© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine
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Most UK based Emergency Physicians have little experience of managing snake bites. Those who do have usually only come across European Adder bites – which are rarely fatal. In contrast, snake envenomation is a major public health problem in the rural tropics and there is a need for good science surrounding epidemiology and treatment. Agarwal et al have written a Short Report on research related to severe neurotoxic snake envenomation. Read this article and critically appraise it before reading the following commentary by Isbister. After that, look up TOXBASE® and refresh your memory about emergency treatment following a bite from an unknown snake.
See p 397 and p 399
We already know that routine measurement of plasma paracetamol levels in patients presenting with a reduced level of consciousness but no clear history of poisoning is clinically justified. But what about routine salicylate levels? Unlike paracetamol, there are specific early clinical
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