Snake accident as an indicator of hospital care

Abstract

Snakebite is a biological-environmental risk with a higher prevalence in areas of agricultural, livestock, and fishing productivity, but it involves occupational and population displacement. As a phenomenon, it locates a susceptible population that in itself does not constitute a community, affects both genders, and geographically involves rural areas; dispersed rural areas and urban areas. Snakebite results in snakebite poisoning that can be symptomatic or asymptomatic, and where the lack of antivenin causes neglected disease. Purpose of the study: to systematize weakness due to hospital care in patients with snakebite. Methodology: qualitative multi-method research; descriptive; analytical-interpretive paradigm; in-depth interview; uses own instrument; opinionated sample population, verifies, validates, and triangulates results with specialists; duration period, thirteen weeks; scope of empirical approach HLR-Barinas. Results: there were 63 cases: 1 admission every 30 hours, with 3 severe cases; 2 complicated cases (social and psychopathological cultural behavior), 58 patients remained in triage with an average of 4-5 hours. Telephone follow-up in 40 cases due to confusing symptoms and the constant was, lack of reliability in the laboratory, where the specialist assumes to check by manual CT. Conclusion: snakebite is a neglected disease. In effect, the cases evolve after administering antivenin (90%) and in review with the resident, he shows little willingness to remain in this and does not know the clinical symptoms according to the species; regarding clinical history, 100% of cases lack information (causality and environment). Contribution: a methodology is suggested to correct weaknesses in hospital care and prioritizes how to improve it.