Traditional first aid in a case of snake bite: more harm than good

Yanamandra, Uday; Yanamandra, Sushma

doi:10.1136/bcr-2013-202891

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…27 Many authors have recommended that tourniquets should not be used in patients with snakebites because of the risk of aggravating local complications and the development of tissue ischemia and gangrene. [28][29][30][31][32][33] A Brazilian study comparing the clinical and laboratory data of patients with and without a tourniquet after a Crotalus durissus bite showed that tourniquet use in the field was ineffective in reducing the severity of C. durissus injuries, and new strategies are recommended to persuade people not to use a tourniquet in Brazil. 28 In a case report from Benue Valley, Nigeria, inappropriate application of a tourniquet after a bite from a viper snake triggered local complications leading to death.…”

Section: Discussionmentioning

confidence: 99%

Impact of tourniquet use on severity of snakebite envenoming in Chongqing, China: a single-center retrospective study

Yang,

Gao,

et al. 2024

J Int Med Res

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Objective To identify risk factors associated with snakebite severity and determine whether tourniquet use can affect the severity and outcome of snakebites. Methods The clinical data of patients who sustained limb snakebites from 1 March 2021 to 31 October 2022 were reviewed. The patients were divided into three groups according to snakebite severity: mild (517 cases), moderate (112 cases), and severe (8 cases). We compared the clinical data of mild versus moderate to severe snakebites. Multivariate logistic regression was used to determine the independent risk factors for moderate to severe snakebites. Results The study involved 637 patients. There were statistically significant differences in age, tourniquet use, onset time, white blood cell increase, platelet decrease, creatine kinase (CK) increase, activated partial thromboplastin time shortening, and length of stay between patients with mild snakebites and those with moderate to severe snakebites. Multivariate logistic regression analysis showed that age, tourniquet use, and CK increase were independent risk factors for moderate to severe snakebites. Conclusion The overall severity of snakebites in Chongqing is mild, and the prognosis is good. Age, tourniquet use, and CK increase are independent risk factors for the severity of snakebites. We do not recommend tourniquet use after snakebites in Chongqing.

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Section: Discussionmentioning

confidence: 99%

Impact of tourniquet use on severity of snakebite envenoming in Chongqing, China: a single-center retrospective study

Yang,

Gao,

et al. 2024

J Int Med Res

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“…Gigitan ular lebih sering terjadi pada pria dan sering kali menyerang bagian tubuh bagian bawah. Tingkat insidensi gigitan ular juga cenderung lebih tinggi selama musim hujan, yang juga merupakan saat meningkatnya aktivitas pertanian (Wintoko & Prameswari, 2020).…”

Section: Pendahuluanunclassified

“…Seperti yang di jelaskan oleh (Wintoko & Prameswari, 2020) mereka mengungkapkan bahwa Pada bagian tubuh yang digigit dapat terbentuk bulla yang besar dan tegang yang membutuhkan aspirasi jika terancam ruptur. Abses harus dibersihkan, surgical debridement diindikasikan untuk menghilangkan risiko sepsis anaerobik.…”

Section: Pembahasanunclassified

Systematic Literature Review (Slr): Pertolongan Pertama Pada Gigitan Ular

Usiono,

Utami

2023

JKT

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Penanganan pertama pada gigitan ular adalah aspek penting dalam penjagaan kesehatan masyarakat, mengingat risiko insiden ini di berbagai wilayah. Dalam penelitian ini, digunakan metode Systematic Literature Review (SLR) dengan tujuan untuk menyusun, mengevaluasi, dan menganalisis seluruh penelitian yang relevan dengan tujuan menjawab pertanyaan penelitian yang telah ditetapkan. Penelitian literatur sistematis ini, atau SLR, menguraikan prinsip-prinsip kunci yang berkaitan dengan pertolongan pertama pada gigitan ular. Hasil penelitian ini menunjukan bahwa Dalam konteks gigitan ular berbisa, langkah-langkah penanganan awal melibatkan menjauhi ular, menjaga korban agar tetap tenang, membersihkan luka, dan segera mencari pertolongan medis. Tindakan tambahan seperti memberikan tekanan ringan dengan perban elastik juga dapat diperlukan. Untuk gigitan ular yang tidak berbisa, penting untuk membersihkan luka dan memberikan perawatan yang sesuai. Respons cepat dan pemahaman tentang waktu yang kritis dalam memberikan pertolongan pertama adalah kunci dalam menghindari komplikasi serius. Pemahaman akan pentingnya pertolongan pertama yang efektif dan prinsip-prinsip dasar penanganan dapat membantu meningkatkan keselamatan korban gigitan ular dan mengurangi dampak insiden ini dalam masyarakat.

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“…In addition to the worsening of SBE pathology, traditional remedies also bring risks of extra disease, worsening and potentially weakening the patient. Such complications include infection [13]; injury from freezing, burning, cutting, or tourniquets [11]; and even intoxication [26]. Liver toxicity is associated with bajiaolian (Dysosma pleianthum), a Chinese medicine used for snakebite [26], and Arnebia benthamii used in Kashmir [27].…”

Section: Consequences Of Using Ineffective Traditional Treatments For Sbementioning

confidence: 99%

“…Black stones are also commonly discussed as the belief is that the porous nature of the burnt bone (called a black stone) will absorb the venom toxins [11]. Aqueous extracts from peacock feathers and ash are also believed to be effective for snakebites [12], and the application of cow dung after making incisions into the skin that, unsurprisingly, lead to severe infections and subsequently significant complications, including sepsis [13]. Consumption of alcoholic beverages is also a commonly used treatment, which often leads to further complications [11] but may aid the patient's mental state.…”

Section: Introductionmentioning

confidence: 99%

The Failures of Ethnobotany and Phytomedicine in Delivering Novel Treatments for Snakebite Envenomation

Trim¹,

Trim

Williams³

et al. 2020

Toxins

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Snakebite envenomation (SBE) is a high-priority, neglected tropical disease. This devastating occupational health hazard disproportionately affects rural farming communities in tropical countries. This is exacerbated by the distribution and densities of venomous snakes, incidence of encounters, and limited access to advanced healthcare, including antivenom. Before the development of antivenom, desperation and spiritual beliefs led patients to experiment with a wide range of traditional treatments. Many of these treatments still survive today, particularly in regions where access to healthcare is limited. Plants are a major source of bioactive molecules, including several lifesaving medications that are widely used to this day. However, much of the research into the use of traditional plant treatments for SBE are limited to preliminary analysis or have focused on techniques used to confirm antibody efficacy that are not suitable for non-antibody-containing treatments. Modern drugs are developed through a robust pharmaceutical drug discovery and development process, which applies as much to SBE as it does to any other disease. This review discusses specifically why research into ethnobotanical practices has failed to identify or develop a novel treatment for SBE and proposes specific approaches that should be considered in this area of research in the future.

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Traditional first aid in a case of snake bite: more harm than good

Cited by 5 publications

References 3 publications

Impact of tourniquet use on severity of snakebite envenoming in Chongqing, China: a single-center retrospective study

Impact of tourniquet use on severity of snakebite envenoming in Chongqing, China: a single-center retrospective study

Systematic Literature Review (Slr): Pertolongan Pertama Pada Gigitan Ular

The Failures of Ethnobotany and Phytomedicine in Delivering Novel Treatments for Snakebite Envenomation

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