Bites KARA Hubbard, Natalie Calico, Kailey Larsen, emilykearl
Incident Report • -The most common bite is a dog bite and 4 million Americans are bitten by dogs every year. • -1 of every 5 bites causes an injury that requires medical attention. • -Children between age 5-9 are more common victims and are more likely to be injured by a dog bit than adults. • -Each year, approximately 8,000 venomous snakebites occur in the United States. • - Bat bites are the most common transmission of rabies
Dog Bites • Dog bites need to be treated with antibiotics. Doctor will examine to determine if there is damage to muscle, tendons, or bones and they will clean any dirt or bacteria from it. Some wounds may be sutured. • To care for dog bite injury at home: place a clean towel over injury to stop bleeding, keep injured area elevated, wash bite with soap and water, apply sterile bandage to wound, and apply antibiotic ointment to injury to prevent infection. • Be prepared to answer when visiting the doctor: • Do you know owner of the Dog? • Reason dog attacked you? • Health conditions that you have?
Venomous Bites • Patho: • Venom dosage per bite depends on the elapsed time since the last bite, the degree of threat perceived by the snake, and size of the prey. • Manifestations: • Blurred vision, fainting, loss of muscle coordination, N/T , Weakness, bleeding from site, Convulsions, Diarrhea, Dizziness, Sweating, N/V, pain, skin discoloration • Treatment: • Call 911, Keep the victim calm and still. Movement can cause the venom to move more quickly through the body. Consider making a splint to restrict the movement of the affected area. Remove constricting clothing or jewelry. The area of the bite will likely swell, so it is important to remove these items quickly. Carry or transport the victim by vehicle. This person should not be allowed to walk. • If the snake is dead, take it with you for identification.
Trouble with bats • -Most common transmission of rabies. • -Treat every bite like it has rabies (rabies can only be confirmed in laboratory). • Especially avoid if: • -unable to fly • -in an unusual place for a bat • -out during the day
Rabies treatment • Immediate and through flushing and washing of wound for am minimum of 15 min with soap and water • Post exposure Prophylaxis: • -Human rabies immune globulin (HRIG) given only once • -A series of 5, 1.0 mL rabies vaccines (given on day 0,3,7,14) • -Pt’s who have previously received pre or post exposure rabies prophylaxis should receive only 2 rabies vaccine boosters following an exposure (given on days 0 and 3) • -Pt’s who have been previously vaccinated should NOT receive HRIG.
Assess the bite • -Check for s/s of infection (redness, swelling, drainage, etc) • -Assess severity of bite • -Gather information about animal (owner, vaccinated?, wild?) • -Level of consciousness, neuro check • -Musculoskeletal damage?
Rabies article • http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/dis/rabies/batsrabiesrisk.ashx