Snake Bite.ppt

ENVENOMATION SNAKE BITE Vikas Kesarwani MD A/Professor Consultant, Pulmonary & Critical care medicine, HIHT University, Dehradun.

Epidemiology ,[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object]

Snakes : Introduction ,[object Object]

Snakes: Introduction ,[object Object],[object Object],[object Object]

India: Poisonous snakes In India, >200 species of snakes. Only 52 are poisonous. Krait and russell’s viper is much more toxic than that of cobra Sea Snakes Russell’s Vipers., Saw scaled Vipers., Pit Vipers. Cobra, Kraits Myotoxic Hydrophidae Hemotoxic Viperidae (Vipers) Neurotoxic Elapidae

Krait Cobra Pit Viper Rusell’s viper

Snake Venom ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSIS OF SNAKE BITE ,[object Object],[object Object]

Effects of envenomation ,[object Object],[object Object],Max. with Viper bite , least with Krait bite. Hence krait bite can sometimse go unnoticed .

Clinical features: VENOMOUS SNAKE BITES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Systemic features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],COBRA envenomation Cardiotoxicity

VIPERID BITE ( Viper ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],VIPERID BITE ( Viper )

HYDROPHID BITE ( sea snake ) Myotoxic ,[object Object],[object Object]

Management ,[object Object],[object Object],[object Object]

Management: Local ,[object Object],[object Object],[object Object]

Management: local reactions ,[object Object],[object Object],[object Object]

Specific Management ,[object Object],[object Object]

What is ASV? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ASV Indication: Systemic manifestaiton ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Timing of ASV ,[object Object],[object Object],[object Object]

Dose 5 vials(50ml) 5-10 vials (50-100ml) 10-20 vials (100-200ml)

Repeat dose ,[object Object],[object Object],[object Object],[object Object]

Antivenom reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antivenom reactions: What to do ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Skin testing for ASV ,[object Object]

ASV and children ,[object Object],[object Object],[object Object]

Mechanical ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object]

SUPPORTIVE CARE ,[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object]

HAEMOTOXIC ENVONOMATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Snake Bite.ppt

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