RT Book, Section
A1 Cho, Christine S.
A1 Osterhoudt, Kevin C.
A2 Zaoutis, Lisa B.
A2 Chiang, Vincent W.
SR Print(0)
ID 1146124286
T1 Envenomation
T2 Comprehensive Pediatric Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071829281
LK accesspediatrics.mhmedical.com/content.aspx?aid=1146124286
RD 2024/04/19
AB Bites  and  envenomations  account  for  3%  of  phone  calls  to  poison  control  centers.1  In  North  America,  venomous  animals  vary  by  specific  region  and  include  varied  terrestrial  vertebrates  and  invertebrates.  Venomous  bites  are  of  particular  concern  in  the  pediatric  population,  with  the  highest  morbidity  and  mortality  occurring  in  smaller  patients.  Diagnosis  and  management  strategies  for  envenomation  vary  according  to  the  type  of  animal,  specific  toxic  properties  of  the  venom,  location  of  the  bite,  time  elapsed  since  exposure,  appearance  of  the  wound,  systemic  symptoms,  size  of  the  child,  and  history  and  physical  examination  findings  (Table  176-1).  It  is  important  to  keep  in  mind  that  unwitnessed  bites  can  occur  in  younger  children.  This  chapter  specifically  addresses  the  presentation  and  management  of  common  snake  bites,  as  well  as  black  widow  and  brown  recluse  spider  bites.