咬后:评估一家专门的诊所对蛇毒的后续护理
William Rushton1,2, Erin Ryan2, Jessica Rivera2
1Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Clinical toxicology (Philadelphia, Pa.)
|November 27, 2024
概括
坑蛇毒害往往会导致持续的组织损伤. 一个专门的诊所改善了蛇咬并发症的管理,提供关键的出院后伤口护理和干预措施,以改善患者的康复.
科学领域:
- 毒理学 毒理学 毒理学
- 皮肤病学 皮肤病学
- 紧急医疗 紧急医疗
背景情况:
- 坑蛇毒害经常导致长时间的组织损伤,即使在抗毒治疗后.
- 目前,蛇咬伤受害者的退院后护理往往有限,主要侧重于凝血病检测和初级保健.
研究的目的:
- 描述患者队列,并发症和管理策略,在一个专门的门诊诊所对坑蛇中毒.
- 评估出院后评估和伤口护理疗法的有效性,以管理持续的蛇咬后果.
主要方法:
- 在2021年6月至2023年11月期间,对参加新蛇咬后续诊所的患者进行了一项观察性研究.
- 收集和分析了患者人口统计,蛇物种,住院过程,持续症状和干预措施的数据.
主要成果:
- 评估了52名患者,其中有Agkistrodon spp. 毒是最常见的一种.
- 在随访时,持续性胀 (61.5%) 和块 (38.5%) 是普遍存在的.
- 干预措施包括压缩,物理治疗,脱bridement和抗生素,在Agkistrodon* spp.中胀和块的发病率更高. 一个案例,一个案例.
结论:
- 持续的,伤口和功能限制在坑蛇毒害后很常见,特别是来自Agkistrodon物种的毒害.
- 一个专门的门诊诊所通过专业的伤口护理和中毒中心的合作有效地解决了这些并发症.
- 这家诊所为持久性组织损伤和坑蛇毒害的其他并发症提供了必要的出院后管理.
更多相关视频
07:41A Robust Discovery Platform for the Identification of Novel Mediators of Melanoma Metastasis
Published on: March 8, 2022
2.4K
11:28Analysis of Iophenoxic Acid Analogues in Small Indian Mongoose Herpestes Auropunctatus Sera for Use as an Oral Rabies Vaccination Biological Marker
Published on: May 31, 2019
5.8K
相关概念视频
01:28Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46
01:30Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716
01:18Endocarditis III: Medical Management
2
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
2
01:29Endocarditis IV: Nursing Management
2
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
2
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K