Early ventilatory support
Consider intubation when vital capacity <30% predicted or <12cc/kg
Wound Managment
Early wound debreedment with surgical consult.
Also exclude Necrotizing fasciitis and coverage with same broad antibiotic coverage
Consider intubation when vital capacity <30% predicted or <12cc/kg
Early wound debreedment with surgical consult.
Also exclude Necrotizing fasciitis and coverage with same broad antibiotic coverage
Equine Serum Botulism Antitoxin
only for patients > 1yo
Antitoxin obtained through CDC or local Department of Health.
only for patients > 1yo
Human-based Botulism IG 100mg/kg IV x 1 dose (BabyBIG)
infusion divided into 25mg/kg/hr IV x 15 min followed by 50mg/kg/hr if no allergic reactions
Stop infusion after total of 100mg/kg infused
BabyBIG obtained through CDC or local Department of Health
infusion divided into 25mg/kg/hr IV x 15 min followed by 50mg/kg/hr if no allergic reactions
Stop infusion after total of 100mg/kg infused
Equine Serum Botulism Antitoxin
only for patients > 1yo
Antitoxin obtained through CDC or local Department of Health
only for patients > 1yo
Individualize therapy with ID consultant
Broad antibiotic coverage same as for Necrotizing fasciitis while awaiting wound cultures
Bioterrorism antibiotics
Immunocompromised antibiotics
Blister chemical agents
Sepsis antibiotics
Arthropod and parasitic antibiotics
Skin and soft tissue antibiotics
Beta-lactams
GU antibiotics