Management of Snake Bite, Dog Bite & Animal Bite
Management of Snake Bite
• Do it “R I G H T”.
R = Reassure
I = Immobilize
GH = Go to Hospital
T = Tell the doctor.
• No application of anything at site of bite.
• Anti-Venom Serum (AVS) – available in all bedded
Govt. health facilities.
• AVS is “the treatment” of any poisonous bite of
snake.
• Compensation of Rs.1 lakh admissible for snake bite
death, from Block Disaster Management Officer.
• Post-mortem examination report or certificate from
treating hospital – mandatory for the compensation.
So patient to be taken to a bedded hospital of modern
system, not elsewhere !
• 3 categories of poisonous snakes:
- Neurotoxic e.g. keute, gokhro, kalach
- Haematotoxic e.g. vipers
- Sea snakes; bite rare in W.Bengal.
• Bite marks are of no use to decide treatment.
• Snake need not be caught and shown to the doctor.
• Signs of envenomation may be delayed till 24 hours
of bite (even 36 hours in a few cases).
• So snake bite to be admitted and kept for at least 24
hours even if no AVS is required.
• Snake bite vs. scorpion bite (tremendous pain but no
swelling).
• Symptoms of kalach bite may be very weird!
Dog/animal
bite
• Risks are:
Tissue injury & bleeding
Wound sepsis
Tetanus
Rabies.
• These bites may result in rabies:
Dog, cat
Monkey
Horse, cattle
Mongoose
Any bite by wild animal
Tissue injury & bleeding
Wound sepsis
Tetanus
Rabies.
• These bites may result in rabies:
Dog, cat
Monkey
Horse, cattle
Mongoose
Any bite by wild animal
• Rabies infection possible through droplet infection in
caves infested with bats; not reported in India.
caves infested with bats; not reported in India.
• No significant risk of rabies:
- Bite of house rats or moles.
- Ingestion of milk of cow bitten by rabid dog.
- Bite of house rats or moles.
- Ingestion of milk of cow bitten by rabid dog.
• Bite by pet dog/ vaccinated dog:
- Treatment is necessary.
- Treatment is necessary.
First aid
• Thorough washing with soap & running water.
• No stitching.
• Apply a disinfectant like tinc. iodine/betadine, savlon,
rect. spirit etc.
• No application of any other thing at site of bite.
• Thorough washing with soap & running water.
• No stitching.
• Apply a disinfectant like tinc. iodine/betadine, savlon,
rect. spirit etc.
• No application of any other thing at site of bite.
Go to an Anti-Rabies Clini
• In each Block, there is at least one Anti-Rabies Clinic;
usually in the Block PHC/ Rural Hospital.
• Anti-Rabies Vaccine (ARV) is supposed to be available
there.
- ARV to be given also for a simple scratch (even
if no blood comes out).
• Rabies Immunoglobulin (RIG) may be necessary in
selected grades of bites. Should be given as early as
possible.
• We use intradermal rote for ARV.
• 4x2 injections on Day-0, Day-3, Day-7 and Day-28.
• Bite of dog: If dog is ok after 10 days of bite, Day-28
injection not required.
• F.A.Q. on Animal Bite Management available in IDSP
menu of www.wbhealth.gov.in
• In each Block, there is at least one Anti-Rabies Clinic;
usually in the Block PHC/ Rural Hospital.
• Anti-Rabies Vaccine (ARV) is supposed to be available
there.
- ARV to be given also for a simple scratch (even
if no blood comes out).
• Rabies Immunoglobulin (RIG) may be necessary in
selected grades of bites. Should be given as early as
possible.
• We use intradermal rote for ARV.
• 4x2 injections on Day-0, Day-3, Day-7 and Day-28.
• Bite of dog: If dog is ok after 10 days of bite, Day-28
injection not required.
• F.A.Q. on Animal Bite Management available in IDSP
menu of www.wbhealth.gov.in
Comments
Post a Comment