Pressure immobilization dressing - Revision history

Rossdonaldson1: Rossdonaldson1 moved page Pressure Immobilization Dressing to Pressure immobilization dressing

2021-11-27T06:15:49Z

Rossdonaldson1 moved page Pressure Immobilization Dressing to Pressure immobilization dressing

← Revisión anterior	Revisión del 06:15 27 nov 2021
(Sin diferencias)

Rossdonaldson1 at 06:15, 27 November 2021

2021-11-27T06:15:34Z

← Revisión anterior		Revisión del 06:15 27 nov 2021
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	==Background<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>==		==Background==
	*Type of field dressing developed and used in Australia primarily for elapid bites		*Type of field dressing developed and used in Australia primarily for elapid bites<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>
	*Theoretic reduction in systemic toxicity		*Theoretic reduction in systemic toxicity<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>

	==Indications<ref>David A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 816-818.</ref>==		==Indications<ref>David A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 816-818.</ref>==
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	*Extricate the patient		*Extricate the patient
	[[File:Pressure immobilization.png\|thumb\|Australian Pressure Immobilization Technique<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>]]		[[File:Pressure immobilization.png\|thumb\|Australian Pressure Immobilization Technique<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>]]

	==Limitations==		==Limitations==
	*Insufficient pressure applied by provider		*Insufficient pressure applied by provider
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	==References==		==References==
	<references/>		<references/>

			[[Category:Environmental]]
			[[Category:Procedures]]

Athorne: /* IndicationsDavid A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742. */

2021-08-02T01:21:22Z

IndicationsDavid A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.

← Revisión anterior		Revisión del 01:21 2 ago 2021
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	*Theoretic reduction in systemic toxicity		*Theoretic reduction in systemic toxicity

	==Indications<ref>David A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: ~~742~~.</ref>==		==Indications<ref>David A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 816-818.</ref>==
	*Only useful in extremity bites		*Only useful in extremity bites
	*Neurotoxic [[Elapidae (Coral Snakes)]] bite (mamba, king cobra, taipan, etc.)		*Neurotoxic [[Elapidae (Coral Snakes)]] bite (mamba, king cobra, taipan, etc.)

Athorne: /* See Also */

2021-08-01T16:31:55Z

Athorne: /* Limitations */

2021-08-01T16:31:30Z

Limitations

← Revisión anterior		Revisión del 16:31 1 ago 2021
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	*Contraindication to self-extricate once applied		*Contraindication to self-extricate once applied
	*Contraindication to remove until antivenom available		*Contraindication to remove until antivenom available
	*Inadequate study in use of necrotic [[~~crotaline~~]] envenomations. Contraindicated at this time.		*Inadequate study in use of necrotic [[Crotaline (Pit Vipers)]] envenomations. Contraindicated at this time.

	==See Also==		==See Also==

Athorne: /* Considerations Before Application */

2021-08-01T16:31:01Z

Considerations Before Application

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	==Considerations Before Application==		==Considerations Before Application==
	*Not indicated in [[Crotaline (Pit ~~Viper~~)]] bites (ie. rattlesnake).		*Not indicated in [[Crotaline (Pit Vipers)]] bites (ie. rattlesnake).
	*Consider plan for extricating the patient		*Consider plan for extricating the patient
	**Patient must be ''carried'' out of the field once dressing is in place		**Patient must be ''carried'' out of the field once dressing is in place
	**The dressing must '''not''' be taken down ''until the patient has reached definitive care''. Removing the dressing may release a bolus of venom and antivenom should be immediately available.		**The dressing must '''not''' be taken down ''until the patient has reached definitive care''. Removing the dressing may release a bolus of venom and antivenom should be immediately available.

	==Technique==		==Technique==

Athorne: Created page with "==BackgroundRobert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s W..."

2021-08-01T16:30:06Z

Created page with "==Background<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s W..."

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==Background<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>==
*Type of field dressing developed and used in Australia primarily for elapid bites
*Theoretic reduction in systemic toxicity

==Indications<ref>David A. Warrell. Bites by Venomous and Nonvenomous Reptiles Worldwide. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>==
*Only useful in extremity bites
*Neurotoxic [[Elapidae (Coral Snakes)]] bite (mamba, king cobra, taipan, etc.)
*Sea snake bike
*[[Funnel-web spider bite]]
*Consider in: large snake size, particularly lethal species, prolonged fang contact, small patient size, prior exposure to venom

==Considerations Before Application==
*Not indicated in [[Crotaline (Pit Viper)]] bites (ie. rattlesnake).
*Consider plan for extricating the patient
**Patient must be ''carried'' out of the field once dressing is in place
**The dressing must '''not''' be taken down ''until the patient has reached definitive care''. Removing the dressing may release a bolus of venom and antivenom should be immediately available.

==Technique==
*Place the extremity in a neutral position
*Use an elastic or crepe bandage to wrap the entire affected extremity (distal to proximal)
*Wrap very firmly, with the same pressure used to splint a sprain, but not so much as to obstruct distal pulses.
*Continue to wrap the extremity to a rigid splint (ie. dowel) to immobilize.
*Extricate the patient
[[File:Pressure immobilization.png|thumb|Australian Pressure Immobilization Technique<ref>Robert L. Norris, Sean P. Bush, Michael D. Cardwell. Bites by Venomous Reptiles in the United States, Canada, and Mexico. Paul S. Auerbach. In: Auerbach’s Wilderness Medicine. 7th Ed. 2017: 742.</ref>]]
==Limitations==
*Insufficient pressure applied by provider
*Challenging to self-administer
*Contraindication to self-extricate once applied
*Contraindication to remove until antivenom available
*Inadequate study in use of necrotic [[crotaline]] envenomations. Contraindicated at this time.

==See Also==
*[[Snake Bites]]
*[[Funnel-Web Spider bite]]

==References==
<references/>

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	==See Also==		==See Also==
	*[[Snake Bites]]		*[[Snake Bites]]
	*[[Funnel-~~Web Spider~~ bite]]		*[[Funnel-web spider bite]]

	==References==		==References==
	<references/>		<references/>