Emergency Medicine Book

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Animal Bite

Aka: Animal Bite
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  1. See Also
    1. Dog Bite Infection
  2. Indications
    1. Dog Bite
    2. Cat Bite
  3. Management: General
    1. Inject 1% Lidocaine through intact skin
    2. Copious wound irrigation with normal saline
      1. Set up 500 ml saline bag with 20 gauge angiocatheter
      2. Place bag into BP cuff and pump up to 300 mmHg
      3. Irrigate wound with 500 cc of normal saline
    3. Wound closure
      1. Indications for closure by Secondary Intention
        1. Puncture Wounds
        2. Infected wounds
        3. Wounds older than 24 hours
      2. Indications for Sutured closure
        1. Wound less than 8 hours old
        2. Wounds located on face
    4. Wounds near joint or bone
      1. Obtain baseline XRay of puncture
      2. Obtain Orthopedic Consultation
    5. Immunization
      1. Tetanus Vaccine
      2. Rabies Prophylaxis
        1. Indicated if dog with Unknown vaccination status
          1. Animal cannot be quarantined for 10 days
          2. Unprovoked attack
        2. Immediate wound management (see Rabies Prophylaxis)
        3. Administer Vaccine within 48 hours
    6. Antibiotic
      1. See Dog Bite Infection

Animal bite (C0003044)

Definition (MEDLINEPLUS)

Wild animals usually avoid people. They might attack, however, if they feel threatened, are sick, or are protecting their young or territory. Attacks by pets are more common. Animal bites rarely are life-threatening, but if they become infected, you can develop serious medical problems.

To prevent animal bites and complications from bites

  • Never pet, handle or feed unknown animals
  • Leave snakes alone
  • Watch your children closely around animals
  • Vaccinate your cats, ferrets and dogs against rabies
  • Spay or neuter your dog to make it less aggressive
  • Get a tetanus booster if you have not had one recently
  • Wear boots and long pants when you are in areas with venomous snakes
If an animal bites you, give the wound prompt attention and clean it well. Get medical attention if necessary.

Centers for Disease Control and Prevention
Concepts Injury or Poisoning (T037)
ICD9 E906.5
SnomedCT 157939001, 287171004, 31986002, 217696009, 418975000
English ANIMAL BITE, Animal bites NOS, Animal bites NOS (disorder), Animal Bites, Animal bite NOS, Animal bite, Animal bites NOS (event), Bite;animal, animals bites, animal bites, Animal bite (morphologic abnormality), bite; animal, animal; bite, Animal bites, Bite by unspecified animal, animal bite, Animal bites NOS (finding), Bite of animal (event), Bite of animal
Spanish mordedura de un animal, mordedura de un animal (evento), mordeduras de animales, SAI (evento), Mordedura de animal NEOM, mordeduras de animales, SAI (hallazgo), Animal bites, mordeduras de animales, SAI (trastorno), Animal bites NOS, mordedura de animal (anomalía morfológica), mordedura de animal, mordeduras de animales, SAI, Mordedura de animal
Italian Morso di animale, Morso di animale NAS
Dutch dierlijke beet NAO, beet; dier, dier; beet, dierenbeet
French Morsure d'animal SAI, Morsure d'animal
German Tierbiss NNB, Tierbiss
Portuguese Mordedura de animal NE, Mordedura de animal
Japanese 動物咬傷ＮＯＳ, 動物咬傷, ﾄﾞｳﾌﾞﾂｺｳｼｮｳNOS, ﾄﾞｳﾌﾞﾂｺｳｼｮｳ
Czech Kousnutí zvířetem, Kousnutí zvířetem NOS
Hungarian Állatharapás, Állatharapás k.m.n.
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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