Animal caused Injuries פגיעות בעלי חיים כל הזכויות שמורות למד"א מרחב ירושלים

Transcription

1 Animal caused Injuries פגיעות בעלי חיים

2 Snake bite נחש In Israel there are 9 kinds of poisonous snakes. 3 mechanisms of venom action: Vascular Neurological Cardiac Small amount of venom goes through the blood and causes rapid response, and/or through the lymphatic system which means slow/delayed response as well

3 Signs vipera Local signs Bite marks Lymphatic Stripes Tenderness Swelling Pain Redness

4 General Signs Signs of shock Muscle contractions Difficulties breathing Decrease in LOC ( Level of consciousness ) Abdominal pain, diarrhea, vomiting

5 Dangers Anaphylactic Shock Arrhythmias

6 Treatment Patient assessment or by PHTLS if needed Oxygen Relaxation Immobilize the area Carry to H

7 The Do NOT Do list Do not attempt to suck the venom Do not cool the location of the bite Do not stop blood flow from the area Do not chase the snake ( but try to identify it )

8 Scorpion Sting עקרב Most of those, effect the cardiac and the nervous systems.

9 Signs Local signs: Severe pain Redness Swelling

10 General Signs Contraction of muscles Abdominal pain, nausea, vomiting Excess saliva secretion, Sweating, Tearing Rise in body temperature Decrease in LOC Difficulties Breathing Tachycardia Hallucinations

11 Dangers Anaphylactic shock Arrhythmias

12 Treatment Patient assessment or by PHTLS if needed Oxygen Cool Immobilize the area

13 Spider bite עכביש In Israel two kinds are venomous Black Widow ( Almanah Shehora ) Brown Recluse Spider ( Shashan chum )

14 Signs Redness and red stripes ( minutes to hours after the bite ) Necrosis Severe pain Severe abdominal pain Anaphylactic shock

15 Dangers Anaphylactic Shock Arrhythmias

16 Treatment Patient assessment or by PHTLS if needed

17 Wasps and Bees דבורות וצרעות Usually, despite being very painful, those bites do not present a lethal danger, except for the following: Hypersensitivity Numerous bites Elderly, Children, Infants, Ill.

18 Signs Local signs: Sting Redness Pain

19 General Signs Itching Swelling ( at the bite site ) Signs of Anaphylactic Shock: Swelling of the tongue Hoarseness Decrease of LOC Difficulties Breathing

20 Dangers Swelling that will obstruct the airway ( danger of anaphylaticis) Anaphylactic shock

21 Treatment Patient assessment or by the PHTLS if needed Oxygen If available, suggest the use of an Epipen syringe ( 60 hour course graduate or a medic are NOT allowed to inject )

22 Dog bite \ Rabies כלבת Rabies is a dangerous viral incurable disease that attacks the central nervous system. It causes agonizing death, days after infection It is transported by mammals. The most common way of transport is by bite, but can be transported even by a contact of saliva with skin.

23 Signs ( of rabies ) Story Fever Head ache General Bad feeling Fatigue Loss of appetite, nausea, vomiting, throat ache and cough

24 Advanced signs Confusion, Delirium Aggression Difficulties in rational thinking Seizures and paralysis

25 Late signs Vocal cords paralysis Difficulties swallowing Hydrophobia Decrease in LOC Shallow and slow breathing General paralysis Respiratory paralysis Death

26 Dangers Late diagnosis Once symptoms appear, 100% death rate Most of the infected will die within 4 days from the exposure.

27 Treatment Patient assessment or by PHTLS if needed Prevention Wash the wound by large amounts of water and soap, sterilize quickly. Evacuate and Report DO NOT cover the wound ( anaerobic growth )

28 Emphasis on Rabies The virus is in the saliva glands of caring mammals. Once exposed, scrub fiercely with soap. Pain is the least of problems. Get to a medical center immediately, to get a vaccine. The virus, once covered by bandage will grow, so do not cover.

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