i am not going to copy the entire paper here but I will post a couple of the basic things listed in the medical care.
Some of the first things for the doctors to do when the person gets to the hospital:
"establish a peripheral IV site in the unaffected extremity, and draw blood for the following laboratory tests: a. CBC wit differential, b. serum electrolytes, BUN/creatinine, phosphorus, magnesium. c. creatinine kinase (CK)- similar species have been recorded as causing myolysis. In severe cases requiring admission, consider serial CK levels to monitor for developing myolysis. d. Troponin I for all cases involving chest pain
Collect urine for urinalysis (macroscopic and microscopic analysis) Should include analysis for: a. Free protien. B. hemoglobin. C. Myoglobin
Perform electrocardiogram in all cases of chest pain or significant cardiac history.
Administer a Tetanus toxoid booster as needed
Prophylactic antibiotic use is controversial but a broad system antibiotic should be considered for 7 days."
Medications:
"The following medications are often ineffective when used alone, and combination therapy should be considered.
Pain meds:
Morphine (followed by some info)
Dilaudid (hydromorphone) (followed by info)
Benzodiazepines
administer benzodiazepines for the treatment of anxiety associated with the bite, and relaxation of excessive muscle cramping and spasms. May need to be used in conjunction with other muscle relaxants.
Diazepam (valium)
Lorazepam (ativan)
Muscle relaxants:
Methocarbamol (Robaxin) (followed by info)
Calcium
Dantrolene (dantrium)
The paper finishes with general monitoring care while the person is in the hospital and provides Joe's full information should they need to contact him for any more info.