SAQ 2022 – Child with suspected snakebite and abnormal coagulation tests

Marked out of 12.00

A highly distressed 6-year-old boy is brought by his parents 30 minutes after a suspected snakebite. He is holding very bruised fingers and vomited twice on the way to hospital.

Bloods show INR 5.8, APTT >150, fibrinogen <0.6, D-dimer >10, creatinine 60 (normal), CK 500 U/L, WCC 13 with neutrophils 8, platelets 400 and Hb 120.

State your three immediate priorities.

(Marked out of 3.0)

/ 3

What primary abnormality do the blood results demonstrate?

(Marked out of 1.0)

/ 1

What types of snake can cause this type of envenomation?

(Marked out of 2.0)

/ 2

List four envenomation syndromes caused by Australian snakes and one way antivenom should benefit each.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Clinical or biochemical envenomation feature</th> <th>Antivenom benefit</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 4

How does antivenom dosing and administration vary in children?

(Marked out of 2.0)

/ 2

Total Score: 0 / 12

Percentage: 0%