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being the guy that takes care of all of these around here.....
I agree with TR. IF you are far away from medical attention, take ibuprofen, antihistamine, multivitamin and an antibiotic if you have it (cipro, bactrim, avelox, flagyl, etc). This combo attenuates the inflammatory response...slows but does NOT stop the progress of the reaction to the venom. Not all of them make you sick, not all of them need surgical debridement but you need to be monitored closely for adverse reactions and potential debridement. I'm running about 50% with surgical debridement and ~20 % who get 'sick'. Time is variable based on location of bite, degree of evenomation and your general health.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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