The “Worldwide Shortage” of Antisnake Venom: Is the Only Right Answer “Produce More” Or Is It Also “Use It Smarter?”  Ian D. Simpson, BSc, PG (Dip)  Wilderness.

Slides:



Advertisements
Similar presentations
Acute Coronary Ischemia Following Centipede Envenomation: Case Report and Review of the Literature  Murat Ozsarac, MD, Ozgur Karcioglu, MD, Cuneyt Ayrik,
Advertisements

Travis W. Heggie, MS, Tracey M. Heggie, MS 
Ian D. Simpson, BSc DM, Robert L. Norris, MD 
Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India  D.K. Kochar, MBBS, MD, P.D. Tanwar,
Search and Rescue in Yosemite National Park: A 10-Year Review
Students Experience Self-Esteem Improvement During Mountaineering
Sarah Barker, MD, Nathan P. Charlton, MD, Christopher P. Holstege, MD 
Clinical Images Wilderness & Environmental Medicine
Students Experience Self-Esteem Improvement During Mountaineering
Incidence of Acute Mountain Sickness in Adolescents
Acute Coronary Ischemia Following Centipede Envenomation: Case Report and Review of the Literature  Murat Ozsarac, MD, Ozgur Karcioglu, MD, Cuneyt Ayrik,
Injury and Illness Encountered in Shenandoah National Park
D. Brian Dean, MD, MS  Wilderness & Environmental Medicine 
The “Knot Method” of Tick Removal
Jeremy S. Windsor, James S. Milledge, George W. Rodway 
Ricky L. Langley  Wilderness & Environmental Medicine 
Climbing the Education Mountain: Designing the New Diploma in Mountain Medicine for the United Kingdom  Kyle Pattinson, BM, FRCA, Sarah Matthews, BSc,
Medical Incidents and Evacuations on Wilderness Expeditions
Gordon g. Giesbrecht, PhD, Thea Pretorius, MSc 
English Air—The Story of the 1922 Mt Everest Oxygen Apparatus
Risk Factors for Coliform Bacteria in Backcountry Lakes and Streams in the Sierra Nevada Mountains: A 5-Year Study  Robert W. Derlet, MD, K. Ali Ger,
Travis W. Heggie, MS, Tracey M. Heggie, MS 
Effective Tick Removal With a Fishing Line Knot
Colin Powell, BSc (tech) FHEA  Wilderness & Environmental Medicine 
Search and Rescue in Yosemite National Park: A 10-Year Review
Death by Volcanic Laze Wilderness & Environmental Medicine
Bruno Ernst Durrer, MD: January 14, 1953 to December 5, 2016
A Mystery Wilderness & Environmental Medicine
Hydration and the Physiological Responses to Acute Normobaric Hypoxia
Gordon G. Giesbrecht, PhD  Wilderness & Environmental Medicine 
Ian D. Simpson, BSc DM, Robert L. Norris, MD 
Efficacy of a New Blister Prevention Plaster Under Tropical Conditions
Ultrasound Identification of Patella Fracture
Snakes of Medical Significance in India: The First Reported Case of Envenoming by the Levantine Viper (Macrovipera lebetina)  Col. Lekh R. Sharma, MBBS,
Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India  D.K. Kochar, MBBS, MD, P.D. Tanwar,
Avalanche Safety Practices in Utah
Gender Differences Among Long-Distance Backpackers: A Prospective Study of Women Appalachian Trail Backpackers  David R. Boulware, MD  Wilderness & Environmental.
Black Widow Spider Envenomation, A Rare Cause of Horner's Syndrome
Ankle-Brachial Index on Kilimanjaro: Lessons from High Altitude
Health Care Provider Beliefs Concerning the Adverse Health Effects of Environmental and Ecosystem Degradation  Robert T. Truckner, MD, MPH  Wilderness.
Tribute to Jonna Barry Wilderness & Environmental Medicine
M. Josephine Hessert, DO, MPH, Brad L. Bennett, PhD, MA, EMT-P 
O. Larsell  Wilderness & Environmental Medicine 
Diabetic Ketoacidosis and Acute Mountain Sickness: Case Report and Review of Treatment Options in Type 1 Diabetes Mellitus  Steven C.M. Miller, BSc, MBChB,
Time for an Alternative Perspective: The Eternal Problem of Supply and Quality of Anti Snake Venom in the Developing World—“It's the Economy, Stupid” 
A Locally Developed Snakebite Management Protocol Significantly Reduces Overall Anti Snake Venom Utilization in West Bengal, India  Soumitra Ghosh, MD,
Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test  Ian Quigley, MBBS, Ken Zafren, MD  Wilderness.
Editor's Note Wilderness & Environmental Medicine
Mathias B. Forrester, BS  Wilderness & Environmental Medicine 
Animal-Caused Fatalities in New Mexico, 1993–2004
Adverse Encounters With Alligators in the United States: An Update
Tick Attachment Sites Wilderness & Environmental Medicine
Wilderness First Aid Training
Douglas McGraw, Stephen J. Gluckman, MD 
Palsy in the Desert Wilderness & Environmental Medicine
Recreational Injuries in Washington State National Parks
Snakebite envenomation in children: a 10-year retrospective review
Wolf Spider Envenomation
Patient attitudes toward issues of environmental health
Risk Assessment in Winter Backcountry Travel
Gordon G. Giesbrecht, PhD  Wilderness & Environmental Medicine 
Timothy S. Talbot, MD, David A. Townes, MD, MPH, FACEP, Ian S
Ian R. Rogers, MBBS, FACEM, Tony Celenza, MBBS, FACEM, FFAEM 
Adam M. Anderson, MD, John M. Leisey, MD 
Comparing Student Outcomes of Hybrid and Conventional Wilderness Emergency Medical Technician Programs  Joshua D. Martin, DNP, WEMT-P  Wilderness & Environmental.
Recreational Surfing Injuries in Cornwall, United Kingdom
Morteza Khodaee, MD, MPH, Jill Tirabassi, MD 
Year 2000 Whitewater Injury Survey
Todd McGrath, MD, Crystal Murphy, MD 
Airway Compromise After First Rattlesnake Envenomation
Presentation transcript:

The “Worldwide Shortage” of Antisnake Venom: Is the Only Right Answer “Produce More” Or Is It Also “Use It Smarter?”  Ian D. Simpson, BSc, PG (Dip)  Wilderness & Environmental Medicine  Volume 19, Issue 2, Pages 99-107 (June 2008) DOI: 10.1580/07-WEME-CON-1591.1 Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure ASV utilization assessment model of risk and waste. Enven indicates patient is envenomed; Nonenven, patient is not envenomed; ASV++, patient has received ASV above the correct or optimal level; ASV−, patient has received ASV below the correct or optimal level; Method, methodological/protocol drive causal; Diagnost, incorrect use of diagnostic tools causal; Timing, timing of initial and repeat doses causal; Supply, supply/availability causal. Wilderness & Environmental Medicine 2008 19, 99-107DOI: (10.1580/07-WEME-CON-1591.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions