I is a country known to the western population as a country of snake charmersand snake over centuries . Despi te generation after generations some families in our country who play with snakes(snake charmers), we fail to protect the community from snake bite which requires atleast education of the common people, how to protect themselves from snake bite as well as what to do after the bite has o...

The Russell's viper (Daboia russelii) is responsible for 30-40% of all snakebites and the most number of life-threatening bites of any snake in Sri Lanka. The clinical profile of Russell's viper bite includes local swelling, coagulopathy, renal dysfunction and neuromuscular paralysis, based on which the syndromic diagnostic tools have been developed. The currently available Indian polyvalent an...

Current available data on snake bites in Nepal are based solely on hospital statistics. This community-based study aimed at evaluating the impact of snake bites and determining the risk factors associated with a fatal outcome in southeastern Nepal. A total of 1,817 households, selected by a random proportionate sampling method, were visited by trained field workers in five villages. Extensive d...

sik,?lviay i draw your attention to the letter from Captain R.Crawford Boyd on a case of Snake Bite in the December number. The letter first came to my notice in the Times of India, and fas it has been made thus public, I think any doubts should be cleared up. I believe that all authorities are agreed that the poison of the common Krait is, bulk for bulk, more virulent that any other Indian sna...

Anti snake venom (ASV) is the most specific therapy available for treatment of snakebite envenomation. The ASV available in Nepal are polyvalent ASV produced in India and are effective against envenomation by cobra and krait, the two most common species found in Eastern Nepal. Neurotoxic signs respond slowly and unconvincingly and continuous absorption of venom may cause recurrent neurotoxicity...

A 6 year old girl woke up with pain and increasing swelling over the left hand and difficulty in breathing. On examination, she had swelling of the left forearm and hand, flaccid quadriparesis and was in respiratory failure requiring mechanical ventilation. Two clean puncture wounds were identified on the left thumb. A provisional diagnosis of snake bite with severe envenomation was made and sh...

Neurotoxic snake envenomations are frequently encountered in medicine emergencies. Here we report a case of snakebite who presented with neuromuscular paralysis and respiratory failure, showed full recovery after effective treatment. Patient however developed cerebellar ataxia possibly due to delayed neurotoxicity of venom.

There was slight bleeding from the puncture, aud the skin immediately around it was ecchymosed; the toe was distinctly swollen. No second puncture was discovered, this being probably due to the horny nature of the thickened epithelium of the part. The case was first seen by Assistant-Surgeon Mulraj, who at once made a crucial incision at the site of the puncture, washed the wound with a strong ...