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- J Tibballs, R D Henning, S K Sutherland, and A R Kerr.
- Intensive Care Unit, Royal Children's Hospital, Parkville, Vic.
- Med. J. Aust. 1991 Feb 18; 154 (4): 275-6.
ObjectiveThis case report illustrates the threat to life posed by tiger snake venom-induced coagulopathy, the importance of first-aid, precautions with antivenom administration, the dose of antivenom and the necessity to monitor the coagulation status.Case SummaryAn 11-year-old child was envenomated several times by a tiger snake (Notechis scutatus). Despite administration of three ampoules (9000 units) of tiger snake antivenom, fatal cerebral haemorrhage occurred. Inadequate first-aid had been applied. The bite site was covered with a loose bandage instead of a pressure-immobilisation bandage. In hospital, facilities to monitor coagulation status were unavailable.ConclusionsMore public education is required in first-aid management of snake envenomation. Frequent monitoring of coagulation status is necessary to optimise antivenom and coagulation factor therapy.
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