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Thu Apr 12 20:22:18 BST 2007

Let us know.  I too thought it was a horrible joke until I read Dr
Hardcastle's note.  This has become very interesting.

Bif RN

             "Bryan Karla"                                                 
             <Karla.Bryan at HCAh                                             
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                                                                   Subject 
             04/12/2007 11:49          RE: Rabid bears                     
             AM                                                            

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Have you ever been snipe hunting Pret? I thought Westerners are the only
ones who knew what snipes and jackalopes are!

This was a grizzly, not that it makes any difference. The incidence of
rabies in bears of any kind in Idaho and Wyoming is zero according to
the state epidemiologists. But who wants to take the chance? I'm still
researching whether there have been any lawsuits regarding this issue. I
heard that there is one pending in Montana. I've got a call in to the
particular hospital.

Karla

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Pret Bjorn
Sent: Thursday, April 12, 2007 11:11
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Rabid bears

Of course it is IMMENSELY unlikely that an American Brown Bear would be
either predator or prey to a rabid animal -- hence the lack of
bear-borne rabies in the available literature.

It's the snipes and jackalopes you really have to watch out for.

Still, it is at least theoretically possible, and I'd hate to be
associated with the first case.  I'd take the shots.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of Krin135 at aol.com
Sent: Thursday, April 12, 2007 10:38 AM
To: trauma-list at trauma.org
Subject: Re: Rabid bears

<http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2007-April/_http://www.cdc.gov/ncidod/dvrd/rabies/Epidemiology/Epidemiology.htm_
(http://www.cdc.gov/ncidod/dvrd/rabies/Epidemiology/Epidemiology.htm) >

is a link to the CDC rabies information page, specifically, the
epidemiology of same...I don't see anything there on bears...and
suspect, like  Pret, that you have having your leg pulled...bats,
raccoons, foxes, coyotes, and domestic animals, yes...even one
horse...no bears...

I do agree with Pret that if there is any question as to the rabies
status,

then prophylaxis should be given. The first dose of HDCV is given IM,
followed  by a full schedule. In addition, the appropriate immune
globulin should given by  weight, with, IIRC, the dose being split, half
being injected into the wound  area and the other half given remotely
from the first dose of vaccine.

ck
Charles S. Krin, DO FAAFP

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Rabid bears