Patient and dad out in the fields near a small town that is several hours away from the nearest big city, where I work.
Dad takes the child to the ER in the small town with an obvious snake bite, doctor there says “eh it’s ok she probably didn’t get envenomated”. Doesn’t give the patient antivenin, which they had at that hospital, and instead of electing to send the child to us by helicopter, he sent her by ambulance. Several hours later patient shows up to our hospital coding, and ended up dying.
Probably didn’t get envenomated?!? What the fuck kind of stupid ass idea is that. If a tiny child gets bitten by a rattlesnake, you assume they’ve been envenomated and you treat them as though that had been. That means antivenin, physiological support, etc. completely absurd.
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