Venomous snakebite in mountainous terrain: Prevention and management
Venomous snakebite in mountainous terrain: Prevention and management
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DOI：
10.1580/06-weme-ra-087r.1
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发表时间：
2007-09-01
影响因子：
1.4
通讯作者：
Norris, Robert L.
中科院分区：
文献类型：
--
作者：
Boyd, Jeff J.;Agazzi, Giancelso;Norris, Robert L.
世界山区毒蛇咬伤的预防和管理提出了独特的挑战。本文提出了一系列实用的，临床合理的建议，在山区环境中毒蛇咬伤的管理。作者使用搜索引擎和手动检索对当前文献进行了广泛的综述。然后，他们将蛇咬伤的丰富知识与远程急救和山区救援的现实相结合，提出了建议。摘要提供了世界上最麻烦的山蛇和毒性的机制，从他们的叮咬。介绍了预防措施。预期的症状和体征在外行和医学术语审查。目前推荐的急救措施和先进的医疗管理医生，护理人员和其他临床医生的审查。山区环境中的毒蛇咬伤给管理带来了独特的挑战。本文为管理此类病例提供了实用的建议，并总结了2种算法中的急救和高级管理方法。
The prevention and management of venomous snakebite in the world's mountains present unique challenges. This paper presents a series of practical, clinically sound recommendations for management of venomous snakebite in a mountain environment. The authors performed an extensive review of current literature using search engines and manual searches. They then fused the abundant knowledge of snakebite with the realities of remote first aid and mountain rescue to develop recommendations. A summary is provided of the world's most troublesome mountain snakes and the mechanisms of toxicity from their bites. Preventive measures are described. Expected symptoms and signs are reviewed in lay and medical terms. A review of currently recommended first-aid measures and advanced medical management for physicians, paramedics, and other clinicians is included. Venomous snakebites in mountainous environments present unique challenges for management. This paper offers practical recommendations for managing such cases and summarizes the approach to first aid and advanced management in 2 algorithms.