Sean P. Bush, MD, Shannon B. Kinlaw, MD

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Presentation transcript:

Management of a Pediatric Snake Envenomation After Presentation With a Tight Tourniquet Sean P. Bush, MD, Shannon B. Kinlaw, MD Wilderness & Environmental Medicine Volume 26, Issue 3, Pages 355-358 (September 2015) DOI: 10.1016/j.wem.2015.01.005 Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 1 Before antivenom infusion. Wilderness & Environmental Medicine 2015 26, 355-358DOI: (10.1016/j.wem.2015.01.005) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 2 Five minutes after start of antivenom infusion. Process of loosening tourniquet has begun, with subsequent decrease in signs of vascular congestion. Wilderness & Environmental Medicine 2015 26, 355-358DOI: (10.1016/j.wem.2015.01.005) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 3 Fifteen minutes after start of antivenom infusion. Vascular congestion continues to improve, with tourniquet now fully removed. Wilderness & Environmental Medicine 2015 26, 355-358DOI: (10.1016/j.wem.2015.01.005) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 4 Sixty minutes after start of antivenom infusion. Minimal signs of vascular congestion. Wilderness & Environmental Medicine 2015 26, 355-358DOI: (10.1016/j.wem.2015.01.005) Copyright © 2015 Wilderness Medical Society Terms and Conditions