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Envenomations.

F G Walter1, E F Bilden, R L Gibly

  • 1Section of Medical Toxicology, University of Arizona College of Medicine, Tucson, USA. frank@aemrc.arizona.edu

Critical Care Clinics
|May 20, 1999
PubMed
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Envenomations from venomous animals like snakes and spiders are rare but serious critical care admissions. This article details diagnosing and treating these challenging cases in the US.

Area of Science:

  • Toxicology
  • Emergency Medicine
  • Critical Care

Background:

  • Envenomations represent uncommon yet significant causes for critical care unit admission.
  • Prompt diagnosis and management are crucial for patient outcomes.

Purpose of the Study:

  • To outline the diagnosis and treatment strategies for envenomations.
  • To focus on envenomations leading to the highest critical care admission rates in the United States.

Main Methods:

  • Review of envenomation cases admitted to critical care units.
  • Identification of the most frequent venomous animal culprits in the US.
  • Description of diagnostic criteria and therapeutic interventions.

Main Results:

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  • Envenomations are infrequent but necessitate critical care.
  • Key venomous species include rattlesnakes, copperheads, cottonmouths, coral snakes, brown recluse spiders, and bark scorpions.
  • Specific diagnostic and treatment protocols are essential.

    • Conclusions:

    • Effective management of envenomations requires specialized knowledge.
    • Focusing on high-impact species ensures resource allocation for critical cases.
    • This review provides a guide for clinicians managing severe envenomations.