Stiletto Snake Bite -Atractaspis bibroni

This section will help you get first aid treatment protocols incase of an envenomation. This includes indigenous and exotic reptiles. Please do not use this forum for photo sharing, etc.

Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Wolf777 » Mon Dec 06, 2010 8:33 pm

That poor man! If I get bit by a venemous snake there is no way that I would go to a public hospital for treatment, especially not around here.
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Piston » Mon Dec 06, 2010 8:43 pm

This is just shocking. I've been bitten by a Stiletto d within 4days the swelling went down with no damaged. You just need to be put on a IV, some pain killers and antibiotics, Keep your arm above your heart and you would be fine. This guy is going to have way worse problems, not to mention the scars. STUPID
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Psychogav » Mon Dec 06, 2010 8:57 pm

:shock: :shock: :shock: :shock:
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Superciliaris » Mon Dec 06, 2010 8:59 pm

Appalling !
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Spider » Mon Dec 06, 2010 9:03 pm

What the HELL!!! This is shocking.
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby froot » Mon Dec 06, 2010 9:06 pm

Wow!

Well what's done is done now hey, no turning back. If they want advice then ask them to take heed of this:
Regardless of the amount of swelling a quick trick to tell if compartment syndrome is even worth investigating further, all you need to do is pinch a fingertip so that the blood is squeezed out it and it turns white. If it turns pink again shortly after releasing it then blood is getting to the extremities and compartment syndrome can be ruled out for the time being.

For this species this is completely unneccessary so rule it out anyway in future. For an A. bibronii bite treat the symptoms, not the bite and do not administer medicines that thin the blood, affect clotting mechanisms or are labouring on the kidneys and liver.

Thanks for sharing this Fooble, now other doctors can see what NOT to do!
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Jamster » Mon Dec 06, 2010 9:13 pm

Hey piston, werent you still able to continue frogging for the next few dways even with the bite...?
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Bianca » Mon Dec 06, 2010 9:25 pm

:smt018

Please warn us about gruesome pics in the subject before posting!!!!
:shock:
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Jen » Mon Dec 06, 2010 9:50 pm

Oh dear! Unfortunately, this was a bit of a bugger up. The poor guy's has been bitten on the finger - there's no way he could have developed a forearm or upper arm compartment syndrome without a hand compartment syndrome. The hand has not been cut at all, which means that the 'at risk' compartments have not been released.
It is very difficult to say just by looking at a photo if there is a compartment syndrome. As Froot says, delayed capillary refill is a way of detecting it. The first signs are extreme pain and tingling (from compression & reduced blood flow to the nerves), followed by swelling. The signs of generalised reduced blood flow come next - slow capillary refill and finally a loss of pulse. But, either way - the wrong compartment's been released!
Where is he being managed? He should be under the care of a surgical unit with at least one specialist surgeon. If not, he should be transferred.
FYI - that's muscle, tendon & deep fascia (the covering of muscle) - there is no bone exposed.
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Jen » Mon Dec 06, 2010 9:53 pm

Wolf777 wrote:That poor man! If I get bit by a venemous snake there is no way that I would go to a public hospital for treatment, especially not around here.

An unsupervised junior doctor is a dangerous thing... But, if I was really critically ill there's no way I'd want to be in a private hospital - put me in a public ICU any day. That's where the really experienced, renowned people work - not in private
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Graeme » Mon Dec 06, 2010 9:59 pm

That's interesting Jen, how so? I don't for one second doubt you, but perhaps this information could save lives in the future.
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby leonthemenace » Mon Dec 06, 2010 10:04 pm

Remind me to rather keep my mouth shut and try to treat myself....think i will be better of with the entry level medical course i did in high school.
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Fooble » Mon Dec 06, 2010 10:18 pm

It's such a hard thing to weigh up in my opinion.
The doctors/medical staff in essence are trying to help this person and doing their best ( in their minds) to help.
I dont for one minute think they would do such a thing if they really understood what the effective treatment should be.
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby Jen » Mon Dec 06, 2010 10:18 pm

@ Graeme - the academics stay in Government practise. I'm not talking about medical outpatients in some dorp - I'm talking about the Professors heading up Intensive Care Units and specialist units in the large centres. They remain up to date and are aware that information is constantly changing. They aren't too arrogant to ask help from an expert, to perform an internet search or to change their practise based on good sound evidence. I know this is a generalisation, but there are some people in private practise, including specialists, who carry on doing the same thing they were taught when they qualified, even if that was 20 years ago!
Plus, a private ICU is a goldmine - doctors can charge a fortune so they are very possessive about the patients there - they will look after critically ill patients, and not ask for the help of an intensivist (a superspecialised anaesthetist or surgeon), even if they are way out of their depth, because then they lose the money. In government, we have daily wardrounds with academic discussions about each patient, sometimes with up to 4 intensivists together.
Government food & cleanliness is no joke, but if I'm really ill or get stabbed in the heart, government docs are way more equipped to deal with it.
Obviously, there are many good, competent doctors in Private Practise, but when some Private Hospitals have doctors just out of community service staffing their casualty, it concerns me a bit...
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Re: Stiletto Snake Bite -Atractaspis bibroni

Postby leonthemenace » Mon Dec 06, 2010 10:30 pm

Very true Jen, just look at Pretoria Academical. Some of the top Professors in South Africa still practice/lectures there. Like you said, not always the most sterile and clean...but the knoledge and knowhow is in abundance.
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