Medicine What are the real clinical mysteries of serum therapy and why? 55 / 123 Toru

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Medicine
[Contents introduction]
● Not knowing about serum therapy may result in the patient's death.
● Until now, there has been no such thing as a summary of correct answers. The situation is also different from overseas. Use this manual to prepare for emergencies.
● It is widely recommended for doctors of emergency, intensive care, surgery, dermatology and pediatrics.
● "All the routes of administration of pit viper antitoxin are described in the package insert, but which is correct?" "Yamakake bite is the same DIC as pit viper, isn't it?" "Do we need serum therapy in the era of antibiotics and vaccines?"
These questions are answered in one go in this book.
[Contents]
General Remarks
1 Why is serum therapy now? What is two serum therapy? What's different from the antibody therapy that's in fashion now?
3 How was the serum therapy that Dr. Shibasaburo Kitasato devised at that time? Do you have detailed records such as papers? 4 Is "serum therapy" necessary in modern medicine? Aren't antibiotics and vaccines enough?
5 Are antitoxins and antisera unapproved drugs? What are the risks and how to deal with them?
6 I want to inject antitoxin and antiserum. Where do I call? Where are the antitoxin and antiserum? I don't think hospitals have it except for pit viper antitoxin.
7 Routes of administration of antitoxin / antiserum? Intravenous, subcutaneous, or intramuscular? Which is correct?
8 Measures against allergic reactions to antitoxin / antiserum administration, what is the correct answer?
9 What are hypersensitivity tests and desensitization procedures in the package insert? Does everyone do it?
10 Is it okay to give a second injection of antitoxin and antiserum?
11 I heard antitoxin and antiserum are free. Is that true? If there is a charge, please let me know the price!
12 What is the dosage of antitoxin and antiserum for children? Can it be converted into weight?
13 When injecting antitoxin or antiserum, what should be done to explain to the child patient and his / her family?
14 Something bit you on land. Did it sting? What is poisonous in Japan? What? If I can say everything, there is nothing to be afraid of in the outpatient clinic.
Details
Introduction
15 What is the target disease for therapy? In general, natural toxins and infectious diseases? Give me the big picture, Zubari.
Natural Poison
snake bite wound
16 How do you know if a person who has been bitten by a snake is a viper? It is dangerous for doctors to judge from the shape of the snake. Cepharanthine for 17 pit viper bite woud, right? Then why Cepharanthine? And why? It seems that there was a the academic society. Is it true that if you don't use viper antivenom for 18 pit viper bite woud, you will lose the court? Can I send the 19 pit viper bite woud patients home? Should I refer them to somewhere?
20 "I have treated 100 cases of pit viper bite woud without pit viper antivenom. They're all alive. Therefore, we don't use pit viper antitoxin. " What's the problem with this idea?
21 Is pit viper antitoxin effective?
22 I hear people die of pit viper bite woud. why do they die? Cause of death?
23 Is the rumor true that you won't be able to produce viper antivenom anymore?
24 What is the difference in symptoms when bitten by a mountain beetle and a pit viper?
25 What are the essential points to be aware of when examining a patient who has been bitten by a mountain beetle?
26 Where is Yamakagashi antitoxin?
27 What should I be careful about when I use Yamakasa antitoxin? Liquid vs. dry? Isn't it just dissolving the powder in raw food?
28 Is there a therapeutic alternative to Yamakagasi antitoxin?
29 Is Yamakagashi only in Japan? I heard Chinese people say I'm not a viper.
30 How does antitoxin work when administered to mountain beetle bites?
31 What is the typical pattern of tourists being bitten by a hub in the Okinawa and Amami regions?
32 Habu bite in Tokyo? Is that possible in the future?
33 Is it all right to talk to a snake specialist on the phone and treat him as he is? What are the dangers of that scheme? Medical Act violation?
34 snake bite wound is a minor disease, right? Is it true that it has something to do with global warming? NTDs?
Poisonous Spider Bites
35 Is red-back spider the only poisonous spider? I hear about gray widow spiders and black widow spiders.
36 If a red-back spider bites you, you die? 37 red-back spider. Is antitoxin imported? I heard that there is a domestic red-back spider antitoxin.
38 Where is red-back spider antitoxin in the first place? Where is it?
39 I heard that red-back spider antitoxin had no effect in RCT. Red-back spider, does the antitoxin work?
Toxic Marine Bites
40 What is a Habu Jellyfish bite or a Onyx Maokoze bite? Is antitoxin available in Japan?
41 As I recall, Habu jellyfish antitoxin and Onidarumaocoze antitoxin were stored in Okinawa prefecture in the past, weren't they? Is it still there or not? Which one is it?
42 Isn't it only in Okinawa that there are Habu jellyfish stings and Onidarumaocoze bites? Is there a possibility that it will happen in Honshu in the future? Enoshima, Boso, Izu, OK?
bacterial infection
diphtheria
43 What's so scary about diphtheria?
44 Is it true that diphtheria is increasing in Japan even though people get vaccinated?
Gas Gangrene
45 Gas Gangrene What is antitoxin? From its history, effect and adaptation to the present.
46 What infections are most likely to benefit from gas gangrene antitoxin?
Botulinus
47 There seems to be a detailed type of botulinus antitoxin for botulism, but is it different between Japanese and US?
tetanus
48 What is the diagnosis of tetanus? Are there any diagnostic criteria? If Clostridium tetani is not cultured, can I deny tetanus?
49 Can I use the US guidelines for tetanus prevention in Japan? The vaccine schedule differs from country to country.
50 A stable supply of tetanus toxoid is at risk. Maybe there will be a day when I can't say, "Hit it when you break it."
What does 51 tetanus mean that after a little while, it will actually be possible to fully immunize the whole nation?
Viral
SFTS
52 Effective for SFTS with no treatment?
Ebola
53 You were doing serum therapy for Ebola at GOLGO 13 』, 『. Is there any medical proof? Comic book world?
COVID-19
54 Did you do serum therapy in the early days of the coronavirus? Does it work or doesn't it work?
In place of an afterword,
55 Zubari hears about the future of serum therapy (shifting from a domestic perspective to a global one)
List of Freeze-dried Mamushi Antivenom, Equine destinations
Indexes
Biographies of authors
Graduated in 2002 from the Department of Medicine, Department of Emergency Medicine, CCM, and Director of HCU, St. Luke's International Hospital
Brief History
Graduated in 2002 from the Department of Medicine, Tokushima University, Kobe City Nishi Municipal Hospital (currently Kobe City Medical Center West Hospital)
Rotated internal-medication-related
Rotated in 2003 from the Department of Surgery, Tokyo National Disaster Medical Center
Graduated in 2005 from the Department of Emergency Emergency Medicine, Kagawa University School of Medicine and Graduate School of Medicine
Assistant Professor, Emergency Disaster Medicine Course, Kagawa University School of Medicine and Graduate School of Medicine
Completed in 2016 from the Department of Emergency Disaster Medicine, Kagawa University School of Medicine and Graduate School of Medicine
Completed in 2017 from the Department of Emergency Disaster Medicine, School of Medicine and Graduate School of Medicine <2022 2013 2018 2021 National Disaster Medical Center St. Luke's International Hospital St. Luke's International Hospital St. Luke's International Hospital