Pediatric emergency medicine trisk 1992 1992
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TABLE 90.18
APPROPRIATE LABORATORY TESTS FOR PATIENTS INVOLVED IN
A SIGNIFICANT RADIATION ACCIDENT
In the emergency department
Complete blood cell count with special attention to the lymphocyte count,
repeat every 2–3 hours for the first 8–12 hours following exposure and then
every 4–6 hours for the following 2 or 3 days
Nasal swabs
Collect all excreta
Later
Cytogenetics
Sperm count
Eye examination (baseline for cataracts)
Human leukocyte antigen typing
BITES AND STINGS
Goals of Treatment
General care should include relief of pain and itching, tetanus prophylaxis,
antibiotics if needed, and emotional support. Animals must be identified as
venomous or not, and appropriate methods to inactivate the venom should be
instituted, or if available specific antivenom should be administered. Additional
clinical observation may be required to determine the extent of injury.
CLINICAL PEARLS AND PITFALLS
Knowledge of common animals in your location of practice is essential
in identification and/or treatment of potential victims.
Shock can occur even with seemingly minor local injury because of the
systemic effects of toxins.
Consider tetanus prophylaxis in all victims of bites or stings.
Wound closure may be delayed when there is a high risk of infection.
MARINE INVERTEBRATES
