Snakes Bite First Aid
Do NOT wash the area of the bite as it is critical to retain
traces of venom for use with venom identification kits!
Stop lymphatic spread - bandage firmly, splint and immobilise!
The lymphatic system is responsible for systemic spread of most venoms.
This can be reduced by the application of a firm bandage (as firm as you
would put on a sprained ankle) over a folded pad placed over the bitten
area. While firm, it should not be so tight that it stops blood flow to
the limb or to congests the veins. Start bandaging directly over the
bitten area, ensuing that the pressure over the bite is firm and even.
If you have enough bandage you can extend towards more central parts of
the body, to delay spread of any venom that has already started to move
centrally. A pressure dressing should be applied even if the bite is on
the victims trunk or torso.
Immobility is best attained by application of a splint or sling, using a
bandage or whatever to hand to absolutely minimise all limb movement,
reassurance and immobilisation (eg, putting the patient on a stretcher).
Where possible, bring transportation to the patient (rather then vice
versa). Don't allow the victim to walk or move a limb. Walking should be
prevented.
Bites to the head, neck, and back are a special problem - firm pressure
should be applied locally if possible.
Removal of the bandage will be associated with rapid systemic spread.
Hence ALWAYS wait until the patient is in a fully-equipped medical
treatment area before bandage removal is attempted.
Do NOT cut or excise the area or apply an arterial torniquet! Both these
measures are ineffective and may make the situation worse. |