The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
=Treatment.=--Treatment of snake bite must be prompt if it is to be
successful. It should consist of incision and drainage of blood from
the part, in order to prevent diffusion into the rest of the body by
means of the returning blood and lymph. Bleeding should be facilitated
by cups or by sucking the wound. An elastic tourniquet should be
applied around the limb near the trunk, the site of the wound freely
incised, and the blood worked both ways toward the wound by “stripping”
the member. If there be any known antidote to snake poison it consists
of potassium permanganate or calcium hypochlorite (chloride of lime),
applied locally in solution, the former sufficiently strong to have a
marked color and capable of producing local irritation (1 per cent.).
With these local measures, constitutional stimulation should be
indulged by means of volatile and other stimulants. There is a popular
fallacy in favor of inducing alcoholic intoxication. To do this is
a mistake. Nevertheless, alcohol may be given freely, dosage being
limited not by amount but by effect. Strychnine, digitalis, atropine,
etc., will often prove serviceable. The tourniquet should be gradually
released after being in use for two or three hours, and an assistant
ready to antidote the poison which may then enter the system with
the necessary doses of stimulants above mentioned. One-half grain of
strychnine may be administered in divided doses, it apparently being
an antidote to the snake venom. There is much reason from recent
experimentation to expect benefit from serum therapy--_i. e._, by
injection of serum from immunized animals who have been fortified by
increasing doses of the snake poison. Calmette advises the use of 20
Cc. of serum from a horse which has been immunized by cobra poison. He
believes the active poison of all venomous serpents to be essentially
identical. Good results have been reported even after an interval of an
hour. In this country, however, such treatment will be called for so
seldom that there is not the hopeful outlook for the serum therapy of
snake bite that there is in India.
POISONING BY LIZARDS.
A large lizard found in the southwestern part of this country and in
Northern Mexico, known as the _Gila Monster_ (_Heloderma suspectum_),
is credited with being a poisonous animal. The probability is that the
bite is fatal to some of the lower animals and may produce more or less
serious disturbances in man. Nevertheless there is little real evidence
that this is to be considered in the same category with the venomous
serpents above mentioned.
POISONING BY SPIDERS AND SCORPIONS.
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