DrFRM

Emergency Medicine Resident

Details of the case:

pt bitten by snake (figured it was a water snake) no signs of envenomation. Bite is quite small at sole of feet. He was wearing flip flops. 24 hours observed. This is the snake pt brought with him.

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pt presented to emergency within 10-15 minutes after sustaining a #Snakebites to their right foot. On arrival they were bradycardic, light headed, dizzy and SOB. Following the snake bite protocol and procedures, this photo shows 1/24 after presentation. When attempting to remove the pressure bandage, the pt did experience signs and symptoms of venom, diaphoretic, joint pain, nausea and vomiting, further bradycardia and required antivenin after speaking with poison control. Likely, there were no further symptoms (ptosis, palsy...) it is believed it was a #Brown-snake bite rather than a #tiger-snake. The pt was also kind enough to join the Australian snake bite research project and allowed us to share their story.

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This is hand of a victim bitten by a snake. Traditional healer(Ozha-Snake Charmer) incised his hand with blade to remove the venom. Relatives carried the trodden and dead snake which was a cobra. Patient was managed successfully by antivenom.

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