Items in FPM with MESH term: Clinical Competence
Practice Improvement Is People - From The Editor
ABSTRACT: About 4,000 to 6,000 venomous snakebites occur each year in the United States. Although these envenomations (also known as envenomings) are rarely fatal, about 70 percent require antivenom therapy. Few evidence-based guidelines are available for the management of envenomation. Antivenom therapy is the cornerstone of management for hemorrhagic or coagulopathic envenomation from pit vipers (with or without paralytic features), and for paralytic envenomation from coral snakes. Early intubation and ventilation may be required after bites from pit vipers whose venoms contain presynaptic neurotoxins. Although relatively controversial, antivenom therapy seems to be effective for the management of severe envenomation from widow spiders. Conversely, little evidence supports any specific management strategy for necrotic envenomation from recluse spiders. Cytotoxic fish stings, cnidarian stings, and traumatic penetrative envenomation by stingrays are typically managed symptomatically. Private collection of nonnative venomous animals in the United States is another source of medical risk.
Helping Physicians Make Evidence-Based Decisions - Editorials
Managing Pain at the End of Life - Editorials
Emergency Response - Curbside Consultation
Who Should Care for Patients with HIV/AIDS? - Editorials
Determining Eligibility for Gastric Bypass Surgery - Curbside Consultation