TY - JOUR
AU1 - Barman, Dipayan Deb
AB - Snake bite envenomation is a global health concern which is often overlooked. The World Health Organization (WHO) reports an annual estimate of 50,000–90,000 deaths worldwide due to snakebite. Snakebite outcomes vary based on factors like venom presence and type. Clinical features range from fang marks to bleeding, swelling, pain, and necrosis at the bite site. Elapid and certain Viperidae venom cause gradual neuro-paralysis, initially affecting eye and facial muscles, leading to ptosis, blurred vision, and diplopia. The diagnostic workup should consider quick assessment of the routine blood tests such as complete blood count, basic metabolic profile, prothrombin time, fibrinogen value and creatine kinase value. Oxygen therapy and intubation may be necessary for respiratory distress in neurotoxic snake envenomation. Analgesia, preferably opioids, is required for severe pain in viper bites. Supportive therapy includes establishing IV access, administering fluids, and vasopressors for hypovolemia. Antivenom administration is recommended for severe envenomation based on WHO guidelines, targeting systemic bleeding, shock, limb swelling affecting multiple joints, acute kidney injury, necrosis, and gangrene. There is a need to continue and conduct further research in the field of snake envenomation effects in Asia, America, Australia, Africa, and Europe. Cardiovascular and respiratory support is vital, and anti-snake venom (ASV) administration must consider potential adverse reactions. There is a need to focus on enhancing first aid, protocols, and long-term complication follow-up is essential. Research on anti-venom development and point-of-care tests for venom identification is pivotal for global snakebite management.
TI - A Review of the Management Strategies and Practices in Snake Envenomation
JF - Journal of Indian Academy of Forensic Medicine
DO - 10.1177/09710973251327767
DA - 2025-01-01
UR - https://www.deepdyve.com/lp/sage/a-review-of-the-management-strategies-and-practices-in-snake-Zz6OmVxDzs
VL - OnlineFirst
IS - 
DP - DeepDyve
ER -