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Simultaneous open fracture and rattlesnake bite on the same extremity.
Dustin M Welch1, Cherokee Sauer2, Justin M Martin1
1Department of Emergency Medicine, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Proceedings (Baylor University. Medical Center)
|August 30, 2021
Summary
Simultaneous open fractures and rattlesnake envenomation require emergent care. This case highlights delayed fracture surgery due to snake bite-induced coagulopathy, a unique Central Texas syndrome.
Area of Science:
- Traumatology
- Toxicology
- Emergency Medicine
Background:
- Open fractures and rattlesnake envenomations are distinct medical emergencies.
- Concurrent occurrence on the same limb presents a complex clinical scenario.
Observation:
- A 13-year-old boy experienced a lower-extremity rattlesnake envenomation alongside open tibia and fibula fractures.
- The incident occurred after a fall from an all-terrain vehicle.
Findings:
- Rattlesnake envenomation led to coagulopathy, necessitating initial treatment before fracture management.
- Operative management of the fractures was delayed due to the systemic effects of the venom.
Implications:
- This case underscores the critical need to address venom-induced coagulopathy promptly in trauma patients.
- It highlights a specific regional syndrome in Central Texas, requiring tailored emergency treatment protocols.
- Integrated management strategies are crucial for optimizing outcomes in patients with combined traumatic and envenomation injuries.
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