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If you find a snake kiss, you need to keep calm and remember the characteristics of the snake, remove the accessories, bandage the affected part, put the affected limb under the heart, do not apply ice, and send it to the doctor as soon as possible. The image shows that the special search team of the Taitung Fire Department captured the cobra. (Data photo, photo by reporter Huang Mingtang)
The Ministry of Health and Welfare noted that poisonous snakes in Taiwan can be roughly divided into the following three types based on their mechanism of damage:
1. Hemorrhagic poisonous snakes: such as turtle shell flower, green bamboo silk, baijia (the most toxic), the clinical manifestations are mainly limb swelling, in addition to occasional blood blisters and blisters, the mortality rate is extremely low. Attention should be paid to ventricular syndrome caused by swelling of the extremities (locally due to poor blood circulation caused by swelling and necrosis of nearby tissues). The clinical manifestations of Baip snake venom must be accompanied by a tendency to bleed, resulting in a decrease in platelets and a prolonged clotting time.
Green bamboo silk is a hemorrhagic viper, and its clinical manifestations are primarily swelling of the extremities, plus occasional blood blisters and blisters. (Informational photo, provided by the Taipei Zoo)
2. Nervous snakes: such as umbrella knots and cobras, with nerve paralysis as the main symptom, drooping eyelids, drooling, limb weakness and other manifestations, the patient will die of respiratory failure due to diaphragmatic paralysis and respiratory muscles. And the cobra will cause local tissue necrosis and sting damage.
3. Mixed poisonous snake: like the chain snake, its clinical manifestations can cause acute renal failure in addition to the above.
The Ministry of Health and Welfare stated that when encountering snakes it is necessary to avoid common mistakes, such as: not cutting the wound, not trying to suck the poison through the mouth; local injection of antidote is not within the recommended range as it can lead to acronecrosis and local lesions. Absorption status is often poor, which will affect efficacy; The use of electric rods is also not approved.
Chain snakes are highly toxic and complex, with procoagulant toxins, neurotoxins and nephrotoxins, once bitten it is very difficult. (Data photo, taken by reporter Cai Shuyuan)
Suggestions for preliminary removal:
1. Stay calm and remember the characteristics of snakes.
2. Take off items such as rings, bracelets, and watches.
3. Use an elastic bandage to wrap the affected area. Tension is based on the principle of being able to insert a finger. The purpose is to reduce the return of venom through the lymph and to avoid ischemic symptoms in the affected limb. This is especially important for the nerve snake bite.
4. Keep the affected limb as low as possible below the heart.
5. Do not apply ice: The inflamed part of the ice application will worsen circulation and cause massive tissue necrosis.
6. After the initial treatment, they should be sent to a doctor as soon as possible to receive the necessary treatment.
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