Re: Snake bite ,need an update please

[Guest guest]

Matt,

Shallow bite to the hand, possibly could be a lot worse if the snake had

gone for a good quality chew on the ankle. A bite to the hand is usually a

warning shot because it has gone in the wrong place, much like a dog

nipping. Legs and ankles have poorer circulation issues and also the snake

might not be kidding so much when you stand on it.

Any idea on the snake?

Any changes to the wound?

Any atropine?

Ross

> Snake bite ,need an update please

>

>

> Hello all,

> just sitting at work and we've just dealt with a snakebite,

> non descript snake...Grey about 150 cm, bite to hand, pt stable obs

> all ok, no neuro signs, no discolouration no pain bitten in last 30

> mins. Doc and I not too sure on snakebites I reckoned we should

> observe only no need for anti venom etc as asymptomatic wound cleaned

> tet.tox given. We think this was the right course (last time I

> learned about snake bite was in Belize 1998) Wounds did not look

> deep. I have read the stuff on the main site but can anyone assist

> with some info' so I can update myself.

> Cheers

> Matt

> PS Ian what is a Mockney? do you mean a shandy drinking monkey or a

> pretend cockney? either way some of us persons south of the midlands

> drink real beer

>

[Guest guest]

Hi Matt,

I think in general you are on the rigth track. As far as I remember,

Wound toilet and dressing

Symptomatic treatment

Put to rest

Monitor Closely, particularly for abnormal bleading, including, from the gums

I'd have a blood sample off him into a plain tube and leave to stand

Come back in 20 mins and see if its clotted, no clotting is usually an

indication of a problem

Remember if anti venom is indicated then stand by with the normal anyphalaxis

kit.

No IV fluid untill venomation know or known or not,

I think the main factor is monitor for bleeding, particularly haematuria etc.

If in doubt give the school of trop med a call they are usually pretty helpful

best wishes

Ian

Snake bite ,need an update please

Hello all,

just sitting at work and we've just dealt with a snakebite,

non descript snake...Grey about 150 cm, bite to hand, pt stable obs

all ok, no neuro signs, no discolouration no pain bitten in last 30

mins. Doc and I not too sure on snakebites I reckoned we should

observe only no need for anti venom etc as asymptomatic wound cleaned

tet.tox given. We think this was the right course (last time I

learned about snake bite was in Belize 1998) Wounds did not look

deep. I have read the stuff on the main site but can anyone assist

with some info' so I can update myself.

Cheers

Matt

PS Ian what is a Mockney? do you mean a shandy drinking monkey or a

pretend cockney? either way some of us persons south of the midlands

drink real beer

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[Guest guest]

Ross,

Cheers for the reply, The guy was absolutely fine, no medication

required at all. We are still no wiser as to the species and as he was eager

to leave we let him with advice to return if worse or problems developed, I

am in the middle east so the patients just say InSh'Allah (its all gods

will) and he didn't want to hang about.

Do you know of any sites with current advice on management of snake bites???

Regards

Matt

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[Guest guest]

Snake story..

Some years ago I was working on a drilling rig in the North Sea, and

one of the roughnecks introduced himself, and said in a very strong

'South Efrican eccent' .. Hi I'm xyx, and I trained as a midic in the

South Efrican army... If you need any hilp I'm an ixpert on snake

bites!!!

No?.. well you had to be there I suppose. :-)

Dave

Sorry about the accent.

[Guest guest]

Matt

What part of the world are you and what where the cicumstances leading to the

bite and where is the bite located. Just one last question was there any sign of

yellow marks around the head off the snake.

Tony M

mpe666uk <mpe666@...> wrote: Hello all,

just sitting at work and we've just dealt with a snakebite,

non descript snake...Grey about 150 cm, bite to hand, pt stable obs

all ok, no neuro signs, no discolouration no pain bitten in last 30

mins. Doc and I not too sure on snakebites I reckoned we should

observe only no need for anti venom etc as asymptomatic wound cleaned

tet.tox given. We think this was the right course (last time I

learned about snake bite was in Belize 1998) Wounds did not look

deep. I have read the stuff on the main site but can anyone assist

with some info' so I can update myself.

Cheers

Matt

PS Ian what is a Mockney? do you mean a shandy drinking monkey or a

pretend cockney? either way some of us persons south of the midlands

drink real beer

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Editor: Ross Boardman Editor@...

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[Guest guest]

Dear All,

Many thanks for the responses and the links, much

appreciated.Looking forward to the next topic!!!

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[Guest guest]

Matt

Try this site good photos and descriptions on all snakes it sounds like he met a

species of Opistogliphs possibly a cliff racer.

http://www.arabianwildlife.com/archive/vol3.1/snake.htm

England <mpe666@...> wrote:

Ross,

Cheers for the reply, The guy was absolutely fine, no medication

required at all. We are still no wiser as to the species and as he was eager

to leave we let him with advice to return if worse or problems developed, I

am in the middle east so the patients just say InSh'Allah (its all gods

will) and he didn't want to hang about.

Do you know of any sites with current advice on management of snake bites???

Regards

Matt

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Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

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[Guest guest]

Tony,

I'm in the Emirates but no further info' was available and the guy

self discharged when he was bored but thats the way of most of our patients

here thanks for the reply.

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