Shark bite - Revision history

Rossdonaldson1: /* Clinical Features */

2021-03-11T20:31:03Z

Clinical Features

← Older revision		Revision as of 20:31, 11 March 2021
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	==Clinical Features==		==Clinical Features==
			[[File:PMC2211397 pone.0001495.g002.png\|thumb\|Healed thigh many years after a shark attack.]]
	*Direct traumatic effects depend on size and species of shark		*Direct traumatic effects depend on size and species of shark
	*Typically, attack appendages of victims		*Typically, attack appendages of victims

Rossdonaldson1: /* Background */

2021-03-11T20:26:56Z

Background

← Older revision		Revision as of 20:26, 11 March 2021
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	[[File:Great white.png\|thumb\|Great white shark (#1 most fatal unprovoked attacks).]]		[[File:Great white.png\|thumb\|Great white shark (#1 most fatal unprovoked attacks).]]
	[[File:Tiger shark.jpeg\|thumb\|Tiger shark (#2 most fatal unprovoked attacks).]]		[[File:Tiger shark.jpeg\|thumb\|Tiger shark (#2 most fatal unprovoked attacks).]]
			[[File:Bullshark Beqa Fiji 2007.jpg\|thumb\|Bull shark (#3 most fatal unprovoked attacks).]]
	*White shark (''Carcharodon carcharias''), tiger shark (''Galeocerdo curvier'') appear to be disposed to human attacks than other species		*White shark (''Carcharodon carcharias''), tiger shark (''Galeocerdo curvier'') appear to be disposed to human attacks than other species
	*Approximately 70-100 shark attacks worldwide per year and 5-15 deaths		*Approximately 70-100 shark attacks worldwide per year and 5-15 deaths

Rossdonaldson1 at 20:25, 11 March 2021

2021-03-11T20:25:15Z

← Older revision		Revision as of 20:25, 11 March 2021
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	==Background==		==Background==
	[[File:Great white.png\|thumb\|Great white shark]]		[[File:Great white.png\|thumb\|Great white shark (#1 most fatal unprovoked attacks).]]
	[[File:Tiger shark.jpeg\|thumb\|Tiger shark]]		[[File:Tiger shark.jpeg\|thumb\|Tiger shark (#2 most fatal unprovoked attacks).]]
	*White shark (''Carcharodon carcharias''), tiger shark (''Galeocerdo curvier'') appear to be disposed to human attacks than other species		*White shark (''Carcharodon carcharias''), tiger shark (''Galeocerdo curvier'') appear to be disposed to human attacks than other species
	*Approximately 70-100 shark attacks worldwide per year and 5-15 deaths		*Approximately 70-100 shark attacks worldwide per year and 5-15 deaths

ClaireLewis: /* Management */

2019-09-28T21:48:40Z

Management

← Older revision		Revision as of 21:48, 28 September 2019
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	*Devitalized tissue should undergo debridement and copious irrigation		*Devitalized tissue should undergo debridement and copious irrigation
	**Most injuries require debridement and repair in OR		**Most injuries require debridement and repair in OR
	*Prophylactic antibiotics indicated for all shark bites, even when minor		*Prophylactic [[antibiotics]] indicated for all shark bites, even when minor
	**Coverage against ''[[Vibrio]]'' (doxycycline), ''[[Staph]]'', ''[[Strep]]'' species		**Coverage against ''[[Vibrio]]'' ([[doxycycline]]), ''[[Staph]]'', ''[[Strep]]'' species
	**Patients with abdominal injuries should be covered against enteric and anaerobic organisms		**Patients with abdominal injuries should be covered against enteric and anaerobic organisms

ClaireLewis at 15:35, 8 September 2019

2019-09-08T15:35:23Z

← Older revision		Revision as of 15:35, 8 September 2019
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	[[Category: Environmental]]		[[Category: Environmental]]
			[[Category:Trauma]]

ClaireLewis at 15:35, 8 September 2019

2019-09-08T15:35:06Z

← Older revision		Revision as of 15:35, 8 September 2019
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	==Background==		==Background==
			[[File:Great white.png\|thumb\|Great white shark]]
			[[File:Tiger shark.jpeg\|thumb\|Tiger shark]]
	*White shark (''Carcharodon carcharias''), tiger shark (''Galeocerdo curvier'') appear to be disposed to human attacks than other species		*White shark (''Carcharodon carcharias''), tiger shark (''Galeocerdo curvier'') appear to be disposed to human attacks than other species
	*Approximately 70-100 shark attacks worldwide per year and 5-15 deaths		*Approximately 70-100 shark attacks worldwide per year and 5-15 deaths
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	*Massive tissue injury		*Massive tissue injury
	**Substantial tissue loss from stripping mechanism and extremity amputation are common		**Substantial tissue loss from stripping mechanism and extremity amputation are common
	*Hemorrhagic shock		*[[Hemorrhagic shock]]
	*Extremely high incidence of contamination with atypical microorganisms leading to soft tissue infections and necrosis		*Extremely high incidence of contamination with atypical microorganisms leading to [[Skin and soft tissue infections\|soft tissue infections]] and necrosis
	**Most common organisms include ''[[Vibrio]]'' spp.		**Most common organisms include ''[[Vibrio]]'' spp.
	**Other potential organisms include ''[[Pseudomonas]]'', ''[[Staph]]'', ''[[Citrobacter]]'', ''[[Micrococcus]]''		**Other potential organisms include ''[[Pseudomonas]]'', ''[[Staph]]'', ''[[Citrobacter]]'', ''Micrococcus''
	*Death is usually due to lack of prehospital resuscitation, hemorrhagic shock, or drowning		*Death is usually due to lack of prehospital resuscitation, hemorrhagic shock, or drowning

Wilkis5611: /* Management */

2019-08-25T13:52:08Z

Management

← Older revision		Revision as of 13:52, 25 August 2019
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	**Most injuries require debridement and repair in OR		**Most injuries require debridement and repair in OR
	*Prophylactic antibiotics indicated for all shark bites, even when minor		*Prophylactic antibiotics indicated for all shark bites, even when minor
	**Coverage against ''[[Vibrio]]'', ''[[Staph]]'', ''[[Strep]]'' species		**Coverage against ''[[Vibrio]]'' (doxycycline), ''[[Staph]]'', ''[[Strep]]'' species
	**Patients with abdominal injuries should be covered against enteric and anaerobic organisms		**Patients with abdominal injuries should be covered against enteric and anaerobic organisms

Rossdonaldson1 at 17:29, 14 September 2017

2017-09-14T17:29:22Z

← Older revision		Revision as of 17:29, 14 September 2017
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	*Hemorrhagic shock		*Hemorrhagic shock
	*Extremely high incidence of contamination with atypical microorganisms leading to soft tissue infections and necrosis		*Extremely high incidence of contamination with atypical microorganisms leading to soft tissue infections and necrosis
	**Most common organisms include ''Vibrio'' spp.		**Most common organisms include ''[[Vibrio]]'' spp.
	**Other potential organisms include ''Pseudomonas'', ''Staph'', ''Citrobacter'', ''Micrococcus''		**Other potential organisms include ''[[Pseudomonas]]'', ''[[Staph]]'', ''[[Citrobacter]]'', ''[[Micrococcus]]''
	*Death is usually due to lack of prehospital resuscitation, hemorrhagic shock, or drowning		*Death is usually due to lack of prehospital resuscitation, hemorrhagic shock, or drowning

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	**Most injuries require debridement and repair in OR		**Most injuries require debridement and repair in OR
	*Prophylactic antibiotics indicated for all shark bites, even when minor		*Prophylactic antibiotics indicated for all shark bites, even when minor
	**Coverage against ''Vibrio'', ''Staph'', ''Strep'' species		**Coverage against ''[[Vibrio]]'', ''[[Staph]]'', ''[[Strep]]'' species
	**Patients with abdominal injuries should be covered against enteric and anaerobic organisms		**Patients with abdominal injuries should be covered against enteric and anaerobic organisms

Adriack: /* Management */

2017-09-11T16:35:59Z

Management

← Older revision		Revision as of 16:35, 11 September 2017
Line 27:		Line 27:
	*Devitalized tissue should undergo debridement and copious irrigation		*Devitalized tissue should undergo debridement and copious irrigation
	**Most injuries require debridement and repair in OR		**Most injuries require debridement and repair in OR
	*Prophylactic antibiotics		*Prophylactic antibiotics indicated for all shark bites, even when minor
	**Coverage against ''Vibrio'', ''Staph'', ''Strep'' species		**Coverage against ''Vibrio'', ''Staph'', ''Strep'' species
	**Patients with abdominal injuries should be covered against enteric and anaerobic organisms		**Patients with abdominal injuries should be covered against enteric and anaerobic organisms

Adriack: /* Clinical Features */

2017-09-11T16:34:37Z

Clinical Features

← Older revision		Revision as of 16:34, 11 September 2017
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	*Extremely high incidence of contamination with atypical microorganisms leading to soft tissue infections and necrosis		*Extremely high incidence of contamination with atypical microorganisms leading to soft tissue infections and necrosis
	**Most common organisms include ''Vibrio'' spp.		**Most common organisms include ''Vibrio'' spp.
	**Other potential organisms include ''Pseudomonas'', ''Staph'', ''Citrobacter'', Micrococcus''		**Other potential organisms include ''Pseudomonas'', ''Staph'', ''Citrobacter'', ''Micrococcus''
	*Death is usually due to lack of prehospital resuscitation, hemorrhagic shock, or drowning		*Death is usually due to lack of prehospital resuscitation, hemorrhagic shock, or drowning