• Emerg Med Australas · Aug 2019

    Review Case Reports

    Review article: Let us talk about snakebite management: A discussion on many levels.

    • Damian Turner, Suzanne Winter, Kenneth Winkel, Christopher MacIsaac, Andrew Padula, and George Braitberg.
    • Intensive Care Unit, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2019 Aug 1; 31 (4): 542-545.

    AbstractWe want to discuss antivenom use in snakebite clinical practice guidelines. Coronial reviews in Victoria of two cases of snakebite envenomation, one described in detail below, prompted us to submit this paper for a wider audience and debate. Venom and antivenom levels were measured in the case detailed below, but not in the other. The coroner received conflicting and varied advice from experts regarding the dose of antivenom. The Victorian Department of Health and Human Services and the Australasian College for Emergency Medicine were instructed to review snakebite management guidelines, particularly with respect to antivenom dosage. The discussion that took place among medical experts led to considerable media attention. We discuss the potential fallout when there is no consensus among medical experts.© 2019 Australasian College for Emergency Medicine.

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