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3.14.4 - Envenomation

from Section 3.14 - Environmental Injuries

Published online by Cambridge University Press:  27 July 2023

By
Timothy Snow
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Whilst venomous creatures are endemic to specific regions, travel and exotic pets may cause envenomated patients to appear where not expected.

  2. 2. Anaphylaxis is the leading cause of death from envenomation.

  3. 3. Whilst creature identification can aid management, attempted capture by untrained individuals can create more problems, and thus should not be encouraged.

  4. 4. Management is primarily good basic first aid, anaphylaxis treatment and organ support.

  5. 5. Anti-venoms are available but can themselves be the cause of anaphylaxis.

Keywords

anaphylaxisvenomsanti-venomssnake bites
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 425 - 427
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Ahmed, AM, Ahmed, M, Nadeem, A, et al. Emergency treatment of a snake bite: pearls from literature. J Emerg Trauma Shock 2008;1:97–105.CrossRefGoogle ScholarPubMed
Bane, V, Lehane, M, Dikshit, M, et al. Tetrodotoxin: chemistry, toxicity, source, distribution and detection. Toxins (Basel) 2014;6:693–755.CrossRefGoogle ScholarPubMed
Cegolon, L, Heymann, WC, Lange, JH, et al. Jellyfish stings and their management: a review. Mar Drugs 2013;11:523–50.CrossRefGoogle ScholarPubMed
Eddleston, M, Warrell, D. Poisoning and envenoming. In: Davidson, R, Brent, A, Seale, A (eds). Oxford Handbook of Tropical Medicine, 4th edn. Oxford: Oxford University Press; 2014. pp. 882–91.Google Scholar
Montgomery, L, Seys, J, Mees, J. To pee or not to pee: a review on envenomation and treatment in European jellyfish species. Mar Drugs 2016;14:127.CrossRefGoogle ScholarPubMed

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