SNAKEBYTE EMERGENCY FIRST-AID INFORMATION
WHAT TO DO IF BITTEN BY A VENOMOUS SNAKE
- Allow bite to bleed freely 30 secs.
- Use Sawyer Extractor (see below) for 15secs to 1 minute over both fang
tracks
- Cleanse and/or disinfect bite area throughly if possible
- Apply hard direct pressure over bite using a 4 x 4 gauze pad folded in
half x 2
- Soak gauze pad in Betadine(tm) solution if available if not allergic
- Strap gauze pad tightly in place with adhesive tape
- Overwrap dressing above and below bite area with ACE bandage
- Wrap ACE (elastic) bandage as tight as one would for a sprain. Not too
tight.
- Check for pulses above and below elastic wrap; if absent it is too tight
- Immobilize bitten extremity, use splinting if available.
- If possible, try and keep bitten extremity below heart level or in a
gravity dependent position
- Go to nearest hospital or medical facility as soon as possible
- Try and identify, kill and bring ( ONLY if safe to do so) offending snake
What Not to Do if Bitten by a Venomous Snake
- Contrary to advice given elsewhere DO NOT permit removal
of pressure dressings or ACE bandage until you are at a facility ready and
able to administer antivenom. As soon as the dressings are released the venom
will spread causing the usual expected problems of venomous snakebite. The
hospital at thias time must be prepared to administer the antidote
(antivenom).
- Do not eat or drink anything unless okayed by medical sources
- Do not engage in strenuous physical activity
- Do not apply oral (mouth) suction to bite
- Do not cut into or incise bite marks with a blade
- Do not drink any alcohol or use any medication
- Do not apply either hot or cold packs
- Do not apply a narrow, constrictive tourniquet such as a belt, necktie or
cord
- Do not use a stun gun or electric shock of any kind
- Do not remove dressings/elastic wraps until arrival at hospital and
antivenom available.
- Do not waste time or take any risks trying to kill, bag or bring in
offending snake
WHAT TO TELL THEM AT THE HOSPITAL
- Ask Staff to Contact Poison Control Immediately
- Locate nearest Antivenom Resource (for NA species: Wyeth-1-610-688-4400)
- Ask staff to use physician consultants available thru Poison Control
- Alternatively contact Snakebite consultants through N.Y.C.
Snakebite/Jacobi Hospital, Bronx, NY (Exotic Snakebites should also contact)
Emergency Hotline at 1-718-430-6494
- This webpage provided as a public service by S. Grenard and any
questions may be directed to him regarding its content at: grenard@con2.com
or, more expediently if necessary, at 1-718-227-6234 or digital beeper
1-917-354-8289.
WHAT SHOULD MY SNAKEBITE-KIT CONTAIN?
You can make up your own snakebite
kit easily and relatively inexpensively. In addition to a ammunition or similar
pouch such as available in any army-navy or surplus store to contain the stuff,
you should have the following items: At least one roll each of 2" and 3" ACE or
comparable elastic bandaging with clips. Several sterile 4 x 4 surgical gauze
pads; a small bottle of betadine solution. One roll each of 1/2" and 1" surgical
adhesive tape. (Do not use paper or clear plastic tape). Sawyer Extractors, if
you want to include them, are available in most camping gear, hunting/fishing or
outdoors shops. If you cant find this device it is available from this website
for $15 or two for $25 with profits used to help maintain the various
educational website operations. Be Prepared. Whether you are out in the field
where venomous snakes occur or you keep them as a hobby or work with them in
your job, these essential items, the ability to apply them rapidly without panic
or confusion, can buy you precious time and help save your life if the
unthinkable occurs. Never travel alone and never work with venomous species
alone.
WEBSITES OF RELATED INTEREST
Herp Medical
Page -- Go here for links to venomous snake and other snakebite website
links.
PLEASE READ THE FOLLOWING DISCUSSION:
This website advocates the use of containment of injected venom at or near
the bite site using broad (2"-3"-4") compression bandaging such as ACE(tm)
elastic bandage. This is the standard worldwide accepted first-aid treatment of
bites by elapid snakes such as cobras, coral snakes and many Australian species.
This method has delayed on the onset of serious snakebite symptoms as long as 24
hours in Australia where victims of deadly bites were that far from medical
assistance.
However, the use of containment for certain types of North American pit viper
(rattlesnake, moccasin and copperhead) bite is felt by some to increase the risk
of disfiguring local tissue injury, which, while not necessarily life-
threatening by itself may necessitate skin grafts and extensive repair and
treatment once the acute, life -threatening phase of the event has passed. We
feel that the spread of venom to vital organs can be life-threatening and that
you have no way of knowing how life-threatening a snakebite is in the first
moments of the event. Therefore, users of this method must recognize that there
is a trade-off: containment as a life-saving measure at the risk of local tissue
or even kidney damage which while not necessarily life-threatening, could be
disfiguring, painful and/or which could require prolonged and extensive
follow-up treatment. We therefore urge readers who decide to use this method on
ANY type of snakebite as a life or death decision but to make that decision in
recognition of the above information. Compression bandages are standard in
Australia but these are most elapid bites although some have some local tissue
or muscle effect as well. Cobras, for example, have direct acting cardiotoxins
so containment is important in bites by these snakes. Significant bites directly
into blood vessels are invariably fatal as the ability to contain venom is
impossible under such circumstances. Most bites are into the subcutaneous
lymphatic circulation, the flow of which is impeded or halted, by the methods
advocated.Many N.A. pit viper bites are myotoxic. Significant injection of venom
may reach one of the body's most important muscles - the heart. For this reason
and this reason alone we would rather risk local muscle and tissue damage,
possible kidney damage from myoglobin spillage into the urine, then risk direct
cardiac effects. Its up to you.
This website is for informational purposes
and no liability is assumed in its use. Always consult with a competent medical
professional regarding health related issues.