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Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures
Barry S Gold1, Robert A Barish, Richard C Dart
1Maryland Poison Center, University of Maryland at Baltimore, Baltimore, MD , USA.
The Journal of Emergency Medicine
|April 5, 2003
Abstract:
Western diamondback rattlesnake envenomation is usually managed by administration of neutralizing antivenom. The development of compartment syndrome is a rare complication that has sparked considerable debate regarding medical vs. surgical management. We report a case of compartment syndrome resulting from a rattlesnake envenomation, which responded to large doses of neutralizing antivenom given concomitantly with mannitol and hyperbaric oxygen. This regimen obviated the need for surgical fasciotomy and its associated morbidity.