The last week was quite busy. We had about 20 patients brought in with snake bite. We lost Shivam couple of days back. By God's grace, only 8 of the 20 patients had evidence of envenomation. Interestingly, nine of the 20 patients brought the culprit snake, 7 of them dead snakes and two alive ! ! !.
Here are the snaps of the snakes brought . . . I'm glad that none of the snakes were non-venomous . . .
|This is a baby cobra which bit a 30 year old lady. Thankfully, there were no signs of envenomation.|
|This is a krait which bit a lady who was sleeping on the floor. Again, there was no envenomation.|
|This bit a 25 year old man on his toe. Again, no envenomation|
|Another krait. Again, the victim did not have features of envenomation.|
|This snake bit a 40 year old lady from a nearby village. She was brought in almost 12 hours after the bite. She had ptosis and respiratory distress. She maintaind saturation without need of intubation. Her ptosis resolved after 10 vials of ASV.|
|Another krait brought in by a patient who was bitten on the leg. Again, no features of envenomation.|
It is quite interesting that only one patient out of the six who brought in the dead krait had features of envenomation whereas two out of the three patients who brought a cobra had features of envenomation. Please note that there were 11 other patients who came with bites from unidentified snakes. 5 of them had features of envenomation and we had to give ASV.
And, we finished about 100 vials of ASV in 3-4 days, including 50 on a single day . . .
More, in the next posts . . .