Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India

Snakebite is an important medical emergency. Anti-snake venom along with supportive care is the only specific treatment. However, many people put their faith in non-registered medical practitioners. Where medical aid is available, lack of trained health personnel jeopardizes the situation. This retr...

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Main Authors: S. Chauhan, S. Faruqi, A. Bhalla, N. Sharma, S. Varma, J. Bali
Format: Article
Language:English
Published: SciELO 2005-09-01
Series:Journal of Venomous Animals and Toxins including Tropical Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992005000300006
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author S. Chauhan
S. Faruqi
A. Bhalla
N. Sharma
S. Varma
J. Bali
author_facet S. Chauhan
S. Faruqi
A. Bhalla
N. Sharma
S. Varma
J. Bali
author_sort S. Chauhan
collection DOAJ
description Snakebite is an important medical emergency. Anti-snake venom along with supportive care is the only specific treatment. However, many people put their faith in non-registered medical practitioners. Where medical aid is available, lack of trained health personnel jeopardizes the situation. This retrospective study, the first of its kind, was aimed at studying the pre-hospital treatment as well as the behavior of patients bitten by snakes and referred to the Postgraduate Institute of Medical Education and Research, Chandigarh, India. A total of 88 cases that occurred between January 1997 and December 2001 were studied. Seventy patients received treatment prior to admission (the majority was treated by non-registered medical practitioners, registered medical practitioners, and MBBS doctors). The various treatment modalities used were: anti-snake venom (ASV), tourniquet, incision and drainage (I&D), tetanus toxoid, injections, and tablets. Non-registered medical practitioners still preferred tourniquet and I&D. The patients who were referred within 24 hours stayed less time in the hospital and spent less money on the treatment compared to those who were referred after 24 hours. Non-registered medical practitioners and inadequately trained health staff are often the first contact of snakebite victims. Their traditional and unscientific methods of treatment lead to unnecessary morbidity and increased treatment cost. It is therefore necessary to train these people adequately so that proper treatment can be instituted at the earliest.
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spelling doaj.art-81012ee1749e4898940acef29a2947b22022-12-21T20:11:31ZengSciELOJournal of Venomous Animals and Toxins including Tropical Diseases1678-91992005-09-0111327528210.1590/S1678-91992005000300006Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern IndiaS. ChauhanS. FaruqiA. BhallaN. SharmaS. VarmaJ. BaliSnakebite is an important medical emergency. Anti-snake venom along with supportive care is the only specific treatment. However, many people put their faith in non-registered medical practitioners. Where medical aid is available, lack of trained health personnel jeopardizes the situation. This retrospective study, the first of its kind, was aimed at studying the pre-hospital treatment as well as the behavior of patients bitten by snakes and referred to the Postgraduate Institute of Medical Education and Research, Chandigarh, India. A total of 88 cases that occurred between January 1997 and December 2001 were studied. Seventy patients received treatment prior to admission (the majority was treated by non-registered medical practitioners, registered medical practitioners, and MBBS doctors). The various treatment modalities used were: anti-snake venom (ASV), tourniquet, incision and drainage (I&D), tetanus toxoid, injections, and tablets. Non-registered medical practitioners still preferred tourniquet and I&D. The patients who were referred within 24 hours stayed less time in the hospital and spent less money on the treatment compared to those who were referred after 24 hours. Non-registered medical practitioners and inadequately trained health staff are often the first contact of snakebite victims. Their traditional and unscientific methods of treatment lead to unnecessary morbidity and increased treatment cost. It is therefore necessary to train these people adequately so that proper treatment can be instituted at the earliest.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992005000300006snake envenomationclinical featurestreatmentfirst aid
spellingShingle S. Chauhan
S. Faruqi
A. Bhalla
N. Sharma
S. Varma
J. Bali
Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India
Journal of Venomous Animals and Toxins including Tropical Diseases
snake envenomation
clinical features
treatment
first aid
title Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India
title_full Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India
title_fullStr Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India
title_full_unstemmed Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India
title_short Pre-hospital treatment of snake envenomation in patients presented AT a tertiary care hospital in Northwestern India
title_sort pre hospital treatment of snake envenomation in patients presented at a tertiary care hospital in northwestern india
topic snake envenomation
clinical features
treatment
first aid
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992005000300006
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