Venoms: Venomous Animals and Antivenomous Serum-therapeuticsCalmette, A. (Albert)
Science
Venoms: Venomous Animals and Antivenomous Serum-therapeutics
Calmette, A. (Albert)
Antitoxins; Poisonous snakes; Toxins; Venom
In order to prevent the absorption of the venom introduced into the
wound, the first precaution to be taken is to compress the bitten limb
by means of a ligature of some kind, such as a handkerchief, as close
as possible to the bite, and between it and the base of the limb. The
ligature must be tightly twisted, and, by compressing the tissues
around the bite, an attempt should be made to squeeze out the venom
that may have been introduced into them. The expulsion of the poison
should be hastened, either by making an incision 2 or 3 cm. in length
and 1 cm. in depth in the direction taken by the fangs of the reptile
and also parallel to the axis of the bitten member, or by sucking the
wound hard.
The ligature on the limb should not be applied for more than half an
hour; if it were kept on longer it would interfere with the circulation
to a dangerous degree, and would certainly injure the vitality of the
tissues. The period in question also usually affords sufficient time
for taking the patient to a place where help can be obtained, and for
the preparation of everything necessary for his subsequent treatment.
The wound should then be freely washed with a fresh 2 _per cent._
solution of _hypochlorite of lime_, or with a 1 in 1,000 solution of
_chloride of gold_. In default of hypochlorite of lime or chloride of
gold, either _eau de Javel_, diluted with tepid water to a strength
of 1 in 10, or a 1 per cent. solution of permanganate of potash, may
be employed. These reagents should be made to penetrate as deeply as
possible into the tissues, and a few cubic centimetres of them should
even be injected with a Pravaz syringe into the punctures caused by the
bite and all round them.
The wound being then covered with a damp dressing by means of
compresses saturated with hypochlorite of lime, or at least with
pure alcohol, the next thing to be done is to prepare to apply the
serum-therapic treatment in order to arrest the general intoxication,
if this has already commenced to take effect, or to prevent it from
setting in.
For the employment of serum it is necessary to be in possession of a
sterilisable syringe of the capacity of 10 c.c., similar to those used
in the treatment of diphtheria.
If the life of the patient be not immediately in danger, care should
first be taken to have the syringe boiled, or at least to rinse it out
with boiling water, making sure that the piston fits tightly, and that
the syringe itself is in good working order.
Should a syringe of 10 c.c. not be available, any kind of Pravaz
syringe, previously washed out with boiling water, may be employed, but
in this case the use of so small an instrument renders it necessary to
give several painful injections.
Public-domain text, read in full here on John Shaqi.
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