A 31-year-old man arrives as ESI 2 after a rattlesnake bite to the hand 45 minutes ago. BP 118/72, HR 104. There is progressive swelling crossing the

Question

A 31-year-old man arrives as ESI 2 after a rattlesnake bite to the hand 45 minutes ago. BP 118/72, HR 104. There is progressive swelling crossing the wrist, ecchymosis, severe pain, platelets 88,000/mcL, and INR 1.8. Which of the following is the most appropriate next step in management?

Accepted Answer

Administer crotaline antivenom and monitor progression

Answer

Place ice packs directly over the wound

Answer

Apply a tourniquet proximal to the bite

Answer

Perform incision and suction

Answer

Discharge with oral antihistamines

Crotaline snake envenomation — ABEM Board MCQ

A 31-year-old man arrives as ESI 2 after a rattlesnake bite to the hand 45 minutes ago. BP 118/72, HR 104. There is progressive swelling crossing the wrist, ecchymosis, severe pain, platelets 88,000/mcL, and INR 1.8. Which of the following is the most appropriate next step in management?