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    #31
    Most rurals hospitals in Texas have a few doses ready to go. That gives them time to monitor you while decided where to send you or how to get more if needed.

    Comment


      #32
      Great topic with some misleading information posted.

      CroFab is the anti venom that is used today in America and it is derived from Sheep so the side effect profile is pretty much non existent. This compared with the previous horse serum derived anti venom that did have potential life threatening side effects but that was well over a decade ago. So if anyone tells you don’t take CroFab because of the side effects is not up to speed on the current treatment.

      Along the lines of treatment- if a surgeon tries to perform a fasciotomy for swelling, slap him. The treatment is more CroFab. Surgery no longer has a role in snake envenomation.

      The old way of thinking was to not treat copperhead envenomations because there was no mortality risk, this has changed in the last 15 years with a couple of well documented copperhead envenomation related deaths. Having said that, the main reason we treat copperhead envenomation is the morbidity. It can cause extensive swelling to extremities thus potentially cutting off blood flow to them. This is corrected with CroFab.

      So if you get tagged by a rattlesnake, copperhead, cottonmouth and present to the ER you will get labs including coagulation studies done as it is a hemotoxin. If you get tagged by a cottonmouth or rattlesnake with any sign of envenomation whether physically or lab wise you get CroFab. If you get tagged by a copperhead with any lab alteration to support envenomation OR progressive swelling of an extremity OR obvious vascular compromise of an extremity due to swelling OR a hand envenomation you will get CroFab.

      Yes CroFab is stupid expensive but luckily 20-25% of these bites are dry.

      CroFab does not work for coral snakes but in Texas they are usually pretty benign and have a dry bite rate around 60%. The further east you go the more toxic the venom for coral snakes...

      Hope this helps

      And don’t waste your money on the snake venom extractor kits

      Comment


        #33
        Originally posted by Traildust View Post
        You ain't gonna get bit unless you're stupid.....
        This doesn't help when looking for a lease, JMO of course.

        Comment


          #34
          Originally posted by EmergencyDoc View Post
          Great topic with some misleading information posted.

          CroFab is the anti venom that is used today in America and it is derived from Sheep so the side effect profile is pretty much non existent. This compared with the previous horse serum derived anti venom that did have potential life threatening side effects but that was well over a decade ago. So if anyone tells you don’t take CroFab because of the side effects is not up to speed on the current treatment.

          Along the lines of treatment- if a surgeon tries to perform a fasciotomy for swelling, slap him. The treatment is more CroFab. Surgery no longer has a role in snake envenomation.

          The old way of thinking was to not treat copperhead envenomations because there was no mortality risk, this has changed in the last 15 years with a couple of well documented copperhead envenomation related deaths. Having said that, the main reason we treat copperhead envenomation is the morbidity. It can cause extensive swelling to extremities thus potentially cutting off blood flow to them. This is corrected with CroFab.

          So if you get tagged by a rattlesnake, copperhead, cottonmouth and present to the ER you will get labs including coagulation studies done as it is a hemotoxin. If you get tagged by a cottonmouth or rattlesnake with any sign of envenomation whether physically or lab wise you get CroFab. If you get tagged by a copperhead with any lab alteration to support envenomation OR progressive swelling of an extremity OR obvious vascular compromise of an extremity due to swelling OR a hand envenomation you will get CroFab.

          Yes CroFab is stupid expensive but luckily 20-25% of these bites are dry.

          CroFab does not work for coral snakes but in Texas they are usually pretty benign and have a dry bite rate around 60%. The further east you go the more toxic the venom for coral snakes...

          Hope this helps

          And don’t waste your money on the snake venom extractor kits


          Thank you for saving me some typing. I am in the trauma department at a Level 1 trauma center and this is all correct information based on what we do here.

          Comment


            #35
            Makes you wonder if a snakes knows the difference between a defensive bite and a hunting bite. crazy.

            Comment


              #36
              Originally posted by EmergencyDoc View Post
              Great topic with some misleading information posted.

              CroFab is the anti venom that is used today in America and it is derived from Sheep so the side effect profile is pretty much non existent. This compared with the previous horse serum derived anti venom that did have potential life threatening side effects but that was well over a decade ago. So if anyone tells you don’t take CroFab because of the side effects is not up to speed on the current treatment.

              Along the lines of treatment- if a surgeon tries to perform a fasciotomy for swelling, slap him. The treatment is more CroFab. Surgery no longer has a role in snake envenomation.

              The old way of thinking was to not treat copperhead envenomations because there was no mortality risk, this has changed in the last 15 years with a couple of well documented copperhead envenomation related deaths. Having said that, the main reason we treat copperhead envenomation is the morbidity. It can cause extensive swelling to extremities thus potentially cutting off blood flow to them. This is corrected with CroFab.

              So if you get tagged by a rattlesnake, copperhead, cottonmouth and present to the ER you will get labs including coagulation studies done as it is a hemotoxin. If you get tagged by a cottonmouth or rattlesnake with any sign of envenomation whether physically or lab wise you get CroFab. If you get tagged by a copperhead with any lab alteration to support envenomation OR progressive swelling of an extremity OR obvious vascular compromise of an extremity due to swelling OR a hand envenomation you will get CroFab.

              Yes CroFab is stupid expensive but luckily 20-25% of these bites are dry.

              CroFab does not work for coral snakes but in Texas they are usually pretty benign and have a dry bite rate around 60%. The further east you go the more toxic the venom for coral snakes...

              Hope this helps

              And don’t waste your money on the snake venom extractor kits
              Thank you for the info!

              Comment


                #37
                Originally posted by EmergencyDoc View Post
                Great topic with some misleading information posted.

                CroFab is the anti venom that is used today in America and it is derived from Sheep so the side effect profile is pretty much non existent. This compared with the previous horse serum derived anti venom that did have potential life threatening side effects but that was well over a decade ago. So if anyone tells you don’t take CroFab because of the side effects is not up to speed on the current treatment.

                Along the lines of treatment- if a surgeon tries to perform a fasciotomy for swelling, slap him. The treatment is more CroFab. Surgery no longer has a role in snake envenomation.

                The old way of thinking was to not treat copperhead envenomations because there was no mortality risk, this has changed in the last 15 years with a couple of well documented copperhead envenomation related deaths. Having said that, the main reason we treat copperhead envenomation is the morbidity. It can cause extensive swelling to extremities thus potentially cutting off blood flow to them. This is corrected with CroFab.

                So if you get tagged by a rattlesnake, copperhead, cottonmouth and present to the ER you will get labs including coagulation studies done as it is a hemotoxin. If you get tagged by a cottonmouth or rattlesnake with any sign of envenomation whether physically or lab wise you get CroFab. If you get tagged by a copperhead with any lab alteration to support envenomation OR progressive swelling of an extremity OR obvious vascular compromise of an extremity due to swelling OR a hand envenomation you will get CroFab.

                Yes CroFab is stupid expensive but luckily 20-25% of these bites are dry.

                CroFab does not work for coral snakes but in Texas they are usually pretty benign and have a dry bite rate around 60%. The further east you go the more toxic the venom for coral snakes...

                Hope this helps

                And don’t waste your money on the snake venom extractor kits
                Thanks for the info.

                Comment


                  #38
                  Good Info from Jethro and our new ER Doc

                  Comment


                    #39
                    Originally posted by EmergencyDoc View Post
                    Great topic with some misleading information posted.

                    CroFab is the anti venom that is used today in America and it is derived from Sheep so the side effect profile is pretty much non existent. This compared with the previous horse serum derived anti venom that did have potential life threatening side effects but that was well over a decade ago. So if anyone tells you don’t take CroFab because of the side effects is not up to speed on the current treatment.

                    Along the lines of treatment- if a surgeon tries to perform a fasciotomy for swelling, slap him. The treatment is more CroFab. Surgery no longer has a role in snake envenomation.

                    The old way of thinking was to not treat copperhead envenomations because there was no mortality risk, this has changed in the last 15 years with a couple of well documented copperhead envenomation related deaths. Having said that, the main reason we treat copperhead envenomation is the morbidity. It can cause extensive swelling to extremities thus potentially cutting off blood flow to them. This is corrected with CroFab.

                    So if you get tagged by a rattlesnake, copperhead, cottonmouth and present to the ER you will get labs including coagulation studies done as it is a hemotoxin. If you get tagged by a cottonmouth or rattlesnake with any sign of envenomation whether physically or lab wise you get CroFab. If you get tagged by a copperhead with any lab alteration to support envenomation OR progressive swelling of an extremity OR obvious vascular compromise of an extremity due to swelling OR a hand envenomation you will get CroFab.

                    Yes CroFab is stupid expensive but luckily 20-25% of these bites are dry.

                    CroFab does not work for coral snakes but in Texas they are usually pretty benign and have a dry bite rate around 60%. The further east you go the more toxic the venom for coral snakes...

                    Hope this helps

                    And don’t waste your money on the snake venom extractor kits
                    Great info.....thank you!!!

                    Comment


                      #40
                      Originally posted by Oleman View Post
                      STUPID? Come-on Traildust, That is a stupid reply. You know it can happen to anyone walking in the woods.
                      Duh, that's why they make snake boots. When in snake country, always wear snake boots. Right on Traildust.

                      Comment


                        #41
                        Originally posted by EmergencyDoc View Post
                        Great topic with some misleading information posted.

                        CroFab is the anti venom that is used today in America and it is derived from Sheep so the side effect profile is pretty much non existent. This compared with the previous horse serum derived anti venom that did have potential life threatening side effects but that was well over a decade ago. So if anyone tells you don’t take CroFab because of the side effects is not up to speed on the current treatment.

                        Along the lines of treatment- if a surgeon tries to perform a fasciotomy for swelling, slap him. The treatment is more CroFab. Surgery no longer has a role in snake envenomation.

                        The old way of thinking was to not treat copperhead envenomations because there was no mortality risk, this has changed in the last 15 years with a couple of well documented copperhead envenomation related deaths. Having said that, the main reason we treat copperhead envenomation is the morbidity. It can cause extensive swelling to extremities thus potentially cutting off blood flow to them. This is corrected with CroFab.

                        So if you get tagged by a rattlesnake, copperhead, cottonmouth and present to the ER you will get labs including coagulation studies done as it is a hemotoxin. If you get tagged by a cottonmouth or rattlesnake with any sign of envenomation whether physically or lab wise you get CroFab. If you get tagged by a copperhead with any lab alteration to support envenomation OR progressive swelling of an extremity OR obvious vascular compromise of an extremity due to swelling OR a hand envenomation you will get CroFab.

                        Yes CroFab is stupid expensive but luckily 20-25% of these bites are dry.

                        CroFab does not work for coral snakes but in Texas they are usually pretty benign and have a dry bite rate around 60%. The further east you go the more toxic the venom for coral snakes...

                        Hope this helps

                        And don’t waste your money on the snake venom extractor kits
                        Thanks for this. Hope you hang around the Campfire a bit more. You would be a Hell of a Contributor. And probably have some pretty good stories.

                        Comment


                          #42
                          Originally posted by SabineHunter View Post
                          Duh, that's why they make snake boots. When in snake country, always wear snake boots. Right on Traildust.
                          That was a poke a Matt (OP)....I forgot how thin skinned we get on this site sometimes!

                          Some folks are just accident prone too.

                          Comment


                            #43
                            Matt, just call 911

                            Comment


                              #44
                              Originally posted by DJM View Post
                              Good site....thanks for sharing.

                              Comment


                                #45
                                Originally posted by SabineHunter View Post
                                Duh, that's why they make snake boots. When in snake country, always wear snake boots. Right on Traildust.
                                Just about anywhere in Rural Texas is snake country. I live in a subdivision now in Buchanan Dam and have killed one. I’m not gonna wear snake boots around my house. At the ranch I wear them if out in the pasture but not around the main house. I guess growing up in the country I’ve just always been taught to look down

                                Comment

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