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Snakes of India & ASV Biological E.
Topics for discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Current therapy guidelines
Future therapy guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Snake bite incidences worldwide
Snake bite deaths worldwide
Statistics of relevance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Snake Bite and snake Venom ,[object Object],[object Object],[object Object],[object Object],[object Object]
Snake Venom ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanism of Toxicity of Venom ,[object Object],[object Object],[object Object],[object Object]
Commonest Indian venomous snakes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Commonest Indian venomous snakes –  the big 4 ,[object Object],Cobra Krait Russel’s viper Saw-scaled viper
Commonly encountered venomous snakes in most parts of India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Russell’s viper ,[object Object],[object Object]
Common cobra ,[object Object],[object Object]
Saw scaled viper ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common krait ,[object Object],[object Object]
Other less commonly encountered venomous snakes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Manifestations Renal failure, Shock ++ + / - +++ VIPER Pupils –dilated, fixed Nil + Nil KRAIT Shock +/- Nil ++ + COBRA MISC. BLEED NEURO LOCAL
Summary of Manifestations
Snake bites Management
Local signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General symptoms (0) ,[object Object],[object Object],[object Object],[object Object]
General symptoms (1) ,[object Object],[object Object],[object Object],[object Object]
General symptoms (2) ,[object Object],[object Object],[object Object]
General symptoms (3) ,[object Object],[object Object],[object Object],[object Object]
General symptoms (4) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis assesment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management Management Local Specific Supportive
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management - Local ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Specific 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Specific 2 ,[object Object],[object Object],[object Object],[object Object]
Criteria for giving ASV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
20WBCT -  20 Minute Whole Blood Clotting Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of adverse reactions to ASV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy of adverse reactions to ASV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Supportive 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Referral criteria for indoor management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antisnake venom ASV
Types of ASV available ,[object Object],[object Object],[object Object],[object Object]
AntiSnakevenoms available in India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Polyvalent antisnakevenom ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why not a monovalent antisnakevenom? It is available in  Several countries abroad
Monovalent antisnakevenom ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anti snake venom Dosing criteria and details
Dose of ASV - basis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dose of ASV - basis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dose of ASV - basis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Repeat doses of ASV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dosing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dosing in patients arriving late ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurotoxic Envenomation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research options ahead Anti snake venoms
Possible solution for India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of bivalent/ trivalent antisnakevenom ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you

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