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Pediatric Rattlesnake Envenomation: A Simulation Scenario With Optional Health Equity, Virtual Facilitation, and
Melissa N Joseph1, Elizabeth Sanseau2, Anita Thomas3
1Emergency Medicine, Yale University, New Haven, USA.
Insights
Rattlesnake envenomation requires prompt emergency care. Simulation training enhances recognition of envenomation, antivenom administration, and managing adverse reactions to Crotaline antivenom.
Area of Science:
- Emergency Medicine
- Toxicology
- Medical Simulation
Background:
- Rattlesnake envenomation presents an uncommon yet urgent medical emergency.
- Effective management involves prompt recognition, appropriate antivenom administration, and monitoring for reactions.
- Crotaline venom can cause significant local, hematologic, and systemic effects.
Purpose of the Study:
- To describe a simulation-based scenario for training healthcare providers on managing pediatric rattlesnake envenomation.
- To highlight the critical steps in recognizing envenomation and administering antivenom.
- To incorporate optional elements such as antivenom reactions and health equity.
Main Methods:
- Development and presentation of a simulation scenario involving a child with rattlesnake envenomation.
- The scenario focuses on the clinical presentation and treatment with antivenom.
- Optional modules address management of antivenom reactions and health equity considerations.
Main Results:
- The simulation provides a practical platform for practicing critical skills in managing rattlesnake bites.
- It allows for hands-on experience with antivenom administration and adverse event recognition.
- The scenario is adaptable for various training settings, including virtual facilitation.
Conclusions:
- Simulation-based training is a valuable tool for improving emergency care for rattlesnake envenomation.
- Preparedness for Crotaline venom exposure can be enhanced through realistic training scenarios.
- Addressing health equity in envenomation management is an important consideration for comprehensive care.
Abstract:
Rattlesnake envenomation is an uncommon but urgent cause of presentation for emergency care. Recognition of envenomation, timely administration of antivenom when indicated, and recognition of antivenom reactions are of critical importance to mitigate the local, hematologic, and systemic effects of Crotaline venom. This technical report describes the presentation and use of a simulation-based scenario of an envenomated child who requires treatment with antivenom. Optional additions to this scenario are described and include antivenom reaction, health equity considerations, and virtual facilitation.

