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Ky. EMS crew faces hearing after giving antivenom to save reptile zoo director

Powell County EMS crew faces a hearing after learning that only wilderness paramedics can administer antivenom

POWELL COUNTY, Ky. — In May, James Harrison, director of the Kentucky Reptile Zoo, was bitten by a highly venomous Jameson’s mamba while working. Harrison received antivenom and spent several days recovering in the ICU. The first responders who assisted with the antivenom administration are now under scrutiny.

“I’ll be honest with you, I think it’s ridiculous,” Powell County Judge-Executive Eddie Barnes told WKYT.

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Barnes said he and another EMS worker responded after Harrison was bitten and were urged to administer antivenom immediately, with warnings that delay could progress from paralysis to respiratory arrest to cardiac arrest and death. Unable to reach their EMS director, the crew consulted medical staff at Clark Regional Medical Center.

While awaiting helicopter transport to UK Hospital, they administered the antivenom.

Medical professionals who reviewed the case said the responders acted appropriately and likely saved his life. The Kentucky Board of Emergency Medical Services sees it differently.

Barnes later learned the board changed its policy two years ago to allow only wilderness paramedics to administer antivenom. He and other EMS providers now face a hearing on Sept. 30 to argue for keeping their licenses.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.