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epi pen and venom... consequences?

djs27 Jul 14, 2003 08:38 PM

Hey everyone,

I'm not sure that this question can be answered at this time. I havn't heard or seen any scientific or medical literature regarding this issue. In fact, I'm not sure if there is even a way to test this (at least in humans).

Does the use of epipen during anaphalactic shock caused by an envenomation have any effect on the distribution of venom throughout the body? (ie, speed up distribution, etc)

If it does, would this be a pro or a con? If type of venom is an issue, feel free to delve into each topic.

Any longterm consequence to using epipen during anaphalactic shock caused by a bite?

Obviously, if your throat is closing up or you've got pumpkin head (heh... sorry bfg, but I just re-read your Reptiles story), there isn't much choice in whether you should use epi pen or not. Just trying to look at all sides of the issues and assess any additional potential risks from a medical point of view. I do have epipen and will use it on myself in the case of anaphalactic shock, so this shouldn't turn into a debate of whether to use it or not.

Later,
Dave Smith

Replies (4)

djs27 Jul 14, 2003 08:42 PM

n/m

BGF Jul 15, 2003 04:58 AM

Good question. The accelerated heart rate would certainly push venom a bit further along but, as you mentioned, since the epi-pens are only used in an acute emergency, the risk of further venom spread is negligable in comparison the almost certain death from anaphylactic shock.

I'm sure Chris Harper will have a couple additions, being the EMT that he is.

All the best
BGF
Venom & Toxin Database

djs27 Jul 15, 2003 10:57 AM

Doesn't a large portion of the venom get spread through the body via the lymph system? If so, would an increased heartbeat drive it that much further?

Would the use of an ace bandage wrapped as tightly as a sprain control for the effects of increased heartbeat? Or would epinephrine drive the blood through the veins faster, regardless of an ace bandage?

I had trouble dealing with the wording on this last question especially. If you can't understand what I'm talking about, just ask clarification questions.

Thanks,
Dave

BGF Jul 16, 2003 06:15 AM

Ah gotcha, slightly different question. Yes the venom primarily enters the bloodstream via the lymph system (true intravenous envenomations are a rare occurance, contrary to sensationalistic media reports). A pressure bandage certainly greatly slows the spread of the venom and would greatly reduce any increased spread driven by the adrenalin injection.

All the best
BGF

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