干旱区生态环境知识资源中心(Arid): The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper

Arid

DOI	10.12659/AJCR.924306
	The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper
	Elmoheen, Amr; Salem, Waleed Awad; Al Essai, Galal; Shukla, Dharmesh; Pathare, Ankush; Thomas, Stephen H.
通讯作者	Elmoheen, A
来源期刊	AMERICAN JOURNAL OF CASE REPORTS
EISSN	1941-5923
出版年	2020
卷号	21
英文摘要	Objective: Challenging differential diagnosis Background: There are few reports of crotaline envenomation in Qatar, where clinically significant snakebite is infrequently encountered. This report presents a case that resulted in significant hematotoxicity. The report introduces the concept that there may be a role for point-of-care ultrasound (POCUS) as an Emergency Department (ED) bedside imaging tool in the early evaluation of crotaline snakebites. Case Report: A 53-year-old Bangladeshi male without any prior medical history or allergies presented to the ED at the Hamad General Hospital stating that a sand-colored snake with a large head had bitten him on an uncovered part of his distal right leg leading to moderate swelling. Baseline laboratory testing showed a single laboratory suggestion of hematotoxicity (borderline elevation in prothrombin time) and moderately elevated lactate, indicating the potential for localized tissue destruction. POCUS demonstration of subcutaneous edema extending proximal to the knee was interpreted as suggesting the bite may be sufficiently serious to warrant administration of antivenom as the swelling crosses a major joint. Conclusions: The presentation of the current case provides useful information for crotaline envenomation evaluation and management in Qatar and surrounding Middle Eastern countries. The mainstays of therapy are early suspicion of hematotoxicity, close observation for soft tissue, and timely treatment with appropriate antivenom. The case presented also provides a suggestion that ED ultrasound (POCUS) may be of assistance in assessing and predicting subcutaneous edema extent in patients with crotaline envenomation.
英文关键词	Snake Bites Ultrasonography Viper Venoms
类型	Article
语种	英语
收录类别	ESCI
WOS记录号	WOS:000571129700001
WOS关键词	BITES ; RATTLESNAKE ; EXPERIENCE ; OUTCOMES ; FAILURE
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
来源机构	University of London
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/334608
作者单位	[Elmoheen, Amr; Salem, Waleed Awad; Al Essai, Galal; Shukla, Dharmesh; Pathare, Ankush; Thomas, Stephen H.] Hamad Med Corp, Dept Emergency Med, Doha, Qatar; [Thomas, Stephen H.] Weill Cornell Med Qatar, Doha, Qatar; [Thomas, Stephen H.] Univ London, London, England
推荐引用方式 GB/T 7714	Elmoheen, Amr,Salem, Waleed Awad,Al Essai, Galal,et al. The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper[J]. University of London,2020,21.
APA	Elmoheen, Amr,Salem, Waleed Awad,Al Essai, Galal,Shukla, Dharmesh,Pathare, Ankush,&Thomas, Stephen H..(2020).The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper.AMERICAN JOURNAL OF CASE REPORTS,21.
MLA	Elmoheen, Amr,et al."The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper".AMERICAN JOURNAL OF CASE REPORTS 21(2020).