Professor Halford, of the University of Melbourne, in a paper published
at the commencement of 1869, recommended the injection of liquor ammoniæ
into the veins for snake bite. Of twenty cases of snake bite since
treated in this manner, by different practitioners, recovery occurred in
seventeen. The snakes were all venomous, and included the tiger snake,
the brown and black snake of Australia, &c. These, according to
Professor Halford, are as deadly as the cobra and rattlesnakes of India.
The plan of proceeding is to expose the vein, and then to pierce its
coats with the sharp point of a hypodermic syringe containing the
officinal liquor ammoniæ—sp. grav. 0·959. At least thirty minims are to
be employed; the dose being repeated as the power of the preceding
injection is expended. Professor Halford formerly thought that in
consequence of the entrance of the snake poison into the blood a rapid
growth of new cells occurred, which took up and exhausted the fibrin and
oxygen of the blood, and rendered them incapable of ministering to the
wants of the system. He now thinks that the new corpuscles are only the
white corpuscles of the blood altered and enlarged, the change in them
being caused by an alteration in the liquor sanguinis; this alteration
being, in fact, a disappearance of the fibrin under the action of the
poison. The ammonia is believed to counteract this power, and in favor
of this view many Australian physicians have spoken strongly. Dr.
Fayrer, however, has found the proceeding a failure in India. This
gentleman is of opinion that the activity of the poison in some Indian
snakes is so great that it is impossible to counteract it by any
method.
The constitutional remedies are derived chiefly from the class of
diffusible stimulants. No agent is more generally recommended than
ammonia; and therefore the officinal compound tincture of ammonia
(formerly known as eau de luce) should be given in half-drachm doses,
well diluted; or the aromatic spirits of ammonia may be administered in
the proportion of two drachms to an ounce and a half of water. Supposing
that no ammonia is at hand, brandy will prove an excellent substitute.
Transfusion of blood has been likewise recommended; but I do not know of
any instance in which it has been resorted to.
Public-domain text, read in full here on John Shaqi.
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