9yr old Monocled Cobra bite Regular dressing ! | Figure 1

9yr old

Monocled Cobra bite

Regular dressing

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Male patient, age 25, was bitten by an unidentified snake, possibly Trimeresurus albolabris. Right arm swelling, pain, profuse vomiting mixed with blood. Hb 9.2 g/dL, PLT 43.000/uL. Patient was given with Snake Antivenom Serum, diphenhydramin, ondansetron, dexamtehasone, ranitidine, ketorolac. What do you think I should do next?

Cotton mouth bite 2 hours post. 4 vials of Crofab given.

pt presented to emergency within 10-15 minutes after sustaining a #Snakebites to their right foot. On arrival they were bradycardic, light headed, dizzy and SOB. Following the snake bite protocol and procedures, this photo shows 1/24 after presentation. When attempting to remove the pressure bandage, the pt did experience signs and symptoms of venom, diaphoretic, joint pain, nausea and vomiting, further bradycardia and required antivenin after speaking with poison control. Likely, there were no further symptoms (ptosis, palsy...) it is believed it was a #Brown-snake bite rather than a #tiger-snake. The pt was also kind enough to join the Australian snake bite research project and allowed us to share their story.

This child was bitten by a rattlesnake, a venomous snake native to North and South America. Mortality rates of snakebites are highest in Africa, Asia, and Latin America. Envenomation often causes tissue edema, raising compartment pressures and increasing the risk of compartment syndrome. Elevation after antivenom administration encourages edema to drain, reducing compartment pressures. Even in the presence of typical symptoms of compartment syndrome, direct measurement of pressures is recommended to guide management, especially the decision to perform fasciotomy. Image credit:@HelpingPatients

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?