@article{ref1,
title="Fatal cerebral haemorrhage after tiger snake (Notechis scutatus) envenomation",
journal="Medical journal of Australia",
year="1991",
author="Tibballs, J. and Henning, R. D. and Sutherland, S. K. and Kerr, A. R.",
volume="154",
number="4",
pages="275-276",
abstract="OBJECTIVE: This case report illustrates the threat to life posed by tiger snake venom-induced coagulopathy, the importance of first-aid, precautions with antivenom administration, the dose of antivenom and the necessity to monitor the coagulation status. CASE SUMMARY: An 11-year-old child was envenomated several times by a tiger snake (Notechis scutatus). Despite administration of three ampoules (9000 units) of tiger snake antivenom, fatal cerebral haemorrhage occurred. Inadequate first-aid had been applied. The bite site was covered with a loose bandage instead of a pressure-immobilisation bandage. In hospital, facilities to monitor coagulation status were unavailable. <br><br>CONCLUSIONS: More public education is required in first-aid management of snake envenomation. Frequent monitoring of coagulation status is necessary to optimise antivenom and coagulation factor therapy.<p /><p>Language: en</p>",
language="en",
issn="0025-729X",
doi="",
url="http://dx.doi.org/"
}