CASE 39.--A boy, J. Taylor, bitten at Mount Keat, agricultural
settlement, Queensland, by a black snake, and treated successfully
by a layman, Mr. James Daniels.
CASE 40.--George Neilson, a Danish miner, bitten by a tiger snake
whilst bathing. Case reported by Dr. Gamble, of Walhalla. Forty
minims of liq. strych. required; recovery complete next morning.
CASES 41 AND 42, reported by Dr. Helsham, of Richmond, N.S.W. In
one of these where, judging from the symptoms, a large dose of
snake-poison had been absorbed, but very small doses of strychnine
were injected, convulsions set in, _whilst coma was still
present_, and lasted for two hours. Though semi-tetanic in
appearance they were erroneously ascribed to m. xxvi. of liq.
strychniæ, which at the time of their appearance had not removed
the symptoms of snake-poison. They were evidently produced by the
latter and quite on a par with those occasionally occurring in man
before the strychnine is administered, and almost invariably in
dogs. As long as coma is present with other symptoms denoting the
snake-poison to be in active operation, such convulsions rather
call for the antidote, than contra indicate its use, for the
strychnine never produces them until it has completely conquered
the snake-poison, and even then they are always preceded by local
spasms and never set in suddenly. Timid medical men, when
administering the antidote and anxiously watching for the dreaded
strychnine effects, are too apt to see them in the slightest
irregular muscular action.
CASE 43, reported by Dr. Johnson, of Avoca, patient bitten by a
tiger snake, was comatose, pulseless, with very shallow
respiration, &c., and restored by three injections of m. xvi., xv.
and x. within less than three hours.
CASE 44.--Reported in _Australian Journal of Pharmacy_, from
Tasmania, treated by Dr. Tofft, of Campbell Town. The report
concludes: We have had some fatal cases of snakebite already this
season, and the successful treatment in the above case has created
a strong feeling in favour of strychnine in such emergencies.
CASES 45 TO 49.--Reported by Dr. Alex. Barber to _A.M. Gazette_.
He writes: "During the last year I treated four cases of snakebite
successfully with strychnine. In one of these, a bite of a brown
snake, I injected three doses of m. xx. each of liq. strych. P.B.,
in all over half a grain, in one hour."
CASE 50.--Reported by Dr. Barrington, of Benalla (Vic.), bite of
tiger snake, symptoms moderate. Completely removed in three hours
by 57 minims of liq. strych. P.B.
_Notes of eight cases as reported to the "Australasian Medical
Gazette" for July and November, 1892, by R. P. Banerjee,
B.A., G.B.M.S.L., Medical Officer, Salt Mines, Pachhadra,
Rajputana, India_:--
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