Tourniquets Ticks and bites Flashcards
Tourniquet factors
Note the time tourniquet was placed
Need to check tourniquet on fingers 20 mins
Limb tourniquets check every 30 mins
Tourniquet max time
1 hour - release every 2 hours
Adequate tourniquet
Blood pressure cuff with hemostat on the tubing
Suture type to use for vessels
silk
Venomous snakes
Rattlesnakes, coral snakes copperheads
Poisonous snakes
triangular head, fangs and rattle
Red on yellow
Kill a fellow
Red on black
Venom lack
Rattlesnake toxin effects
Hemorrhagic DIC
Copperheads toxin effects
Swelling - limb dysfunction
Treatment of snake bites
Mark the area, circumference, pulse on on affected extremity
Cap and pulse check
Immobilize and keep below level of heart
CBC coags fibrinogen, CPK BMP and UA - xray for retained teeth
Tetanus
What is not recommended with snake bites
No tourniquets - if placed in out of hospital setting - can give antivenom
No suctioning
No Abx
Crofab - only used for
Rattle, Coral and pit vipers - if random pet - need to call zoo - ( they keep antivenom)
When do you give crofab - when is this contraindicated
rattlesnake or coral snakes - dont give if papaya allergy - absolute contraindication
True or false copperhead bites not associated with significant mortality
true
