Animal Bites Stings - Revision history

Treloars at 14:03, 24 April 2020

2020-04-24T14:03:43Z

← Older revision		Revision as of 14:03, 24 April 2020
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	* Establish an IV in uninjured extremity		* Establish an IV in uninjured extremity
	* For severe muscle spasms administer either;		* For severe muscle spasms administer either;
	**[[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,		**[[Valium\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,
	**[[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] IVP slowly or IN for sedation if needed		**[[Versed\|MIDAZOLAM (VERSED)]] IVP slowly or IN for sedation if needed
	***Less than 60 y/o 1 mg/min titrate to effect (Maximum of 5 mg)		***Less than 60 y/o 1 mg/min titrate to effect (Maximum of 5 mg)
	***Greater than 60 y/o 0.5 mg/minute titrate to effect (Maximum of 3 mg)		***Greater than 60 y/o 0.5 mg/minute titrate to effect (Maximum of 3 mg)
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	For severe muscle spasms administer either,		For severe muscle spasms administer either,
	* [[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,		* [[Valium\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,
	* [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] IVP slowly or IN for sedation if needed		* [[Versed\|MIDAZOLAM (VERSED)]] IVP slowly or IN for sedation if needed
	**Less than 60 y/o 1 mg/min titrate to effect (Maximum of 5 mg)		**Less than 60 y/o 1 mg/min titrate to effect (Maximum of 5 mg)
	**Greater than 60 y/o 0.5 mg/minute titrate to effect (Maximum of 3 mg).		**Greater than 60 y/o 0.5 mg/minute titrate to effect (Maximum of 3 mg).

Treloars at 14:02, 24 April 2020

2020-04-24T14:02:59Z

← Older revision		Revision as of 14:02, 24 April 2020
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	* If multiple stings, administer [[Diphenhydramine\|DIPHENHYDRAMINE (BENADRYL)]] for histamine reaction. May need to be repeated. (If no IV, give IM). Think [[Solu-Medrol\|METHYLPREDNISOLONE (SOLU-MEDROL)]] early; dosage 125 mg, rapid IV or IM. Consider a second dose, if stings approximately 30 or more.		* If multiple stings, administer [[Diphenhydramine\|DIPHENHYDRAMINE (BENADRYL)]] for histamine reaction. May need to be repeated. (If no IV, give IM). Think [[Solu-Medrol\|METHYLPREDNISOLONE (SOLU-MEDROL)]] early; dosage 125 mg, rapid IV or IM. Consider a second dose, if stings approximately 30 or more.
	* For severe muscle spasms with spider bites or scorpion stings, administer either,		* For severe muscle spasms with spider bites or scorpion stings, administer either,
	**[[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,		**[[Valium\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,
	**[[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] IVP slowly or IN for sedation if needed		**[[Versed\|MIDAZOLAM (VERSED)]] IVP slowly or IN for sedation if needed
	***Less than 60 y/o 1 mg/minute titrate to effect (Maximum of 5 mg)		***Less than 60 y/o 1 mg/minute titrate to effect (Maximum of 5 mg)
	***Greater than 60 y/o 0.5 mg/minute titrate to effect (Maximum of 3 mg).		***Greater than 60 y/o 0.5 mg/minute titrate to effect (Maximum of 3 mg).

Treloars at 13:00, 24 April 2020

2020-04-24T13:00:56Z

← Older revision		Revision as of 13:00, 24 April 2020
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	* Remove stingers, if present, taking care to avoid compression.		* Remove stingers, if present, taking care to avoid compression.
	* Attempt to identify animal, insect, or reptile that caused the injury.		* Attempt to identify animal, insect, or reptile that caused the injury.
	* If multiple stings, administer [[Diphenhydramine\|DIPHENHYDRAMINE (BENADRYL)]] for histamine reaction. May need to be repeated. (If no IV, give IM). Think [[~~Corticosteroids~~\|METHYLPREDNISOLONE (SOLU-MEDROL)]] early; dosage 125 mg, rapid IV or IM. Consider a second dose, if stings approximately 30 or more.		* If multiple stings, administer [[Diphenhydramine\|DIPHENHYDRAMINE (BENADRYL)]] for histamine reaction. May need to be repeated. (If no IV, give IM). Think [[Solu-Medrol\|METHYLPREDNISOLONE (SOLU-MEDROL)]] early; dosage 125 mg, rapid IV or IM. Consider a second dose, if stings approximately 30 or more.
	* For severe muscle spasms with spider bites or scorpion stings, administer either,		* For severe muscle spasms with spider bites or scorpion stings, administer either,
	**[[Sedative Hypnotics\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,		**[[Sedative Hypnotics\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,

Treloars at 12:34, 24 April 2020

2020-04-24T12:34:28Z

← Older revision		Revision as of 12:34, 24 April 2020
Line 11:		Line 11:
	* Remove stingers, if present, taking care to avoid compression.		* Remove stingers, if present, taking care to avoid compression.
	* Attempt to identify animal, insect, or reptile that caused the injury.		* Attempt to identify animal, insect, or reptile that caused the injury.
	* If multiple stings, administer [[~~Antihistamines~~\|DIPHENHYDRAMINE (BENADRYL)]] for histamine reaction. May need to be repeated. (If no IV, give IM). Think [[Corticosteroids\|METHYLPREDNISOLONE (SOLU-MEDROL)]] early; dosage 125 mg, rapid IV or IM. Consider a second dose, if stings approximately 30 or more.		* If multiple stings, administer [[Diphenhydramine\|DIPHENHYDRAMINE (BENADRYL)]] for histamine reaction. May need to be repeated. (If no IV, give IM). Think [[Corticosteroids\|METHYLPREDNISOLONE (SOLU-MEDROL)]] early; dosage 125 mg, rapid IV or IM. Consider a second dose, if stings approximately 30 or more.
	* For severe muscle spasms with spider bites or scorpion stings, administer either,		* For severe muscle spasms with spider bites or scorpion stings, administer either,
	**[[Sedative Hypnotics\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,		**[[Sedative Hypnotics\|DIAZEPAM (VALIUM)]], 5 mg IVP slowly,

Treloars at 20:07, 22 April 2020

2020-04-22T20:07:24Z

← Older revision		Revision as of 20:07, 22 April 2020
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	* Irrigate and cleanse wound with Normal Saline.		* Irrigate and cleanse wound with Normal Saline.
	* Assess degree of bite or sting by measuring bite / sting marks. Outline edematous, erythemic and ecchymotic areas with pen, and note time. Repeat every 15 minutes.		* Assess degree of bite or sting by measuring bite / sting marks. Outline edematous, erythemic and ecchymotic areas with pen, and note time. Repeat every 15 minutes.
	* If systemic reaction occurs, treat as anaphylaxis. NaCl boluses and be prepared to administer [[~~Adrenergics~~\|DOPAMINE]] (5-20 mcq/kg/min, titrate to BP> 90 mmHg) if no response or if conditions worsens.		* If systemic reaction occurs, treat as anaphylaxis. NaCl boluses and be prepared to administer [[Dopamine\|DOPAMINE]] (5-20 mcq/kg/min, titrate to BP> 90 mmHg) if no response or if conditions worsens.
	* Keep patient supine and calm. Immobilize affected part. Keep the injured area low. Remove distal jewelry.		* Keep patient supine and calm. Immobilize affected part. Keep the injured area low. Remove distal jewelry.
	* Remove stingers, if present, taking care to avoid compression.		* Remove stingers, if present, taking care to avoid compression.

Treloars: /* ELAPIDS: Includes coral snakes, cobras and mamba */

2018-08-22T19:57:35Z

ELAPIDS: Includes coral snakes, cobras and mamba

← Older revision		Revision as of 19:57, 22 August 2018
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	====ELAPIDS: Includes coral snakes, cobras and mamba====		====ELAPIDS: Includes coral snakes, cobras and mamba====
	* Evaluate for specific signs / symptoms		* Evaluate for specific signs / symptoms
	* Contact Florida Poison Control at 1-800-222-1222. There is limited supply of coral snake antivenin available and Poison Control will advise which hospital to transport to.		* Contact Florida Poison Control at 1-800-222-1222. There is limited supply of coral snake antivenin available and Poison Control will advise which hospital to transport to. There are very few hospitals that have the antivenin on hand.
	* Most signs /symptoms may be delayed up to 12 hours and are related to the type of Venom (a neurotoxin)		* Most signs /symptoms may be delayed up to 12 hours and are related to the type of Venom (a neurotoxin)
	* CNS disturbances may be observed		* CNS disturbances may be observed

Treloars: /* BROWN RECLUSE SPIDER BITE: */

2018-08-22T17:23:41Z

BROWN RECLUSE SPIDER BITE:

← Older revision		Revision as of 17:23, 22 August 2018
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	* Brown Recluse Spiders colonies are not found in the peninsula of Florida. It is extremely rare to find a Brown Recluse Spider in our area. Wounds that appear like they could be a bite from a Brown Recluse Spider are more than likely MRSA and should be handled as any other infected wound.		* Brown Recluse Spiders colonies are not found in the peninsula of Florida. It is extremely rare to find a Brown Recluse Spider in our area. Wounds that appear like they could be a bite from a Brown Recluse Spider are more than likely MRSA and should be handled as any other infected wound.
	For more information on Brown Recluse Spiders, please refer to this website from the University of California: [http://spiders.ucr.edu/brs.html Brown Recluse Spiders]		For more information on Brown Recluse Spiders, please refer to this website from the University of California: [http://spiders.ucr.edu/brs.html Brown Recluse Spiders]
	[[File:BRSpiderMap.gif]]		[[File:BRSpiderMap.gif\|200px\|link=http://spiders.ucr.edu/brs.html]]

	====BLACK/RED/BROWN WIDOW SPIDER BITE:====		====BLACK/RED/BROWN WIDOW SPIDER BITE:====

Treloars: /* BROWN RECLUSE SPIDER BITE: */

2018-08-22T17:20:52Z

BROWN RECLUSE SPIDER BITE:

← Older revision		Revision as of 17:20, 22 August 2018
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	* Brown Recluse Spiders colonies are not found in the peninsula of Florida. It is extremely rare to find a Brown Recluse Spider in our area. Wounds that appear like they could be a bite from a Brown Recluse Spider are more than likely MRSA and should be handled as any other infected wound.		* Brown Recluse Spiders colonies are not found in the peninsula of Florida. It is extremely rare to find a Brown Recluse Spider in our area. Wounds that appear like they could be a bite from a Brown Recluse Spider are more than likely MRSA and should be handled as any other infected wound.
	For more information on Brown Recluse Spiders, please refer to this website from the University of California: [http://spiders.ucr.edu/brs.html Brown Recluse Spiders]		For more information on Brown Recluse Spiders, please refer to this website from the University of California: [http://spiders.ucr.edu/brs.html Brown Recluse Spiders]
			[[File:BRSpiderMap.gif]]

	====BLACK/RED/BROWN WIDOW SPIDER BITE:====		====BLACK/RED/BROWN WIDOW SPIDER BITE:====

Treloars: /* BROWN RECLUSE SPIDER BITE: */

2018-08-22T17:18:28Z

BROWN RECLUSE SPIDER BITE:

← Older revision		Revision as of 17:18, 22 August 2018
Line 23:		Line 23:

	====BROWN RECLUSE SPIDER BITE:====		====BROWN RECLUSE SPIDER BITE:====
	*~~Evaluate for specific signs /symptoms~~		* Brown Recluse Spiders colonies are not found in the peninsula of Florida. It is extremely rare to find a Brown Recluse Spider in our area. Wounds that appear like they could be a bite from a Brown Recluse Spider are more than likely MRSA and should be handled as any other infected wound.
	** Small bleb surrounded by a ~~white ring~~		For more information on Brown Recluse Spiders, please refer to this website from the University of California: [http://spiders.ucr.edu/brs.html Brown Recluse Spiders]
	** Localized pain, ~~redness and swelling~~
	** Localized tissue necrosis
	** Most patients are unaware that they were bitten until the ~~symptoms appear~~

	~~There is no specific pre-hospital treatment~~
	~~If ALS required~~: ~~support airway, cardiac monitoring, O2 saturation and end-tidal CO2, establish an IV in uninjured extremity~~.

	====BLACK/RED/BROWN WIDOW SPIDER BITE:====		====BLACK/RED/BROWN WIDOW SPIDER BITE:====

Treloars: /* BROWN RECLUSE SPIDER BITE: */

2018-08-22T13:19:57Z

BROWN RECLUSE SPIDER BITE:

← Older revision		Revision as of 13:19, 22 August 2018
Line 30:		Line 30:

	There is no specific pre-hospital treatment		There is no specific pre-hospital treatment
	If ALS required: support airway, cardiac monitoring, O2 saturation and end-tidal CO2, establish an IV in uninjured extremity. ~~(NOTE: Consider transport to a facility with a hyperbaric chamber as this is used in the treatment of this type of bite.)~~		If ALS required: support airway, cardiac monitoring, O2 saturation and end-tidal CO2, establish an IV in uninjured extremity.


	====BLACK/RED/BROWN WIDOW SPIDER BITE:====		====BLACK/RED/BROWN WIDOW SPIDER BITE:====