Ok,
Called my old Team Medic from SF to ask - always nice to touch base and keep information up to date. He's still active.
Anyway:
For snakes the treatment methods have evolved over the years.
All you can do in the absence of the anti-venom is treat the symptoms of shock and they will be different depending on the snake. However, managing
shock is the key to survival until evacuation can take place. Remember your ABCs for first aid. Be ready for CPR if necessary.
If it is (or you think it is) a poisonous snake then the first step is to put pressure on the wound and contrary to convention keep the bite BELOW the
heart...
Assure the patient because excitement will speed the absorption of the poison through elevated heart rate.
The old method of a tourniquet is no longer used as it has not proven effective (this is also stated on Med-MD) and risks the whole limb rather than
potions of it; however, to slow the spread of poison throughout the tissue wrap the effected limb with a compression type bandage (i.e. elastic or ACE
stretch type dressing) and make it tight but not so tight that it cuts off blood flow all together like a tourniquet. This slows the flow to the
vital areas and simultaneously slows the diffusion of the poison in the muscle and surrounding tissues which will save tissue when the inevitable
debridement phase begins.
That is all you can basically do for the patient other than mange the symptoms of shock.
Do not give any morphine or any type CNS inhibitors. You don't want to slow down a persons heart rate and breathing any more than the poison already
will. (Depending on snake species.)
If you know what kind of snake it was remember it (if not take a photo, remember the description oe something) and tell the medical personnel or
whomever you radio or call on 911 because sometimes they will have to locate and fly the stock to the hospital. If you can have them work on that
while you are in route - you shave time off the experience.
Spider bites even Black Widows are rarely fatal unless you are old, sick, and very young or have an allergy. It’s treated basically the same way as
a snake bite. If you have an anaphylactic reaction and have a bee sting kit you can use that. You don't really even need to go to a hospital unless
you are having difficulty breathing and or palpitations. In the end keep it clean and dry and if the tissue dies go get it checked.
I personally have had a brown recluse bite; it obviously bit me in my sleep because I never felt any bite. I just had an itching bug bite that got
all brown and necrotic as it spread out. It never hurt but was itchy on the outside edges and frankly numb on the inside where the flech was dead.
Eventually I showed the medic and he had to cut out the dead tissue in the area and stitch it almost closed with a drain in it with a course of
anti-biotics.
edit on 8/2/2011 by Golf66 because: (no reason given)
edit on 8/2/2011 by Golf66 because: (no reason given)