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3.14.4 - Envenomation

from Section 3.14 - Environmental Injuries

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Whilst venomous creatures are endemic to specific regions, travel and exotic pets may cause envenomated patients to appear where not expected.

  2. 2. Anaphylaxis is the leading cause of death from envenomation.

  3. 3. Whilst creature identification can aid management, attempted capture by untrained individuals can create more problems, and thus should not be encouraged.

  4. 4. Management is primarily good basic first aid, anaphylaxis treatment and organ support.

  5. 5. Anti-venoms are available but can themselves be the cause of anaphylaxis.

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