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Review
. 2022 Jan 7:376:e057926.
doi: 10.1136/bmj-2020-057926.

Managing snakebite

Affiliations
Review

Managing snakebite

Ravikar Ralph et al. BMJ. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declare.

Figures

Fig 1
Fig 1
Difference in fangs between elapids and viperids. A) Elapids have short, fixed, front fangs. B&C) Vipers have much longer and retractable front fangs. (Photos courtesy of Ahmad Khaldun Ismail)
Fig 2
Fig 2
Examples of the 20-minute whole blood clotting test. A) With normal blood, a clot is seen at 20 minutes after sample collection. B) Incoagulable blood at 20 minutes, from a patient with Russell’s viper envenoming
Fig 3
Fig 3
Flowchart for the management of snakebite

References

    1. Chippaux JP. Snake-bites: appraisal of the global situation. Bull World Health Organ 1998;76:515-24. - PMC - PubMed
    1. Kasturiratne A, Wickremasinghe AR, de Silva N, et al. The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Med 2008;5:e218. 10.1371/journal.pmed.0050218 - DOI - PMC - PubMed
    1. Gutiérrez JM, Calvete JJ, Habib AG, Harrison RA, Williams DJ, Warrell DA. Snakebite envenoming. Nat Rev Dis Primers 2017;3:17063. 10.1038/nrdp.2017.63. - DOI - PubMed
    1. Chippaux J-P. Estimate of the burden of snakebites in sub-Saharan Africa: a meta-analytic approach. Toxicon 2011;57:586-99. 10.1016/j.toxicon.2010.12.022 - DOI - PubMed
    1. Williams SS, Wijesinghe CA, Jayamanne SF, et al. Delayed psychological morbidity associated with snakebite envenoming. PLoS Negl Trop Dis 2011;5:e1255. 10.1371/journal.pntd.0001255 - DOI - PMC - PubMed

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