General ER Note Sepsis Trauma Mammalian Bite Chest Pain Abdominal Pain Eye Injury
Bite Risk
LOW
Rabies—
Tetanus—
WHO Cat—
ER Note — Mammalian Bite

1สัตว์และสถานการณ์การถูกกัด (Animal & Bite Circumstances)

🇹🇭 Thailand is rabies-endemic — provoked/unprovoked and healthy/sick animal distinctions are not used for PEP decisions. All mammalian bites from reservoir species are treated as potential rabies exposure.

2Wound Assessment (WHO Category)

3Rabies PEP Regimen Selector

🇹🇭 Endemic logic: Since Thailand is rabies-endemic, provoked/unprovoked and healthy/sick animal status are NOT used to determine PEP. For reservoir species (dog, cat, monkey, other mammal), Category II/III exposure always requires PEP. Rodent and human bites do not require rabies PEP.
Rabies PEP plan: — select animal, category, prior immunization —

4Tetanus Prophylaxis (CDC 2024)

Tetanus prophylaxis: — select wound type + history —

5HPI · PMH · Allergies · PE

6Investigations & Treatment