snake bite treatment
Submitted: Sunday, Apr 10, 2005 at 11:08
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Joe
Hi,
We are leaving for a
Hay River trip mid year,which is rather a remote area.
To be a bit more prepared can members please advise......What teqniques, remedies are currently the correct procedure for a snake bit, given that getting to a hospital will very slow process in the event of snake bit.
I have read a small piece on activated charcoal being effective for
spider bites and snake bites, apllied as a poultic, but no details on how to do this and bandage teqchnique
Would appreciate your input
With thanks
Joe
Reply By: Member - Anni M (SA) - Sunday, Apr 10, 2005 at 11:31
Sunday, Apr 10, 2005 at 11:31
Hi Joe,
Assoc. Prof Julian White of
Adelaide Uni is the guru on envenomation. Here is his treatment for a snake bite. This also applies to a funnel web
spider bite.
Apply a firm broad bandage or similar (even clothing strips or pantyhose will do in an emergency) over the bite site, at the same pressure as for a sprain. Do not occlude the circulation.
Apply further bandage over as much of the rest of the bitten limb as practical. Ensure fingers or toes are covered to immobilise them. It is often easiest to go over the top of clothing such as jeans, rather than moving the limb to remove clothing.
Ensure the bitten limb is kept motionless by applying a splint and instructing the patient to cease all use of the limb and any general activity.
Always seek medical help at the earliest opportunity.
If the snake has been killed, bring it with the patient, but do not waste time, risk further bites and delay application of pressure bandage and splint by trying to kill the snake.
Do not wash the wound.
Do not use a tourniquet.
Do not cut or suck the wound.
Do not give alcohol to the patient.
Do not give food and only non-alcoholic clear fluids may be used for drinks.
For
first aid for
spider bites apart from the Funnel web
spider, Prof White says-
Reassure the patient that their life is not at major risk.
Apply an ice pack to the bit area
Seek medical advice.
Bring the
spider with the patient if possible.
Do NOT use a pressure immobilisation bandage.
I hope this is some help. Have a great trip
Cheers
Anni
AnswerID:
105984
Follow Up By: Willem - Sunday, Apr 10, 2005 at 18:25
Sunday, Apr 10, 2005 at 18:25
Thanks Anni
I have printed that out and it has gone into my book of info as we are off in to the great western deserts soon.
I must say however, that I have only seen 5 or 6 snakes in 30 years of
camping.
FollowupID:
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Follow Up By: Joe - Sunday, Apr 10, 2005 at 19:17
Sunday, Apr 10, 2005 at 19:17
Willem,
I did the same, and thanks again Anni,
In just over 12 months I have spotted, or have been immediately near 5 snakes on High Country trips....hence my wish to be more prepared and knowledgeable.
Regards
Joe
FollowupID:
363101
Follow Up By: Mike Harding - Sunday, Apr 10, 2005 at 19:25
Sunday, Apr 10, 2005 at 19:25
I've had "close encounters" with three Browns over the past two years.
I'm surprised you're not familiar with the pressure immobilisation technique Willem - it's been standard treatment for at least a couple of decades? The websites I mentioned give very clear information and pics. on the matter.
Mike Harding
FollowupID:
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Follow Up By: Joe - Sunday, Apr 10, 2005 at 19:31
Sunday, Apr 10, 2005 at 19:31
Hi Mike,
I have saved those websites in my "favorites". Given the number of "views" to this thread I would say a lot of others have learnt a lot as
well.
Regards
Joe
FollowupID:
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Follow Up By: Willem - Sunday, Apr 10, 2005 at 19:44
Sunday, Apr 10, 2005 at 19:44
Mike Harding
What gave you that idea?
It is always helpful to have information ready at hand as one is not always trained up to the minute to every aspect of
First Aid. I did a course some years ago and know the basics. Thats is enough for me.
FollowupID:
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Follow Up By: D-Jack - Sunday, Apr 10, 2005 at 22:43
Sunday, Apr 10, 2005 at 22:43
Anni M
Last time I got bitten my mate did all the things that you said not to do, bitten in the let, he cut the bite, sucked out the blood and poison, must have been the right thing to to because..... I'm............................... still.....................(long beep)
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Follow Up By: govo - Monday, Apr 11, 2005 at 22:17
Monday, Apr 11, 2005 at 22:17
Good advise Anni....I treated 4 snake bite victims when i was a army medic back in the late 1980s and this is excatlly what we used to do.
point of note though..all bites occured thru the army general purpose boot which had good leather upper ,victims all told me that they were suprised how fast the snakes hit..it scared the hell out of them.
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Follow Up By: Mike Harding - Tuesday, Apr 12, 2005 at 12:11
Tuesday, Apr 12, 2005 at 12:11
>point of note though..all bites occured thru the army general
>purpose boot which had good leather upper
GP boots are pretty good but nothing is going to guarantee protection. Partly it depends upon the kind of snake - Browns, apparently, only have fangs about 3mm long whereas the Taipan has 12mm+ ones. So boots would probably provide full protection against a Brown but only limited against a Taipan but they would, most likely, reduce the amount of venom the snake could inject. _Anything_ has got to be better than bare ankles and thongs! :)
Anyone know what the current Oz Army thinking is on snake protection?
Mike Harding
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Follow Up By: govo - Wednesday, Apr 13, 2005 at 09:22
Wednesday, Apr 13, 2005 at 09:22
So boots would probably provide full protection against a Brown...
ummm mike,all the diggers that we treated were bitten on or around the ankle area by brown's...also had one digger bitten on the hip by a red belly black..good thing about the black's is that there has never been a death in australia as the venom is not as lethal..sure made him pretty sick though.
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Follow Up By: Mike Harding - Wednesday, Apr 13, 2005 at 10:23
Wednesday, Apr 13, 2005 at 10:23
Hi govo
Surprising, given the short fangs of the Brown.
Suit of armour maybe...? :)
Mike Harding
FollowupID:
363525
Reply By: GO_OFFROAD - Sunday, Apr 10, 2005 at 18:42
Sunday, Apr 10, 2005 at 18:42
Willem, just like the gq was only a patched up mq, 14ply rags are not the answer any longer, and if you had fillings in your teeth before you left, 14 ply tyres would fix that before you got back. I think anyone who has run MTR's will testify to the tuffnes the new breed of tyre brings to the market over what has been available previously, or current.
Most of us have stopped carrying a 6th spare with MTR's, now the MTR rarely even gets a
puncture if run in the best 40% of tread depth.
AnswerID:
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Follow Up By: Willem - Sunday, Apr 10, 2005 at 20:26
Sunday, Apr 10, 2005 at 20:26
Smart arse
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Follow Up By: GO_OFFROAD - Sunday, Apr 10, 2005 at 20:32
Sunday, Apr 10, 2005 at 20:32
I was just stating some facts on the details, but thanks for the compliment.
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Reply By: ev700 - Sunday, Apr 10, 2005 at 21:35
Sunday, Apr 10, 2005 at 21:35
Hi Joe
There is a possibility of stepping on a snake on a path or in the evening. Best protection is shoes to ankle plus long pants or longer socks with sock protectors (keeps grass seeds and dirt out too!). Thongs and sandals offer no protection.
Encourage kids not to run around site on dark or later. Use torch, stay out of long grass and don't rush.
Oz snake fangs are short and venom trickles down outside (not like a hypodermic) so shoes and clothing (even lighter material) will very much reduce likelihood of skin damage and entry of venom.
Put a 15cm X 2 metre long crepe bandage in the glovebox of fourby, one in camper and carry one in day pack when hiking. 15 cm wide crepe bandage is ideal. If it is a foot or leg, start at bottom and wind past bite and as far up leg as possible (firmly, not tightly); if an arm or hand, start at fingers and go up to shoulder. Then try to keep limb still.
When collecting fire wood, turn log over and look b4 picking up. Wear leather gloves where possible - better for hands anyhow.
Tap out shoes, shake out clothing b4 putting on.
EV700
AnswerID:
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Follow Up By: govo - Monday, Apr 11, 2005 at 22:24
Monday, Apr 11, 2005 at 22:24
Uuum EV700..i would have to disagree with you on the bit about the fangs being short....the diggers l treated all had army GP's on..tough leather it is too
FollowupID:
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Reply By: Member - bushfix - Tuesday, Apr 12, 2005 at 13:00
Tuesday, Apr 12, 2005 at 13:00
G'day,
as has been indicated, prevention is better than cure....
If you are with the victim and you go to assist them, don't forget the first step of DRABC: Danger - if going to assist a victim, check for danger to yourself, not much good having two victims.
then continual monitoring of the victim's
Response
Airway
Breathing
Circulation
Rest and reassure the victim, make them as comfortable as poss. Documenting any changes in their condition is important as well as treatment for shock, which can result with delays in getting medical attention. In remote areas, you will need to decide on whether to travel to medical assistance or wait for it. As snake venom travels through the lymphatic system, rather than the blood, the bite and suck method would be of no use I reckon.
If you cannot get on a training course before your trip then at least invest in a decent
first aid kit and make sure your comms are in good order as well as being suitable for your area of travel as you may be able to get help over the airwaves. If you do not have a reference book then you may also be able to describe the snake and confirm that it is non lethal, otherwise you should always assume it is lethal.
Interesting mention by Crackles of the Fierce snake, Taronga Zoo states that one bite has enough venom to kill 200,000 mice. They declare it the most venomous land dwelling snake in the world, drop for drop of venom.
AnswerID:
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