Management of Snakebite and Research Management of Snakebite ...

Management of Snakebite and Research
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Table 2. Clinical data between control and test cases studied in Meiktila Township
incident as a first aid method in places where there is no facility for giving IV ASV therapy
prior to hospitalization. Nevertheless, it should be noted that IM injection is to be used
only as a first aid measure and is not a substitute for administration of IV ASV. Therefore,
those victims who have been injected with IM ASV must be transferred to the hospital
where facilities for further management are available 8 .
From the above studies, it could be recommended that in the management of Russell’s
viper bite victims in our country, administration of IM ASV immediately after the bite may
be of value as a first aid measure in the field where IV route of ASV is impossible and/or
transport to hospital is delayed for more than 2 hours. It is therefore expected that the
results of these studies will be of great help to the basic health staff of various districts and
townships who are currently engaged in the management of RV bite victims. Hence, these
findings could be considered in formulating national guidelines for the management of
Russell’s viper bite patients in Myanmar.
References
Clinical features Control (n=82) Test (n=12) Significance
DIC (Incoagulable blood) (no) 46 (56.1%) 1 (8.3%) p