Telephone management of severe wasp stings in rural Nepal: a case report.
We describe a young woman from a rural village in Nepal who suffered multiple wasp and hornet stings. She collapsed and was managed by a telephone consultation between a village health worker and a hospital specialist. The patient recovered fully. Not only was the telephone consultation efficient in terms of cost savings from avoided hospital treatment, but it was also effective since, with conventional care, there was a strong possibility that the patient would have died on her way to hospital. This case illustrates the potential for telephone-delivered rural care and management in emergency situations.
Room H005, School of Health, Community and Education Studies, Northumbria University, Coach Lane Campus East, Newcastle-upon-Tyne NE7 7XA, UK. tshering.lama@northumbria.ac.uk
Tshering
T
Lama
Biraj
B
Karmacharya
Colin
C
Chandler
Victor
V
Patterson
D058186:Acute Kidney Injury / Q000209:etiology / Q000517:prevention & control; D000328:Adult; D000818:Animals; D018926:Anti-Allergic Agents / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications* / Q000188:drug therapy; D009390:Nepal; D010632:Pheniramine / Q000627:therapeutic use; D019114:Remote Consultation / Q000191:economics / Q000592:standards*; D012423:Rural Health; D013689:Telephone; D016896:Treatment Outcome; D014863:Wasps
D018926:Anti-Allergic Agents; D004232:Diuretics; D010632:Pheniramine; D005665:Furosemide