0 Management of a snake bite case

Management  of a snake bite case

Friends   snake  bites  are  very common in the entire world. But you might be unknown of some of the basic facts about snake. …..Which might help you to survive an attack of snake bites? Hence I recommend you all to read this article and share with your friends… as this much information might save the  life of any one may be of  your loved ones.

Have you ever  wondered  why  these snakes hs been  provided  by this  poison by the nature… yes you are right, it is just  defence mechanism  of  it…so 1s precaution for you is  never never irritate a snake by intentionally because  it will  endanger your life.

As  per  the data  available  more  than  60 % cases  are  because  of  human  involvement  with  the  snakes…

Snakes   esp. poisonous  snakes  are  nocturnal  means  they  usually come out of their pits only at night for the purpose of hunting so always be careful at nights or wherever there is more darkness.

In India, only 4 species of poisonous snakes are found.. They are cobras, kraits, vipers, hump nosed viper and sea snakes.

Some   other  poisonous  snakes  which  are  ffound in the world are: pit vipers, Russell viper, bird snakes, and coral snakes, bush master etc…

Hence  2^nd precautions  what  you  should  remember  that  in  only 5-6% of  snakes  are  poisonous  and  the  rest 90-95%  snakes  are  non-poisonous  so never be  nervous or afraid that you wil die after a  snake bite. Because  there  are chances  of  being  a non-poisonous  snake  as  they are more numerous…so always have  a  positive  attitude  that it  was a  non-poisonous snake…because  facts reveal  that  many  peoples  bitten by  the snakes die not because  of  the  snake  but  due the cardiac failure due to excessive anxiety.

So this doesn’t mean that you need not to take any precautions. Do take all necessary precautions such as immediate visit a hospital and get an anti-venom injection.

So  this  also  doesn’t  mean  that  you are  free to  disturb  any  snake…ant venom  also  acts when  it is  administered  immediately after bite… further when  neurotoxin  snakes  such  as  cobra  bites,   person  may  die  within 5 minutes.

Symptoms after snake bite ( cobra and kraits )

1) Neurotoxic snake bites:

a) Local  swelling  and  pain.

b) Krait  bites  are  painless  without  any selling.

c) Heaviness  of  eyelids.

d) Blurred vision and  diplopia  (things  appear double).

d) Paraesthesia  around mouth.

e) Headache, dizziness, vertigo, hyper salivation  and  red eyes.

f) Respiratory failure is the major cause responsible for death.

g)  Hypotension and ECG changes may occur.

2) bites by vipers

a) They mainly  have  local  and  hemotoxic  effects.

b) Local swelling, bruising, blistering, and  necrosis.

c) Bleeding  in  the  gingivae.

d) Hypotension  and  shock.

Heart failure and kidney failure may also occur.

They usually occur within 5 days  of  bite.

3)  bites by sea snakes

a) Muscle pains,  muscle weakness.

b) Cardiac  involvement  also occurs  here.

Management in simple steps.

1.   Reassure the patient.

2.   Immobilise the bitten limb.

3.   Get to the nearest hospital.

4.   Apply tourniquet just proximal to the wound if it takes more than an hour to reach the hospital.

5.   Tourniquet should be loose enough to allow a single finger.

6.   Don’t do any local incision as it may allow poison to enter even more easily.

7.   Do not apply ice over wound.

8.   Try to identify the snake but doesn’t go behind it.

9.   Maintain airway and breathing and circulation (in hospital).

  

10.                Clean   the  bite site  with   soap  water and  elevate  to  reduce  oedema.

11.                Don’t   allow the   patient  to sleep.  Or keep him  conscious.

12.                Administer monovalent or polyvalent anti-snake venom whichever available.

13.                Antisnake  venom  is  added  in  normal  saline  and  infused  at  the  rate of 1ml/ minute. If  reaction occurs, it may be given  rapidly over 1 hour.

14.                Dose of anti-venom should be 60 to 100 ml for both children’s and adults.

15.                Antivenom  may cause  some  life  threatening  side effects  such as  hypotension, bronchospasm  and  angionerotic  oedema. Hence  it should be managed

16.                These  reactions  are treated  with  adrenaline 0.5 to  1ml  subcutaneously,  chlorpheniramine  maleate  10 mg  I.V and hydrocortisone 100 mg is  given I.V.

17.                In  addition  neostigmine  in a dose of.5 mg  is  given every 30 min  for  cholinergic  side  effects.

Note:

Friends  this  much  information  is  enough  for anyone  to  save   anyones  life but all these  activities  require  experts  to carry  out. But some  of  the  steps  such  as  giving  first  aid and precautions  can be  taken by  any  individual.  Further  this  knowledge is for medical students,  health guides,  and  paramedical  staffs to  know  the  management  of such  ases. But  individual  application  of  any  of  these drugs  may  cause  severe  damage  to  the  patient  so  better  take  care  not to  apply  without  any  experts.  These  information  is  given only f or  knowledge.  Before  application  read  standard  books  on  the  subject.  And  take  help  of doctors  and  experts to  learn. We  are not responsible for  any  damage  occurred  due  to  application  of  any  of  these  drugs  and  knowledge.  For  any  kind  of  help  comment below  my blog  and  subscribe to  my  blog   for  my  future  guides  regarding   some   absolute   precautions  of   life … keep visiting friends.

Thank you