Rationalisation of First-Aid Measures for Elapid Snakebite

Sutherland, Struan K.; Coulter, A.R.; Harris, R.D.

doi:10.1016/s0140-6736(79)90580-4

Cited by 201 publications

(92 citation statements)

References 10 publications

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“…Reports on Elapidae snake bites in Australia have suggested that pressure immobilization bandaging of the affected limb could impede the egress of toxins from the site of the bite and delay the onset of lifethreatening systemic involvement 23,35 . On the other hand, experimental studies have suggested that attaining the recommended pressure levels is technically very difficult and the effective use of this method might require extensive training and experience 26 .…”

Section: Discussionmentioning

confidence: 99%

Envenomation by Micrurus coral snakes in the Brazilian Amazon region: report of two cases

Pardal

Gadelha

et al. 2010

Rev. Inst. Med. trop. S. Paulo

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SUMMARYTwo cases of proven coral snake bites were reported in Belém, Pará State, Brazil. The first case was a severe one caused by Micrurus surinamensis. The patient required mechanical ventilation due to acute respiratory failure. The second case showed just mild signs of envenomation caused by Micrurus filiformis. Both patients received specific Micrurus antivenom and were discharged without further complications. Coral snake bites are scarcely reported in the Amazon region and there is a broad spectrum of clinical manifestations, varying from extremely mild to those which may rapidly lead to death if the patient is not treated as soon as possible.

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Section: Discussionmentioning

confidence: 99%

Envenomation by Micrurus coral snakes in the Brazilian Amazon region: report of two cases

Pardal

Gadelha

et al. 2010

Rev. Inst. Med. trop. S. Paulo

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“…Pressure immobilization is a technique routinely employed in the prehospital management of neurotoxic snake species in Australia. First described by Sutherland and colleagues in the 1970s, pressure immobilization involves wrapping the entire extremity with a bandage and then immobilizing the extremity with a splint [6]. The bandage should generate a pressure between 40 and 70 mmHg in the upper extremity and 55 and 70 mmHg in the lower extremity in order to effectively delay systemic absorption of venom [7].…”

Section: Introductionmentioning

confidence: 99%

“…Several animal studies have demonstrated delayed systemic absorption of venom with pressure immobilization [6][7][8]. However, studies have also revealed that pressure immobilization bandages are commonly applied incorrectly, even in a simulated setting following provider instructions and training [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Pressure Immobilization After North American Crotalinae Snake Envenomation

2011

J. Med. Toxicol.

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“…Sutherland, Coulter en Harris het in hulle navorsing aangetoon dat die toepassing van druk op die omgewing van die byt tesame met immobilisasie van die ledemaat die sentrale beweging van gif effektief vertraag. 7 Die drukverband behoort teen dieselfde druk as dié vir 'n verswikte enkel aangewend te word en die hele ledemaat moet gespalk word. Slegs in gevalle waar die slang duidelik as adder, dus sitotoksies, geïdentifiseer is, is geen drukverband nodig nie.…”

Section: Besprekingunclassified

Kennis en hantering van slangbyte deur algemene praktisyns op die platteland van die Vrystaat en Noord-Kaap

Stemmett¹,

Joubert²,

Vuuren³

2004

South African Family Practice

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Background: The aim of the study was to determine the knowledge of general practitioners in the rural areas of the Free State and Northern Cape regarding snake bites and their treatment. Methods:Telephonic interviews using structured questionnaires were conducted with a random sample of 50 general practitioners from rural areas in each region.Results: Doctors in each region indicated that they knew the snakes in their region (Free State 93.6% and Northern Cape 91.8%), but only 17% of the Free State and 53.1% of the Northern Cape doctors felt that they knew enough about the treatment of snake bites. More than three quarters of the Northern Cape doctors have polyvalent antiserum available and 49% have used it, compared to only 40.4% of Free State respondents who have polyvalent antiserum and 34.0% who have used it. Northern Cape doctors administer it correctly more frequently. Only a quarter of respondents knew that polyvalent antiserum can be used after the expiry date. Conclusion:The knowledge and treatment of snake bites by general practitioners must be addressed through more emphasis in undergraduate training and continuing medical education.

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Rationalisation of First-Aid Measures for Elapid Snakebite

Cited by 201 publications

References 10 publications

Envenomation by Micrurus coral snakes in the Brazilian Amazon region: report of two cases

Envenomation by Micrurus coral snakes in the Brazilian Amazon region: report of two cases

Pressure Immobilization After North American Crotalinae Snake Envenomation

Kennis en hantering van slangbyte deur algemene praktisyns op die platteland van die Vrystaat en Noord-Kaap

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