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Snakebite-Indian scenario and guidelines
This document provides information on snake bites in India. It discusses the epidemiology of snake bites, classification of venomous and non-venomous snakes, common venomous snakes in India, clinical features of envenomation, grading of severity, first aid, diagnosis, investigations, treatment with anti-snake venom, and management of anti-snake venom reactions. Key points include that the most common sites of snake bites are the lower limbs, the clinical effects depend on whether the snake is neurotoxic like cobras or haemotoxic like vipers, and treatment involves administration of anti-snake venom according to clinical criteria and symptoms.
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https://www.hubspot.com/state-of-marketing
· Scaling relationships and proving ROI
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How Race, Age and Gender Shape Attitudes Towards Mental Health
Mental health has been in the news quite a bit lately. Dozens of U.S. states are currently suing Meta for contributing to the youth mental health crisis by inserting addictive features into their products, while the U.S. Surgeon General is touring the nation to bring awareness to the growing epidemic of loneliness and isolation. The country has endured periods of low national morale, such as in the 1970s when high inflation and the energy crisis worsened public sentiment following the Vietnam War. The current mood, however, feels different. Gallup recently reported that national mental health is at an all-time low, with few bright spots to lift spirits.
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Technology
For example, 52% agree that technology and social media have a negative impact on mental health, but when broken out by race, 61% of Whites felt technology had a negative effect, and only 48% of Hispanics thought it did.
While technology has helped us keep in touch with friends and family in faraway places, it appears to have degraded our ability to connect in person. Staying connected online is a double-edged sword since the same news feed that brings us pictures of the grandkids and fluffy kittens also feeds us news about the wars in Israel and Ukraine, the dysfunction in Washington, the latest mass shooting and the climate crisis.
Hispanics may have a built-in defense against the isolation technology breeds, owing to their large, multigenerational households, strong social support systems, and tendency to use social media to stay connected with relatives abroad.
Age and Gender
When asked how individuals rate their mental health, men rate it higher than women by 11 percentage points, and Baby Boomers rank it highest at 83%, saying it’s good or excellent vs. 57% of Gen Z saying the same.
Gen Z spends the most amount of time on social media, so the notion that social media negatively affects mental health appears to be correlated. Unfortunately, Gen Z is also the generation that’s least comfortable discussing mental health concerns with healthcare professionals. Only 40% of them state they’re comfortable discussing their issues with a professional compared to 60% of Millennials and 65% of Boomers.
Race Affects Attitudes
As seen in previous research conducted by ThinkNow, Asian Americans lag other groups when it comes to awareness of mental health issues. Twenty-four percent of Asian Americans believe that having a mental health issue is a sign of weakness compared to the 16% average for all groups. Asians are also considerably less likely to be aware of mental health services in their communities (42% vs. 55%) and most likely to seek out information on social media (51% vs. 35%).
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https://www.hubspot.com/state-of-marketing
· Scaling relationships and proving ROI
· Social media is the place for search, sales, and service
· Authentic influencer partnerships fuel brand growth
· The strongest connections happen via call, click, chat, and camera.
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· TLDR; Get on social, try AI, and align your systems.
· More human marketing, powered by robots
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Mental health has been in the news quite a bit lately. Dozens of U.S. states are currently suing Meta for contributing to the youth mental health crisis by inserting addictive features into their products, while the U.S. Surgeon General is touring the nation to bring awareness to the growing epidemic of loneliness and isolation. The country has endured periods of low national morale, such as in the 1970s when high inflation and the energy crisis worsened public sentiment following the Vietnam War. The current mood, however, feels different. Gallup recently reported that national mental health is at an all-time low, with few bright spots to lift spirits.
To better understand how Americans are feeling and their attitudes towards mental health in general, ThinkNow conducted a nationally representative quantitative survey of 1,500 respondents and found some interesting differences among ethnic, age and gender groups.
Technology
For example, 52% agree that technology and social media have a negative impact on mental health, but when broken out by race, 61% of Whites felt technology had a negative effect, and only 48% of Hispanics thought it did.
While technology has helped us keep in touch with friends and family in faraway places, it appears to have degraded our ability to connect in person. Staying connected online is a double-edged sword since the same news feed that brings us pictures of the grandkids and fluffy kittens also feeds us news about the wars in Israel and Ukraine, the dysfunction in Washington, the latest mass shooting and the climate crisis.
Hispanics may have a built-in defense against the isolation technology breeds, owing to their large, multigenerational households, strong social support systems, and tendency to use social media to stay connected with relatives abroad.
Age and Gender
When asked how individuals rate their mental health, men rate it higher than women by 11 percentage points, and Baby Boomers rank it highest at 83%, saying it’s good or excellent vs. 57% of Gen Z saying the same.
Gen Z spends the most amount of time on social media, so the notion that social media negatively affects mental health appears to be correlated. Unfortunately, Gen Z is also the generation that’s least comfortable discussing mental health concerns with healthcare professionals. Only 40% of them state they’re comfortable discussing their issues with a professional compared to 60% of Millennials and 65% of Boomers.
Race Affects Attitudes
As seen in previous research conducted by ThinkNow, Asian Americans lag other groups when it comes to awareness of mental health issues. Twenty-four percent of Asian Americans believe that having a mental health issue is a sign of weakness compared to the 16% average for all groups. Asians are also considerably less likely to be aware of mental health services in their communities (42% vs. 55%) and most likely to seek out information on social media (51% vs. 35%).
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Organizational culture includes values, norms, systems, symbols, language, assumptions, beliefs, and habits that influence employee behaviors and how people interpret those behaviors. It is important because culture can help or hinder a company's success. Some key aspects of Netflix's culture that help it achieve results include hiring smartly so every position has stars, focusing on attitude over just aptitude, and having a strict policy against peacocks, whiners, and jerks.
PEPSICO Presentation to CAGNY Conference Feb 2024
PepsiCo provided a safe harbor statement noting that any forward-looking statements are based on currently available information and are subject to risks and uncertainties. It also provided information on non-GAAP measures and directing readers to its website for disclosure and reconciliation. The document then discussed PepsiCo's business overview, including that it is a global beverage and convenient food company with iconic brands, $91 billion in net revenue in 2023, and nearly $14 billion in core operating profit. It operates through a divisional structure with a focus on local consumers.
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http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b
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2. There are many possible user intents beyond just transactional, navigational and informational. Identifying intent shifts is important during core updates. Sites may need to optimize for new intents through different content types and sections.
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According to the latest State of the American Manager report from Gallup, employees who have regular meetings with their managers are almost three times as likely to be engaged as those who don’t. These regular check-ins keep managers and employees in sync and aligned. Want to see better manager/employee relationships in your organisation? Then make an all-in commitment to 1:1 meetings. Not sure how? You’ve come to the right place.
In this webinar with Jamie Resker, Founder and Practice Leader for Employee Performance Solutions (EPS), and Teala Wilson, Talent Management Consultant at Saba Software, you’ll get the inside track on how to hold effective 1:1 meetings, including tips for getting managers on board.
• Go beyond discussing the status of everyday work to higher level topics, including recognition, performance, development, and career aspirations
• Learn how to decide meeting frequency, what to cover, as well as roles and responsibilities of the manager and employee
• Understand how managers can build trust and make it comfortable for employees to provide upward feedback
• Unite your organisation with a unified approach to 1:1 meetings
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About the Speakers
Jamie Resker - Founder and Practice Leader for Employee Performance Solutions (EPS)
Jamie Resker, Practice Leader and Founder of Employee Performance Solutions, is a recognized innovator in performance management. She is the originator of the-the Performance Continuum Feedback Method® and Conversations to Optimize Employee Performance training program; tools and training that reshape communications between managers and employees to drive and align performance. Jamie is on the faculty for the Northeast Human Resources Association, is a contributor to Halogen Software's Talent Space Blog, and is an editorial advisory board member for HR Examiner.
Teala Wilson - Senior Consultant, Strategic Services, Saba Software
Teala is a Talent Management Consultant at Halogen Software, now a part of Saba Software. She has worked with teams on a national and global level supporting human resources in areas such as performance management, recruitment, employee benefit programs, training and talent development, workforce planning and internal communications. Teala also has a personal passion for visual arts and design.
Want to learn more? Join us for an upcoming Product Tour!
http://bit.ly/2yitfqu
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Content Methodology: A Best Practices Report (Webinar)
This document provides an overview of content methodology best practices. It defines content methodology as establishing objectives, KPIs, and a culture of continuous learning and iteration. An effective methodology focuses on connecting with audiences, creating optimal content, and optimizing processes. It also discusses why a methodology is needed due to the competitive landscape, proliferation of channels, and opportunities for improvement. Components of an effective methodology include defining objectives and KPIs, audience analysis, identifying opportunities, and evaluating resources. The document concludes with recommendations around creating a content plan, testing and optimizing content over 90 days.
How to Prepare For a Successful Job Search for 2024
The document provides guidance on preparing a job search for 2024. It discusses the state of the job market, focusing on growth in AI and healthcare but also continued layoffs. It recommends figuring out what you want to do by researching interests and skills, then conducting informational interviews. The job search should involve building a personal brand on LinkedIn, actively applying to jobs, tailoring resumes and interviews, maintaining job hunting as a habit, and continuing self-improvement. Once hired, the document advises setting new goals and keeping skills and networking active in case of future opportunities.
Social Media Marketing Trends 2024 // The Global Indie Insights
A report by thenetworkone and Kurio.
The contributing experts and agencies are (in an alphabetical order): Sylwia Rytel, Social Media Supervisor, 180heartbeats + JUNG v MATT (PL), Sharlene Jenner, Vice President - Director of Engagement Strategy, Abelson Taylor (USA), Alex Casanovas, Digital Director, Atrevia (ES), Dora Beilin, Senior Social Strategist, Barrett Hoffher (USA), Min Seo, Campaign Director, Brand New Agency (KR), Deshé M. Gully, Associate Strategist, Day One Agency (USA), Francesca Trevisan, Strategist, Different (IT), Trevor Crossman, CX and Digital Transformation Director; Olivia Hussey, Strategic Planner; Simi Srinarula, Social Media Manager, The Hallway (AUS), James Hebbert, Managing Director, Hylink (CN / UK), Mundy Álvarez, Planning Director; Pedro Rojas, Social Media Manager; Pancho González, CCO, Inbrax (CH), Oana Oprea, Head of Digital Planning, Jam Session Agency (RO), Amy Bottrill, Social Account Director, Launch (UK), Gaby Arriaga, Founder, Leonardo1452 (MX), Shantesh S Row, Creative Director, Liwa (UAE), Rajesh Mehta, Chief Strategy Officer; Dhruv Gaur, Digital Planning Lead; Leonie Mergulhao, Account Supervisor - Social Media & PR, Medulla (IN), Aurelija Plioplytė, Head of Digital & Social, Not Perfect (LI), Daiana Khaidargaliyeva, Account Manager, Osaka Labs (UK / USA), Stefanie Söhnchen, Vice President Digital, PIABO Communications (DE), Elisabeth Winiartati, Managing Consultant, Head of Global Integrated Communications; Lydia Aprina, Account Manager, Integrated Marketing and Communications; Nita Prabowo, Account Manager, Integrated Marketing and Communications; Okhi, Web Developer, PNTR Group (ID), Kei Obusan, Insights Director; Daffi Ranandi, Insights Manager, Radarr (SG), Gautam Reghunath, Co-founder & CEO, Talented (IN), Donagh Humphreys, Head of Social and Digital Innovation, THINKHOUSE (IRE), Sarah Yim, Strategy Director, Zulu Alpha Kilo (CA).
Trends In Paid Search: Navigating The Digital Landscape In 2024
The search marketing landscape is evolving rapidly with new technologies, and professionals, like you, rely on innovative paid search strategies to meet changing demands.
It’s important that you’re ready to implement new strategies in 2024.
Check this out and learn the top trends in paid search advertising that are expected to gain traction, so you can drive higher ROI more efficiently in 2024.
You’ll learn:
- The latest trends in AI and automation, and what this means for an evolving paid search ecosystem.
- New developments in privacy and data regulation.
- Emerging ad formats that are expected to make an impact next year.
Watch Sreekant Lanka from iQuanti and Irina Klein from OneMain Financial as they dive into the future of paid search and explore the trends, strategies, and technologies that will shape the search marketing landscape.
If you’re looking to assess your paid search strategy and design an industry-aligned plan for 2024, then this webinar is for you.
5 Public speaking tips from TED - Visualized summary
From their humble beginnings in 1984, TED has grown into the world’s most powerful amplifier for speakers and thought-leaders to share their ideas. They have over 2,400 filmed talks (not including the 30,000+ TEDx videos) freely available online, and have hosted over 17,500 events around the world.
With over one billion views in a year, it’s no wonder that so many speakers are looking to TED for ideas on how to share their message more effectively.
The article “5 Public-Speaking Tips TED Gives Its Speakers”, by Carmine Gallo for Forbes, gives speakers five practical ways to connect with their audience, and effectively share their ideas on stage.
Whether you are gearing up to get on a TED stage yourself, or just want to master the skills that so many of their speakers possess, these tips and quotes from Chris Anderson, the TED Talks Curator, will encourage you to make the most impactful impression on your audience.
See the full article and more summaries like this on SpeakerHub here: https://speakerhub.com/blog/5-presentation-tips-ted-gives-its-speakers
See the original article on Forbes here:
http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b
ChatGPT and the Future of Work - Clark Boyd
Everyone is in agreement that ChatGPT (and other generative AI tools) will shape the future of work. Yet there is little consensus on exactly how, when, and to what extent this technology will change our world.
Businesses that extract maximum value from ChatGPT will use it as a collaborative tool for everything from brainstorming to technical maintenance.
For individuals, now is the time to pinpoint the skills the future professional will need to thrive in the AI age.
Check out this presentation to understand what ChatGPT is, how it will shape the future of work, and how you can prepare to take advantage.
Getting into the tech field. what next
The document provides career advice for getting into the tech field, including:
- Doing projects and internships in college to build a portfolio.
- Learning about different roles and technologies through industry research.
- Contributing to open source projects to build experience and network.
- Developing a personal brand through a website and social media presence.
- Networking through events, communities, and finding a mentor.
- Practicing interviews through mock interviews and whiteboarding coding questions.
Google's Just Not That Into You: Understanding Core Updates & Search Intent
1. Core updates from Google periodically change how its algorithms assess and rank websites and pages. This can impact rankings through shifts in user intent, site quality issues being caught up to, world events influencing queries, and overhauls to search like the E-A-T framework.
2. There are many possible user intents beyond just transactional, navigational and informational. Identifying intent shifts is important during core updates. Sites may need to optimize for new intents through different content types and sections.
3. Responding effectively to core updates requires analyzing "before and after" data to understand changes, identifying new intents or page types, and ensuring content matches appropriate intents across video, images, knowledge graphs and more.
How to have difficult conversations
Stop putting off having difficult conversations. Seven practical tips to ensure your next difficult conversation go smoothly.
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* ChatGPT and OpenAI belong to OpenAI, L.L.C.
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According to the latest State of the American Manager report from Gallup, employees who have regular meetings with their managers are almost three times as likely to be engaged as those who don’t. These regular check-ins keep managers and employees in sync and aligned. Want to see better manager/employee relationships in your organisation? Then make an all-in commitment to 1:1 meetings. Not sure how? You’ve come to the right place.
In this webinar with Jamie Resker, Founder and Practice Leader for Employee Performance Solutions (EPS), and Teala Wilson, Talent Management Consultant at Saba Software, you’ll get the inside track on how to hold effective 1:1 meetings, including tips for getting managers on board.
• Go beyond discussing the status of everyday work to higher level topics, including recognition, performance, development, and career aspirations
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• Understand how managers can build trust and make it comfortable for employees to provide upward feedback
• Unite your organisation with a unified approach to 1:1 meetings
Join us for this 1-hour webinar to get practical tips for building better manager-employee relationships with intention and purpose.
About the Speakers
Jamie Resker - Founder and Practice Leader for Employee Performance Solutions (EPS)
Jamie Resker, Practice Leader and Founder of Employee Performance Solutions, is a recognized innovator in performance management. She is the originator of the-the Performance Continuum Feedback Method® and Conversations to Optimize Employee Performance training program; tools and training that reshape communications between managers and employees to drive and align performance. Jamie is on the faculty for the Northeast Human Resources Association, is a contributor to Halogen Software's Talent Space Blog, and is an editorial advisory board member for HR Examiner.
Teala Wilson - Senior Consultant, Strategic Services, Saba Software
Teala is a Talent Management Consultant at Halogen Software, now a part of Saba Software. She has worked with teams on a national and global level supporting human resources in areas such as performance management, recruitment, employee benefit programs, training and talent development, workforce planning and internal communications. Teala also has a personal passion for visual arts and design.
Want to learn more? Join us for an upcoming Product Tour!
http://bit.ly/2yitfqu
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2012 Management of Snake bite
- 1. SNAKE BITE醫學役男：吳恩守 A mordida de Cobra。毒蛇咬傷及處置
- 3. SNAKE BITE • 出⾎血性蛇毒 • ⻱⿔龜殼花，⾚赤尾⻘青⽵竹絲，百步蛇 • 神經性蛇毒 • ⾬雨傘節， 眼鏡蛇 • 混合性蛇毒 • 鎖鏈蛇 TYPE OF SNAKEVENOM INTAIWAN
- 4. SNAKE BITE 出⾎血性蛇毒 ⻱⿔龜殼花 |TRIMERESURUS MUCROSQUAMATUS 俗稱：⽜牛⾓角蛇 • 辨認特徵： • 背部，暗茶⾊色斑塊，前後 連續並向左右彎曲⽽而呈波 浪狀。 • 頭呈三⾓角形，頸部細⼩小。
- 5. SNAKE BITE 出⾎血性蛇毒 ⾚赤尾⻘青⽵竹絲 |TRIMERESURUS STEJNEGERI 俗稱：⾚赤尾鮐、⻘青⽵竹絲、⽵竹葉⻘青、⻘青⽵竹鏢 • 辨認特徵： • 背部，鮮綠⾊色；腹部呈 ⿈黃綠⾊色；尾部為磚紅⾊色 • 頭呈三⾓角形，有頰窩。
- 7. SNAKE BITE 出⾎血性蛇毒 百步蛇 | DEINAGKISTRODON ACUTUS 俗稱：五步蛇、蝮蛇、⼭山⾕谷鱉、百花蛇 • 辨認特徵： • 體背兩側有⿊黑褐⾊色倒三 ⾓角形斑紋、左右相對呈 沙漏狀、嘴尖向上翹 • 頭呈三⾓角形，狀似鱉頭
- 8. SNAKE BITE 出⾎血性蛇毒 百步蛇 • 常⾒見症狀： • 局部淤⾎血、腫脹、起⽔水 泡與多發性⾎血泡 • 臨床上可⾒見明顯⾎血⼩小板 減少，PT、APTT延⻑⾧長及 全⾝身性出⾎血傾向，常會 產⽣生全⾝身性擴散性的⾎血 管內凝⾎血病變(DIC)
- 9. SNAKE BITE 神經性蛇毒 ⾬雨傘節 | BUNGARUS MULTICINCTUS 俗稱：百節蛇、⽩白節蛇、簸箕甲 • 辨認特徵： • 全⾝身有⿊黑寬⽩白窄相間的 斑紋 • 頭圓⽽而⼩小不呈三⾓角形， ⼝口內有⼀一對⼤大溝⽛牙、兩 對⼩小溝⽛牙。
- 10. SNAKE BITE 神經性蛇毒 ⾬雨傘節 • 毒素： • 神經毒素：α- & β- Bungarotoxins
- 11. SNAKE BITE 神經性蛇毒 ⾬雨傘節 • 常⾒見症狀： • 呼吸衰竭 • 全⾝身肌⾁肉⿇麻痺 • 深度昏迷
- 12. SNAKE BITE 神經性蛇毒 眼鏡蛇 | NAJA NAJA 俗稱：飯匙倩、蝙蝠蛇、脹頸蛇 • 辨認特徵： • 受驚嚇時，上⾝身仰起， 頭頸昂仰噴張。 • 頸部有⼀一寬⽩白斑紋，內 有⿊黑點，頸部擴張時被 看似戴眼鏡般。 • 頭⼤大頸⼩小，⾝身體棕⾊色略 帶斑點
- 13. SNAKE BITE 神經性蛇毒 眼鏡蛇 • 毒素 • 細胞毒素（Cytotoxin） ➡局部劇痛、腫脹、局部 組織變⿊黑、壞死，橫紋 肌溶解 • 神經毒素：毒蛋⽩白 （Cobrotoxin）
- 14. SNAKE BITE 混合性蛇毒 鎖鏈蛇 |VIPERA RUSSELLI FORMOSENSIS 俗稱：鎖仔蛇、鏈仔蛇 • 辨認特徵： • 體背⾯面有三縱列交錯的 暗⾊色或深褐⾊色橢圓形斑 紋 • 頭呈三⾓角形，背⾯面為淺 灰褐⾊色 • 亦與⻱⿔龜殼花花紋混淆
- 15. SNAKE BITE • 台灣主要表現為出⾎血毒 • 常⾒見症狀： • 局部淤⾎血、腫脹，少數 有⽔水泡或⾎血泡，此外有 DIC • 溶⾎血、橫紋肌溶解、急 性腎衰竭 混合性蛇毒 鎖鏈蛇
- 17. SNAKE BITE TIPO DE COBRAVENENOSA EM SÃOTOMÉ E PRÍNCIPE • Jameson's mamba | Dendroaspis jamesoni | Cobra preta • Forest cobra | Naja melanoleuca | Black & white cobra
- 18. SNAKE BITE JAMESON'S MAMBA DENDROASPIS JAMESONI | COBRA PRETA • Neurotoxin • Cardiotoxins, fasciculins • Hemotoxic and Myotoxic components • Envenomation 30-120 mins > DEATH
- 19. SNAKE BITE FOREST COBRA NAJA MELANOLEUCA | BLACK & WHITE COBRA • Neurotoxin • The high average venom yield per bite is around 500 mg • Envenomation 30-120 mins > DEATH
- 20. SNAKE BITE TREATMENT 到院前處置 • 使患者保持冷靜並離開毒蛇區域 • 移除肢體上可能束縛物 • 勿使⽤用⽌止⾎血帶或使⽤用冰敷 • 不要切開局部傷⼝口及避免以⼝口吸毒液 • 患肢保持低於⼼心臟的⾼高度，儘快以彈性繃帶或具彈性之 寬⾐衣料等，給予壓迫性包紮，並以夾板或護⽊木固定患肢 以其不能亂動
- 22. SNAKE BITE TREATMENT 到院後處置 • 穩定⽣生命徵象 • 評估可能的毒蛇種類 • 消毒傷⼝口、給予破傷⾵風 • 若眼鏡蛇毒液噴⼊入⼈人眼時，以⼤大量0.9%⽣生理⻝⾷食鹽⽔水或 清⽔水清洗15分鐘，由內往外 • 視情況給予蛇毒⾎血清 • ⽀支持性治療
- 23. SNAKE BITE TREATMENT 蛇毒⾎血清 • ⾎血清越早給予越有效果，但若診斷延遲，經過4-5⽇日或 甚⾄至更久仍有明顯效果 • 先進⾏行⽪皮膚過敏測試 • 抗出⾎血性⾎血清：⻱⿔龜殼花1~4 vial、⾚赤尾⻘青⽵竹絲1 vial • 抗神經性⾎血清：眼鏡蛇6-10 vial、⾬雨傘節1-4 vial • 抗百步蛇⾎血清：2-4 vial • 抗鎖鏈蛇⾎血清：2-4 vial
- 24. TREATMENT 蛇毒⾎血清 | ⽪皮膚測試 • 以⽣生理⻝⾷食鹽⽔水100倍稀釋抗蛇毒⾎血 清，取0.1毫升（含1抗毒單位）注射 於前臂⽪皮內，於3分鐘內局部產⽣生輪 狀紅腫，周圍起紅暈者為陽性反應 • 若呈陽性反應者確實需使⽤用⾎血清治療， 則先⾏行注射抗組織胺藥物及類固醇， 並減慢注射速度⾄至30min-2hr。同時準 備1:1000之epinephrine以供過敏性休 克時使⽤用
- 25. SNAKE BITE TREATMENT 蛇毒⾎血清 • ⾎血清副作⽤用： • 過敏性休克 • 氣管攣縮、低⾎血壓、發紺、休克 • 過敏反應 • 蕁⿇麻疹、氣喘、⾎血管性淋巴腫 • 通常發⽣生於4-10⽇日，但亦有延遲⾄至⼀一個⽉月⽽而發⽣生者 • 以類固醇、抗組織胺治療
- 26. SNAKE BITE TRATAMENTO O SORO ANTIVENENO DE COBRA • SAIMR POLYVALENT SNAKE ANTIVENOM
- 27. SNAKE BITE TRATAMENTO O SORO ANTIVENENOSO DE COBRA • Dendroaspis jamesoni • Secure Four vials (40 mls) immediately, and withdraw the contents into a single syringe • Administer the undiluted Antivenom IV at a rate of 1 vial/min • Naja melanoleuca • Secure Three vials (30 mls) immediately, and withdraw the contents into a single syringe • Administer the undiluted Antivenom IV in an established I.V. slowly over a period of 2 minutes
- 28. SNAKE BITE TRATAMENTO O SORO ANTIVENENO DE COBRA • 到院時，需⾄至少備有10vial的劑量 • Dendroaspis jamesoni • minor bite w/ envenomation: 4-6 vial • moderate or severe bites: 8-15 vial • Naja melanoleuca • minor bite w/ envenomation: 4-6 vial • moderate or severe bites: 8-10 vial
- 29. SNAKE BITE TRATAMENTO O SORO ANTIVENENO DE COBRA • Testing for Equine Protein Sensitivity • NOT ADVISABLE • If there is reason to believe that the patient may be sensitive to equine protein products, the following may be performed • Administer 1 gram of Solumedrol I.V. push. • Wait 10 minutes. • Administer the antivenom by direct IV infusion at a rate of 1 vial/ 5mins • Monitor Pulse and Blood Pressure carefully. Be prepared to treat for Anaphylaxis with Epinephrine and other vasoactive medications.
- 31. SNAKE BITE SUMÁRIO • Tipo de cobra venenosa em SãoTomé e Príncipe • Jameson's mamba & Forest cobra • Neurotoxin • O SORO ANTIVENENOSO DE COBRA • S.A.I.M.R. Polyvalent Snake Antivenom • Make sure that at least 10 vials Antivenom are present with the patient.
- 32. THANKS for YOUR ATTENTION