Dear Neil ,
Thanks for your valued reply.
Yousef
-----Original Message-----
From: Neil Iosson <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 02 يناير, 1999 06:07 م
Subject: Re: The use of torniquet, veno extractors and antivenom in
snakebites
>
>Hi,
>
>The Royal Flying Doctors of Australia have published an excellent
>monograph Management of Snake-Bite Injuries (ISBN 0 909406 56 1) I
>based a brief first aid article on the contents of the book, which is
>on the internet (
>http://www.cam.ac.uk/CambUniv/Societies/cufas/bge/snakes.htm).
>
>The essence of the monograph was
>1) Appropriate first aid treatment (possibly with simple resuscitation
>measures) was usually adequate to gain a 12-hour window in order to
>transport to a hospital
>
>2) Appropriate first aid was immobilisation of the limb (ie. not
>walking on a leg etc) with a compression bandage over the wound at a
>pressure similar to that used for a sprained ankle. Tourniquets are
>not advised because of the damaging effects of both the anoxia and
>reperfusion. Cutting out wounds, sucking out venom etc were not
>considered useful strategies.
>
>3) Monovalent (specific) anti-venom was to be preferred where the
>snake-type was known as polyvalent antivenoms are more likely to cause
>serum sickness and other complications. The monograph emphasised that
>they thought it very exceptional for anti-venom to be used in a
>prehospital setting because of (1) and also the likelihood of having
>the correct anti-venom available. (Polyvalent antivenom was
>recommended to be used with HDU level monitoring.)
>
>4) The authors noted that even with this policy of treatment at
>hospital for snake bites, there had been no deaths in the previous 10
>years.
>
>Obviously, this may not apply so clearly in Oman, where (I imagine)
>the transport infrastructure may not be so well developed.
>
>Neil
>
>
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