a total of 5 doses Snakes Venomous (..)
Is this in an infarction, an infection, a poisoning? If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Pulmonary embolism in the pediatric emergencydepartment. Now , we look at contractility. How FAST you FILL the PUMP and SQUEEZE Is there a problem with the PUMP? Treat with epinephrine.
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