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Not all bites involve actual injection of venom |
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Signs and Symptoms MAY include: |
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POSSIBLE COMPLICATIONS |
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PROBABLE OUTCOME |
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VENOMOUS SNAKEBITE EMERGENCY FIRST-AID INFORMATION |
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WHAT TO DO IF BITTEN |
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Immobilize
the patient horizontally and transport to medical care immediately, if
possible, try and keep bitten extremity at heart level or in a
gravity-neutral position. Allow bite to bleed freely for 15-30 sec. Remove rings or constrictive items close to the bite. Use only acetaminophen for pain. (Tylend or equivalent) Apply a broad pressure bandage over the bite site as soon as possible.
DO NOT take off jeans, as the movement in doing so will assist venom to enter the blood stream. DO NOT give alcohol. DO NOT apply ice. DO NOT apply an arterial tourniquet. (This can cause crippling injuries).
DO
NOT eat or drink anything
unless okayed by medical sources. DO NOT permit removal of pressure dressings, Sawyer or ACE bandage until you are at a facility ready and able to administer anti-venom. As soon as the dressings are released the venom will spread causing the usual expected problems of venomous snakebite. The hospital at this time must be prepared to administer the antidote. (anti-venom)
Skin
incisions are not recommended unless the person has medical training.
If
bite on hand, finger, foot or toe, wrap leg/arm rapidly with Ace
or crepe bandage past the knee or elbow joint immobilizing it, wrap no
tighter than one would for a sprain. Make sure pulses are present. Check for
pulses above and below elastic wrap; if absent it is too tight. Unpin and
loosen.
If
extractor not available apply hard direct pressure over bite using a 4 x 4
gauze pad folded in half twice. Tape in place with adhesive tape.
Bites
to face, torso or buttocks are more of a problem. Disinfect.
REMEMBER :
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Bungarus Falviceps |
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This snake is found throughout Thailand, has very distinctive black and
yellow bands and produces a very potent neuro-toxin. However, the
Banded Krait is nocturnal and during the day remains inoffensive and
placid. At the Snake Farm, in fact, you may watch attendants pick up a
whole armful of these snakes. |
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Each member of the family Viperidae has a pair of large, hollow fangs located anteriorly on the upper jaw which are connected by ducts to venom-producing glands. The fangs fold back against the roof of the mouth when it is closed. They swing forward when the mouth is opened to deliver a strike. Viper venom produces hemorrhagic blistering and extensive necrotic reactions at bite sites followed blood clotting disorders. There are at least 9 species of these snakes. Also known as the “one step and you’re dead” snake, Green Pit Vipers were the most common cause of snakebite among American soldiers in Vietnam, although no mortalities were reported. Today, Green Pit Vipers account for 93% of all venomous snakebites in Thailand. Death from Green Pit Viper bites are rare, and is usually caused by bleeding disorders and shock. A pooled polyvalent anti-venom for this group of snakes is being made by our Institute. However, the polyvalent Green Pit Viper anti-venom may not be effective against less common species of Pit Vipers. Current research should clarify these issues in the near future. Not all Pit Vipers are green. They have yellow or red eyes and most have reddish prehensile tails. Their heads are triangular and distinct from their bodies. Most Green Pit Vipers bite readily and are often encountered in trees or bushes, and in gardens. |
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N.siamensis Hood Markings and Golden Spitting Cobra |
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This snake, which grows to 1.5 meters in length, has hood markings which may be either spectable-shaped or U-, V-, or H-shaped. The distinctive characteristic of this snake is its ability to spit its venom at a predator. The fangs have an anterior opening, enabling the “spitting” of venom for a distance of up to 2 meters. Venom spit into the eyes will cause an immediate burning sensation. Left untreated, it may cause corneal inflammation and ulceration. The Indochinese Spitting Cobra is often confused with other cobras, and so the total geographic range of the snake is unknown. It is believed that Spitting Cobra bites are more common than reported, since bites are usually reported only as “cobra bites”. Recent studies have shown that anti-venom from the Monocled Cobra (Naja kaouthia) cross-protects against the venom of the Spitting Cobra. This may or may not be the case with the other species of Spitting Cobra found in the South of Thailand, such as the Golden Spitting Cobra (Naja sumatrana). This issue is currently being studied further. |
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Ophiophagus Hannah Family Elapidae |
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This well-known snake, which is the largest venomous snake in the world with
an average length of four meters, has recently achieved endangered species
status due to the commercial value of the skin, meat, and bile used in
Chinese traditional medicines. |
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Calloselasma Rhodostoma |
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This snake, like the Green Pit Viper, has a thermo-sensitive pit located between the nostrils and eyes which is used for finding warm-blooded animals. The Malayan Pit Viper has a thick body and grows to only about 1 meter long. Like the Green Pit Viper, its head is triangular and distinct from the neck, with an upturned snout. Its reddish-brown surface has dark, triangular markings. Due to its camouflage, the Malayan Pit Viper is hard to see and is an occupational hazard to rubber plantation workers and farmers. It strikes quickly and without hissing. The poison of the Malayan Pit Viper has a potent tissue-destructive and hemo-toxic action that can cause severe necrosis of muscles, resulting in crippling amputations. Mortality among hospital treated patients is rare in Thailand. |
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This black and white banded snake is nocturnal and one of the most dangerous snakes in Thailand. Malayan Kraits bite readily at times and without hissing. In addition to this, the bite is virtually painless, and victims may neglect to seek proper treatment. Farmers are the usual victims and are bitten when walking outdoors at night. Deaths from this snake are probably underreported, since most occur in rural areas, at night and unattended. Like the Cobra’s venom, the Krait’s venom is neuro-toxic and signs of paralysis may appear within minutes or be delayed for hours. Up until recently, no anti-venom was available for the bite of the Malayan Krait and little clinical experience has been reported for this snake. However, a study performed recently at our Institute showed that Banded Krait anti-venom protects mice against death from both Malayan Krait bites and Red-headed Krait bites. |
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This large group (at least 22 species) of very poisonous snakes remains
relatively unstudied. Like the Cobras and Kraits, they are members of
the family Elapidae. |
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Possibly the most dangerous snake in Thailand, the Siamese Cobra (known also
as the Monocled Cobra) inflicts a bite which, if left untreated, may result
in death after 1-6 hours. This black or brown snake grows up to two
meters long, and has hood markings usually shaped like ocelots or
masks. Albinos with red eyes are not uncommon. |
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Daboia Russellii Siamensis |
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This typical viper is related to the American rattlesnake and has the
triangular-shaped head of most vipers. It has a series of oval “blobs”
along its back and is brown in coloration. The Siamese Russell’s
Viper may enter human dwellings, and is a major cause of deaths in rural
Burma, where medical care is often not readily available. |
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Venomous Snakes of Thailand |
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At least 175 snake species have been identified in Thailand, of which 85 are
venomous. All venomous snakes are so from birth and even newborns can
inflict dangerous bites. It used to be that about 10,000 snakebite
injuries were reported in Thailand annually. However, the incidence
has been decreasing gradually over the past decade due to the exploitation
of the snakes’ natural habitat. Some snakes, such as the King Cobra,
have even reached endangered species status. |
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