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<< Diagnosis And Management Of North American Snake And Scorpion Envenomations

Disposition

Coral Snake

Any time a patient with a coral snake envenomation exhibits severe systemic or neurological signs, admit the patient to the intensive care unit. If the patient does not exhibit any systemic symptoms or signs at the end of a 12 hour ED observation period, the patient may be discharged home.4

If the patient has systemic signs after four hours and is requiring any supportive care, admit the patient for at least a 24 hour observation period. At the end of the observation period, patients no longer requiring supportive care may be discharged. Patients with continuing systemic signs and supportive needs should continue to receive antivenom and be managed in an ICU setting.

Non-native Venomous Snakes

Because of the wide variety of snakes and venom effects, no firm disposition criteria can be determined. Consult a poison control center to assist in medical management decisions.68

Scorpions

Any time a patient with a scorpion envenomation exhibits severe systemic signs, admit the patient to the intensive care unit. If the patient does not exhibit any systemic symptoms or signs at the end of a four hour ED observation period, the patient may be discharged home with no specific discharge instructions. If the patient has systemic signs or requires supportive care, admit for at least a 12 to 24 hour observation period. At the end of the observation period, patients no longer requiring supportive care may be discharged.



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Last Modified: 06/27/2017
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