The Evaluation of Snake Bite Cases Applied to Emergency Department: 132 cases

Autor: Mustafa Şahan, Ali Karakuş, Oguzhan Ozcan, Guven Kuvandik, Veyis Taşın, Umut Eryigit
Rok vydání: 2016
Předmět:
Zdroj: Turkish Journal of Trauma and Emergency Surgery.
ISSN: 1306-696X
DOI: 10.5505/tjtes.2016.03392
Popis: Background The present objective was to evaluate clinical stages, complications, treatment modalities, and termination of treatment in patients who presented to the emergency department with snakebite. Methods A total of 132 snakebite cases were retrospectively examined using emergency department records. Results The majority of patients, 42.9% (n=57), had grade 0 snakebite. The local complication most frequently observed was pain (42.4%, n=56); the most common systemic complication was prolonged international normalized ratio (INR) level (5.3%, n=7). Local complications were observed in patients at all stages, while systemic complications were observed only in patients at advanced stages. Antivenom was administered in 46.4% (n=61) of patients, 52.2% (n=69) of patients were hospitalized, and 47.7% (n=63) of patients were discharged after 6-12 hours of monitoring. No negative outcome was observed during 6-month or year-long follow-up. Conclusion Complications should be evaluated based on type of toxin, and appropriate treatment should be initiated efficiently, according to clinical stage. This approach reduces or prevents the development of complications.
Databáze: OpenAIRE