How does a rattlesnake bite feel like?
Snake bite: quick reference
- What to do if you get a snake bite Calm down those affected, keep them calm, if necessary treat the wound and remove jewelry / clothing, bring them to the hospital or call the emergency services.
- Snakebite Risks: Nerve and muscle damage, blood clotting disorders, circulatory problems, allergic reactions (itching, nausea, drop in blood pressure, etc.), serum sickness (when administering an antidote)
- When to the doctor Always! Every snake bite is an emergency, as the danger they pose cannot usually be assessed on site.
- Some snakes pretend to be dead in danger! In addition, dead snakes and even severed snake heads can snap shut reflexively! Therefore, you should not touch a (supposedly) dead snake (without protective measures) or take photos of it up close.
- Even if it is often done in films - a snakebite wound should not be tied, sucked out, burned out or cut out. Such measures do more harm than good.
- Snake venom spreads faster in the body through fear and movement. Therefore, you should make sure that the person concerned remains as calm as possible and keeps calm.
Snakebite: what to do
In the case of a snakebite, first aid is primarily aimed at delaying any toxic effects until the patient can be treated by a doctor. It is also about reducing the patient's pain and anxiety. In detail, first aid for snake bites looks like this:
- Calm down: After a snake bite, many people are very scared. But restlessness and panic reactions accelerate the distribution of snake venom that has entered the body. Therefore, you should calm the patient down as much as possible.
- Stand still: Have the patient immediately lie down quietly (a safe distance from the snake to avoid a second bite). He should move as little as possible in order to slow down the distribution of the poison in the body. If you have a bite in your arm or leg, you can splint the affected limb with sticks and bandages to immobilize it.
- if necessary, treat the wound: If possible, leave the bite wound alone. At most, you should disinfect them and cover them with a sterile or at least clean bandage. However, this must not be too narrow and impair the blood circulation!
- Remove jewelry and clothing: If you get a snakebite on your hand or arm, remove rings, bracelets, watches and restrictive clothing quickly before the tissue swells. If you have a snakebite on your leg, remove tight-fitting shoes and tight trousers (cut open if necessary).
- Immediately to the doctor: Take the patient to the nearest hospital as soon as possible. It should move little during transport; if necessary, transport it lying down. If possible, have the patient picked up by the ambulance service.
- if necessary take the dead snake with you: If it can be done safely - and only then! - you should kill the snake and take it to the clinic. If the doctor knows what poison he is dealing with, he can immediately initiate the correct therapy. If it is not possible to safely take the dead snake with you, you can alternatively memorize its appearance or take a photo of it (from a safe distance). This makes it easier for doctors to identify.
What not to do if you get a snake bite!
The measures that are taken in many films after a snakebite are often far from advisable. They may do more harm than good. You should therefore take note of the following after a snake bite:
- Do not set: The setting interrupts the blood flow, pinches nerves and increases the local toxicity. As a result, the tissue can swell extremely and even die off (necrosis). Bleeding into the stuck extremity is also possible.
- Do not burn out, cut in or cut out: Such measures can hardly reduce the amount of poison in the body, but rather promote the spread of the poison (if larger vessels are destroyed). In addition, dangerous bleeding can occur (with impaired blood clotting).
- Do not suck out: You cannot create sufficient negative pressure with your mouth to suck enough snake venom out of a bite wound. You could also poison yourself in the process.
Experts also advise against the use of special devices for first aid after a snakebite (poison extractors, electric shock devices).
Many people know more or less what a snakebite looks like thanks to it characteristic bite mark at least roughly: The bite usually shows up in the form of two punctiform puncture points lying next to each other. If a venomous snake has bitten and actually injected venom, further symptoms develop - usually 15 to 30 minutes, but sometimes not until a few hours after the snake bite.
Snake venom is a watery secretion from special salivary glands of venomous snakes. When biting, it usually gets into the victim's body via a hollow front tooth in the upper jaw (in false snakes via poisonous teeth in the back of the throat) - but not with every snake bite. There are also so-called "Dry" bitesin which a venomous snake bites but does not inject poison into the skin of its victim.
Snake venom consists of various proteins with poisonous and enzymatic properties. They can cause various symptoms in the human body. For example, the so-called Phospholipases break down the membranes of cells in the body and thus destroy a great deal of tissue. The enzyme Hyaluronidase loosens the surrounding tissue so that the remaining snake venom can spread quickly. They are very dangerous Hemorrhagins. These are enzymes that impair blood clotting and damage the tiny vessels (capillaries).
Symptoms after snakebite
It depends largely on the composition and dose of the injected poison mixture what symptoms occur, how severe they are and how dangerous it can be for the patient. Basically, one differentiates between five symptom complexes that can occur after snake bites:
Nerve damage (neurotoxic symptoms)
The venom injected from a snakebite can block the peripheral nervous system. Then the striated muscles become paralyzed. The first signs include one Drooping of the upper eyelids (Ptosis) and Paralysis of the facial and jaw muscles. In the further course, the Paralysis of the respiratory muscles about what can lead to suffocation.
These neurotoxic snakebite symptoms are, for example, from Cobras, mambas, sea snakes and some rattlesnakes evoked.
Muscle damage (myotoxic symptoms)
In some cases, snake venom has a toxic effect on the striated muscles and damages them. This results in some strong ones muscle pain.
The destruction of the muscle tissue is also noticeable in the fact that the creatine kinase value rises in the blood and myoglobin can be detected in the urine: Both proteins are normally found inside the muscle cells and are released when the cells are destroyed.
The released myoglobin stains the Urine dark brown. It can also damage the tubular cells in the kidneys, leading to Kidney failure can lead.
Such myotoxic symptoms can be, for example, the bite some vipers, rattlesnakes, poisonous snakes and sea snakes entail.
Often a snake bite triggers a blood clotting disorder, up to so-called consumption coagulopathy (disseminated intravascular coagulation): The poison first activates the coagulation system. As a result, numerous small blood clots form that can clog fine vessels. In addition, clot formation consumes so many substances that are necessary for clotting (such as blood platelets, coagulation factors) that there are corresponding deficiencies. This can go so far that the blood can no longer clot at all. Insatiable bleeding (such as bleeding from wounds, gum and nosebleeds) are the consequences. Also Vomiting blood and bloody urine can occur.
Especially after one Vipers-Snake bite, but also after the bite of Snakes (like African tree snakes) such a severe bleeding disorder can develop.
Swelling (edema) around the bite site
If the area of tissue around the snakebite swells (edema), this indicates that venom was indeed injected. The edema can be massive and quickly spread to the whole arm or leg. If the bite comes from a viper or rattlesnake, extensive under-bleeding of the skin (with blisters) forms around the bite. In addition, surrounding tissue dies (tissue necrosis).
Occasionally, a snakebite triggers shock and circulatory problems, such as nausea, weakness and dizziness.
If someone develops vomiting, weakness, paleness, and sweating after a snake bite, snake venom doesn't necessarily have to be the cause. Such symptoms can also be psychological, i.e. triggered by the panic of the person concerned. After all, a snakebite frightens most people.
Patients who have received an antidote (antiserum) after a snake bite can develop what is known as "serum sickness" after a few days. This is understood to mean late allergic reactions such as hives, slight swelling of the tissue (edema) and joint pain. They can be treated with medication (antihistamines and cortisone).
Snakebites are usually sterile, so they usually do not introduce germs into the wound. This means that there are usually no primary infections. However, germs can subsequently penetrate and then trigger what is known as a secondary infection. But that rarely happens.
A snakebite that is survived usually has no lasting consequences - apart from possible tissue loss (due to necrosis) and possibly an amputation. The latter may be necessary if the bite wound was treated improperly.
It can take weeks or even months to fully recover from a snakebite.
Risk in this country: adder bite
Adders are among the vipers and are the most common venomous snakes in German-speaking countries. If (sufficient) venom has been injected after an adder bite, a painful swelling quickly forms around the bite mark. This can turn bluish and spread to the entire extremity and even further. In addition, the lymph nodes in the affected area of the body often swell and the lymph vessels become inflamed (lymphangitis).
In addition, many patients show severe panic reactions after an adder bite. General symptoms such as abdominal pain, nausea, and vomiting are also sometimes seen.
Severe symptoms of intoxication develop only in rare cases. For example, a bluish blister can form at the bite site and tissue can die off (necrosis). Serious circulatory problems with palpitations, drop in blood pressure and circulatory shock are also the exception.
Occasionally, as an allergic reaction to the adder bite, the tissue around the eyes, upper lip, tongue and larynx swells (angioneurotic edema). Very rarely an adder bite causes drowsiness in children.
Snake bite: when to see a doctor?
Basically, every snakebite is a potential emergency and should be treated as such. That means: Always bring the person affected to the doctor or call the emergency services.
The good news: Around 50 percent of all snake bites (including poisonous snakes) are “dry” or “empty” bites that have not been injected with venom. Although they leave a bite mark, they do not cause any far-reaching symptoms of intoxication such as muscle or nerve damage. This also applies to an adder bite. Even if poison was injected, it was often so little that apart from a local swelling at the bite site, no further symptoms develop. An adder bite rarely causes severe poisoning, and deaths are the absolute exception.
Since it is usually difficult to assess how dangerous a snakebite is in individual cases, it should always be seen by a doctor.
Snakebite: medical examinations
If you have been bitten by a snake, the emergency doctor / doctor will first ask you or any accompanying person for the necessary information. Possible questions are, for example:
- When and how did the snakebite come about?
- How much time has passed since then?
- Do you know which type of snake has bitten?
The doctor will then examine you immediately. He carefully inspects the bite wound, checks your vital functions (such as breathing and blood pressure) and takes blood and urine samples for analysis in the laboratory. He will then initiate appropriate therapy as soon as possible.
Snakebite: Treatment by the doctor
The doctor will treat the bite wound in a sterile manner and closely monitor the further course. To do this, he will monitor your pulse, blood pressure, breathing and neurological values.
In addition, he will treat the various symptoms as needed. For example, if you are in severe pain, you will be given pain relievers (analgesics). If you have circulatory problems, you will likely be given fluids and electrolytes (as an infusion) and possibly medication to increase blood pressure. Artificial respiration may be necessary if you have breathing problems.
If kidney failure occurs as a result of myoglobin excretion in the urine, the doctor will order blood washing (hemodialysis).
Giving an antiserum
An antidote (antiserum) is available against some snake poisons. It is given directly into a vein if the symptoms of intoxication are severe. Only a doctor should do this because the patient may be allergic to it. In the worst case, a severe allergic shock (anaphylactic shock) occurs, which must be treated immediately by a doctor!
An antidote should always be given as soon as possible after a snakebite. The more time passes, the higher the dose of antiserum must be and the lower the chances of success of the treatment (exception: if the blood clotting is disrupted by the snakebite, the administration of an antiserum is always helpful).
If you do not have any vaccination against tetanus (tetanus), the doctor will give you a tetanus injection to be on the safe side.
Dead (necrotic) tissue is usually only removed a few days after the snakebite. The resulting wound surface is covered by a skin graft, if necessary.
In order to avoid a snakebite, you should heed the following advice - especially if you are traveling in tropical-subtropical areas:
- Right clothes: When hiking in confusing terrain, you should wear high, sturdy shoes and long trousers, and special gaiters in very endangered areas.
- Vibrations: Treading firmly, like using a walking stick, can drive away snakes (they react to vibrations).
- open eyes: Pay close attention to where you step, sit down and where you reach in the area (e.g. never blindly reach into bushes).
- Don't sleep directly on the floor: If possible, never set up your sleeping area directly on the floor.
- Be careful with leftover food: Dispose of leftover food that could attract prey, including snakes.
- retreat: If you come across a snake, you should withdraw, ideally giving it the opportunity to escape and never try to catch, scare or irritate the animal. Otherwise, you will quickly end up with a snakebite.
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