事件记录
面试官: You get bitten by a non-poisonous snake, ER or not? That's next on 范围.
播音员: Is it bad enough to go to the emergency room? 难道不是吗？? You're listening to "ER or Not" on 范围.
面试官: It's the game where you get to decide whether or not you would go to the ER and then we find out the correct answer from Dr. 特洛伊马德森, emergency room physician at University of Utah Health Care. ER or not today, you are bitten by a non-poisonous snake. Is that a reason to go to the ER?
Dr. 马德森: Non-poisonous snakes, first of all, you want to know that it is a non-poisonous snake. So in Utah, we're thinking primarily about rattlesnakes being the poisonous snake here of concern. So if you know it's not a rattlesnake, if it's a little garden snake that was in your yard, 你捡起来了, 它咬了你的手指, not necessarily a reason to go to the ER.
面试官: 好吧.
Dr. 马德森: But there is kind of one little caveat here, with this. With any bite, and we always think about it with snakebites, you have to think about tetanus. Something we have to think about with any laceration, anything like that. So if you can tell yourself, "好吧. I know I had a tetanus booster. It's been within the last 10 years. 我已经讲完了." In terms of the bite itself, everything's moving okay, it's not like it affected any tendons, 神经, 不是这样的, it's not a real deep bite, it's probably something you can just wash out at home and not go to the ER.
面试官: What about infection? Is that a worry in a snakebite as well? I know it's a worry with a lot of other bites.
Dr. 马德森: 它是 for a lot of other bites. And again, certainly, infection is something that you think about with snakebites. But if someone comes to the ER, they've got a couple little fang marks on their finger from a snakebite, 看起来很干净, it's not like a real dirty wound where they were working in the garden and their hands were real dirty and then the snakebite pushed a bunch of dirt into their finger, I'm not really going to start that person on an antibiotic for that.
面试官: 迷人的. So like getting bit by a dog, more worry of infection than getting bitten by a snake?
Dr. 马德森: 它是. And for me, it is just because the dog bites are 通常更深. There's usually more tissue involved. 我不知道. I can't say I have ever looked to see what the germ content of a dog's mouth versus a snake's mouth is.
面试官: There's somebody out there that probably knows.
Dr. 马德森: 可能有, 但对我来说, it's more just the fact that the dog bites are usually a much larger area, 通常更深, usually a lot more tissue involved.
面试官: 好吧.
Dr. 马德森: That's why with dog bites, I am usually thinking more starting antibiotics to prevent an infection where with snakebites, 通常, 不用担心, but something you have to watch out for to make sure nothing develops.
面试官: 好吧. So a non-poisonous snake bite, no need to go to the ER as long as you are sure you've had that tetanus booster within the past 10 years.
Dr. 马德森: 完全.
面试官: Wash it out and just watch it, at that point.
Dr. 马德森: 是的，把它洗掉. You can use some antibiotic ointment on it, 留意一下, make sure it doesn't develop an infection.
面试官: And if you have not had that tetanus shot, urgent care? 他们能给你...
Dr. 马德森: Urgent care is fine, yep. You get in to see your doctor within the next day or two, that's fine as well.
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