TY  - JOUR
PY  - 1991//
TI  - Fatal cerebral haemorrhage after tiger snake (Notechis scutatus) envenomation
JO  - Medical journal of Australia
A1  - Tibballs, J.
A1  - Henning, R. D.
A1  - Sutherland, S. K.
A1  - Kerr, A. R.
SP  - 275
EP  - 276
VL  - 154
IS  - 4
N2  - 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>
LA  - en
SN  - 0025-729X
UR  - http://dx.doi.org/
ID  - ref1
ER  -