Changes in serial laboratory test results in snakebite patients: When can we safely exclude envenoming?

Medical Journal of Australia

Volumn 193, Issue 5, 2010, Pages 285-290

  Ireland, Graham ^a   Brown, Simon G A ^b   Buckley, Nicholas A ^c   Stormer, Jeff ^d   Currie, Bart J ^e   White, Julian ^f   Spain, David ^a   Isbister, Geoffrey K ^d,e,g  

^a GOLD COAST UNIVERSITY HOSPITAL   (Australia)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^c UNIVERSITY OF NEW SOUTH WALES   (Australia)

^d CALVARY MATER NEWCASTLE HOSPITAL   (Australia)

^e MENZIES SCHOOL OF HEALTH RESEARCH   (Australia)

^f WOMEN S AND CHILDREN S HOSPITAL   (Australia)

^g UNIVERSITY OF NEWCASTLE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CREATINE KINASE; D DIMER;

ABDOMINAL PAIN; ADULT; ARTICLE; ARTIFICIAL VENTILATION; CONTROLLED STUDY; CREATINE KINASE BLOOD LEVEL; DIAPHORESIS; DIAPHRAGM PARALYSIS; DIARRHEA; DISSEMINATED INTRAVASCULAR CLOTTING; ENVENOMATION; FEMALE; HEADACHE; HEMOLYSIS; HUMAN; INTERNATIONAL NORMALIZED RATIO; INTUBATION; KIDNEY FAILURE; LABORATORY TEST; LEUKOCYTOSIS; MAJOR CLINICAL STUDY; MALE; METHODOLOGY; MUSCLE TOXICITY; MYALGIA; NAUSEA; NEUROLOGIC EXAMINATION; NEUROTOXICITY; OUTCOME ASSESSMENT; PARTIAL THROMBOPLASTIN TIME; PROSPECTIVE STUDY; SNAKEBITE; THROMBOCYTOPENIA; THROMBOTIC THROMBOCYTOPENIC PURPURA; TOXICITY; VENOM INDUCED CONSUMPTION COAGULOPATHY; VOMITING; ALGORITHM; BLOOD; CLINICAL PATHWAY; COMPLICATION; DISSEMINATED INTRAVASCULAR COAGULATION; MIDDLE AGED; YOUNG ADULT;

ADULT; ALGORITHMS; CREATINE KINASE; CRITICAL PATHWAYS; DISSEMINATED INTRAVASCULAR COAGULATION; FEMALE; HUMANS; INTERNATIONAL NORMALIZED RATIO; MALE; MIDDLE AGED; NEUROLOGIC EXAMINATION; PARTIAL THROMBOPLASTIN TIME; PROSPECTIVE STUDIES; SNAKE BITES; YOUNG ADULT;

EID: 77957686670     PISSN: 0025729X     EISSN: 13265377     Source Type: Journal    
DOI: 10.5694/j.1326-5377.2010.tb03909.x     Document Type: Article

References (19)

1. Isbister GK, Currie BJ. Suspected snakebite: one year prospective study of emergency department presentations. Emerg Med (Fremantle) 2003; 15: 160-169.
2. Jelinek GA, Breheny FX. Ten years of snake bites at Fremantle Hospital. Med J Aust 1990; 153: 658-661.
3. Hughes A. Observation of snakebite victims: is twelve hours still necessary? Emerg Med (Fremantle) 2003; 15: 511-517.
4. Gavaghan CF, Sparkes G. Delayed myotoxicity in snake envenoming by the tiger snake group. Emerg Med (Fremantle) 2003; 15: 497-499.
5. Hood VL, Johnson JR. Acute renal failure with myoglobinuria after tiger snake bite. Med J Aust 1975; 2: 638-641.
6. Furtado MA, Lester IA. Myoglobinuria following snakebite. Med J Aust 1968; 1: 674-676.
7. White J. Elapid envenomation. In: Covacevich J, Davie P, Pearn J, editors. Toxic plants and animals: a guide for Australia. 1st ed. Brisbane: Queensland Museum, 1987.
8. Mead HJ, Jelinek GA. Suspected snakebite in children: a study of 156 patients over 10 years. Med J Aust 1996; 164: 467-470.
9. Currie BJ. Snakebite in Australia: moving from anecdotes to prospective studies. Emerg Med (Fremantle) 2003; 15: 406-408.
10. Isbister GK, Brown SG, MacDonald E, et al. Current use of Australian snake antivenoms and frequency of immediate-type hypersensitivity reactions and anaphylaxis. Med J Aust 2008; 188: 473-476.
11. Isbister GK, Duffull SB, Brown SG; ASP Investigators. Failure of antivenom to improve recovery in Australian snakebite coagulopathy. QJM 2009; 102: 563-568.
12. Isbister GK, Williams V, Brown SG, et al. Clinically applicable laboratory end-points for treating snakebite coagulopathy. Pathology 2006; 38: 568-572.
13. Isbister GK, Little M, Cull G, et al. Thrombotic microangiopathy from Australian brown snake (Pseudonaja) envenoming. Intern Med J 2007; 37: 523-528.
14. Pearn J, Morrison J, Charles N, Muir V. First-aid for snake-bite: efficacy of a constrictive bandage with limb immobilization in the management of human envenomation. Med J Aust 1981; 2: 293-295.
15. Barrett R, Little M. Five years of snake envenoming in far north Queensland. Emerg Med (Fremantle) 2003; 15: 500-510.
16. Munro JG, Pearn JH. Snake bite in children: a five year population study from South-East Queensland. Aust Paediatr J 1978; 14: 248-253.
17. Jamieson R, Pearn J. An epidemiological and clinical study of snake-bites in childhood. Med J Aust 1989; 150: 698-702.
18. White J. Patterns of elapid envenomation and treatment in South Australia. Toxicon 1983; 21 Suppl 3: 489-491.
19. Jelinek GA, Hamilton T, Hirsch RL. Admissions for suspected snake bite to the Perth adult teaching hospitals, 1979 to 1988. Med J Aust 1991; 155: 761-764.