Chennai
Snakebite causes significant morbidity and mortality especially in rural areas due to geographical difficulties, lack of health care facilities, lack of education and less availability of anti-snake venom.
Not all snakes are poisonous but majority of the venomous snakes bites in India are caused by the four species-king cobra, common krait, russel viper and saw scaled viper. Toxins released by snakes can damage the muscles (cytotoxin), heart (cardiotoxin),nervous system (neurotoxin) or even can cause internal bleeding (hemotoxin). The symptoms of toxicity will be varied or sometimes mixed and is based on the individual species.
The symptoms includes typical fang marks, pain, swelling, redness, discoloration over the bite are, local tissue damage, involuntary closure of eyelids, internal bleeding, chest tightness, respiratory problems, disorientation and even death.
What should you must do in case of snake bite?
Do’s
Don’ts
Patients bitten by snake must be admitted immediately to a hospital. The patients without any symptoms will be kept under observation in the hospital for 8-12 hours to watch for any symptoms or lack of progression of the symptoms.
Primary care includes airway, breathing, circulation and evaluating the patients for signs of shock. The patient with signs of toxicity will be kept in the Intensive Care Unit and anti-venom would be initiated as soon as possible.
Blood tests will be done to check for bleeding tendencies, kidney function test, muscle damage. Anti-snake venom will be used if there are local reactions, tissue damage, neurotoxicity or any possibility of bleeding.
Prevention is by wearing proper footwear and do not try to touch snakes as they tend to strike when they feel threatened. The greatest challenge is to bring the patients at the earliest to the hospital and the availability of anti-snake venom. Proper education and awareness must be given to people especially in rural areas to prevent snake bite deaths.
Symptoms
Treatment
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