• J Emerg Med · Apr 2003

    Case Reports

    Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures.

    • Barry S Gold, Robert A Barish, Richard C Dart, Ronald P Silverman, and Grant V Bochicchio.
    • Maryland Poison Center, University of Maryland at Baltimore, Baltimore, MD , USA.
    • J Emerg Med. 2003 Apr 1; 24 (3): 285-8.

    AbstractWestern diamondback rattlesnake envenomation is usually managed by administration of neutralizing antivenom. The development of compartment syndrome is a rare complication that has sparked considerable debate regarding medical vs. surgical management. We report a case of compartment syndrome resulting from a rattlesnake envenomation, which responded to large doses of neutralizing antivenom given concomitantly with mannitol and hyperbaric oxygen. This regimen obviated the need for surgical fasciotomy and its associated morbidity.

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