Antivenin therapy rather than surgery is the best initial treatment for children with severe rattlesnake envenomation.
A study by Brian A. Shaw, MD, and H.S. Hosalkar at the Valley Children’s Hospital, in Fresno, California, United States, has found that aggressive use of antivenin appears to be as safe and effective for children as it is for adults.
Orthopaedic surgeons working in the Americas may be consulted in the care of patients bitten by rattlesnakes (genus Crotalus), particularly with regard to the possibilities of compartment syndrome and soft-tissue destruction.
Despite considerable evidence regarding the safety and efficacy of antivenin in the treatment of rattlesnake bites in adults, controversy persists regarding the roles of antivenin and surgery in the treatment of rattlesnake envenomations in children, the researchers wrote.
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