SlideShare a Scribd company logo
1 of 39
ENVENOMATION SNAKE BITE  Vikas Kesarwani MD A/Professor  Consultant, Pulmonary & Critical care medicine, HIHT University, Dehradun.
Epidemiology ,[object Object],[object Object],[object Object]
 
Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Snakes : Introduction ,[object Object]
 
Snakes: Introduction ,[object Object],[object Object],[object Object]
 
India: Poisonous snakes In India, >200 species of snakes.  Only 52 are poisonous. Krait and russell’s viper  is much more toxic than that of  cobra Sea Snakes Russell’s Vipers., Saw scaled Vipers., Pit Vipers.  Cobra, Kraits Myotoxic Hydrophidae Hemotoxic Viperidae (Vipers) Neurotoxic Elapidae
Krait Cobra Pit Viper Rusell’s viper
Snake Venom ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIAGNOSIS OF SNAKE BITE ,[object Object],[object Object]
Effects of envenomation ,[object Object],[object Object],Max. with Viper bite , least with Krait bite.  Hence  krait bite can sometimse go unnoticed .
Clinical features: VENOMOUS SNAKE BITES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],COBRA  envenomation Cardiotoxicity
VIPERID BITE ( Viper ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],VIPERID BITE ( Viper )
HYDROPHID BITE ( sea snake )  Myotoxic ,[object Object],[object Object]
Management ,[object Object],[object Object],[object Object]
Management: Local ,[object Object],[object Object],[object Object]
Management: local reactions ,[object Object],[object Object],[object Object]
Specific Management ,[object Object],[object Object]
What is ASV? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
ASV Indication:  Systemic manifestaiton ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Timing of ASV ,[object Object],[object Object],[object Object]
Dose  5 vials(50ml) 5-10 vials (50-100ml) 10-20 vials (100-200ml)
Repeat dose ,[object Object],[object Object],[object Object],[object Object]
Antivenom reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antivenom reactions: What to do ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Skin testing for ASV ,[object Object]
ASV and children ,[object Object],[object Object],[object Object]
Mechanical ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object]
SUPPORTIVE CARE ,[object Object],[object Object],[object Object],[object Object]
Summary  ,[object Object],[object Object],[object Object],[object Object]
 
 
HAEMOTOXIC ENVONOMATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Snake bite and its management
Snake bite and its managementSnake bite and its management
Snake bite and its managementDr.Muhammad Omer
 
Bites and Stings emergency medicine
Bites and Stings emergency medicineBites and Stings emergency medicine
Bites and Stings emergency medicineLijo Joy
 
Snake bite - ASV Protocols and Management - Antisnake Venom
Snake bite - ASV Protocols and Management - Antisnake VenomSnake bite - ASV Protocols and Management - Antisnake Venom
Snake bite - ASV Protocols and Management - Antisnake VenomChetan Ganteppanavar
 
Paraquat poisoning
Paraquat poisoningParaquat poisoning
Paraquat poisoningchinju achu
 
Treatment protocol of snake bite
Treatment protocol of snake biteTreatment protocol of snake bite
Treatment protocol of snake bitePratik Kumar
 
Organophosphorus poisoning
Organophosphorus poisoningOrganophosphorus poisoning
Organophosphorus poisoningAbhishek Yadav
 
Management of venomous snake bite
Management of venomous snake biteManagement of venomous snake bite
Management of venomous snake biteForhad Uddin Maruf
 
Snake bite 2014 handout - ANMC
Snake bite  2014 handout - ANMCSnake bite  2014 handout - ANMC
Snake bite 2014 handout - ANMCRizwan Saeed
 
5. organophosphate poisoning
5. organophosphate poisoning5. organophosphate poisoning
5. organophosphate poisoningSOPHY TC
 
Managing Spider Bites in the ED
Managing Spider Bites in the EDManaging Spider Bites in the ED
Managing Spider Bites in the EDKane Guthrie
 
snake bite and management
snake bite and managementsnake bite and management
snake bite and managementakhilroyal
 

What's hot (20)

Snake bite and its management
Snake bite and its managementSnake bite and its management
Snake bite and its management
 
Bites and Stings emergency medicine
Bites and Stings emergency medicineBites and Stings emergency medicine
Bites and Stings emergency medicine
 
Bee sting MANAGEMENT
Bee sting MANAGEMENT Bee sting MANAGEMENT
Bee sting MANAGEMENT
 
Rat poisoning management
Rat poisoning managementRat poisoning management
Rat poisoning management
 
Drowning
DrowningDrowning
Drowning
 
Snake bite - ASV Protocols and Management - Antisnake Venom
Snake bite - ASV Protocols and Management - Antisnake VenomSnake bite - ASV Protocols and Management - Antisnake Venom
Snake bite - ASV Protocols and Management - Antisnake Venom
 
Organophosphorus poisoning final
Organophosphorus poisoning finalOrganophosphorus poisoning final
Organophosphorus poisoning final
 
Dog Bite
Dog BiteDog Bite
Dog Bite
 
Snakebite
SnakebiteSnakebite
Snakebite
 
Paraquat poisoning
Paraquat poisoningParaquat poisoning
Paraquat poisoning
 
Treatment protocol of snake bite
Treatment protocol of snake biteTreatment protocol of snake bite
Treatment protocol of snake bite
 
Organophosphorus poisoning
Organophosphorus poisoningOrganophosphorus poisoning
Organophosphorus poisoning
 
Management of venomous snake bite
Management of venomous snake biteManagement of venomous snake bite
Management of venomous snake bite
 
Snake bite 2014 handout - ANMC
Snake bite  2014 handout - ANMCSnake bite  2014 handout - ANMC
Snake bite 2014 handout - ANMC
 
5. organophosphate poisoning
5. organophosphate poisoning5. organophosphate poisoning
5. organophosphate poisoning
 
Managing Spider Bites in the ED
Managing Spider Bites in the EDManaging Spider Bites in the ED
Managing Spider Bites in the ED
 
Septic shock
Septic shockSeptic shock
Septic shock
 
Snake bite management practice guideline
Snake bite management   practice guidelineSnake bite management   practice guideline
Snake bite management practice guideline
 
Animal And Insect Bites
Animal And Insect BitesAnimal And Insect Bites
Animal And Insect Bites
 
snake bite and management
snake bite and managementsnake bite and management
snake bite and management
 

Viewers also liked

Foreign body nose
Foreign body noseForeign body nose
Foreign body noseRam Raju
 
First aid on snake bite
First aid on snake bite First aid on snake bite
First aid on snake bite Kamal Krishna
 
Snake bite management in Pediatrics.. Dr.Padmesh. V
Snake bite management in Pediatrics..  Dr.Padmesh. VSnake bite management in Pediatrics..  Dr.Padmesh. V
Snake bite management in Pediatrics.. Dr.Padmesh. VDr Padmesh Vadakepat
 
"Snake Bite Management in Indian Context" by Dr Subhash Ranjan NM,VSM
"Snake Bite Management  in Indian Context" by Dr Subhash Ranjan NM,VSM"Snake Bite Management  in Indian Context" by Dr Subhash Ranjan NM,VSM
"Snake Bite Management in Indian Context" by Dr Subhash Ranjan NM,VSMsranjan
 
Snake Bite! - Firstaid, Facts & Prevention
Snake Bite! - Firstaid, Facts & PreventionSnake Bite! - Firstaid, Facts & Prevention
Snake Bite! - Firstaid, Facts & PreventionJose Louies
 

Viewers also liked (7)

bites and first aid ppt.
bites and first aid ppt.bites and first aid ppt.
bites and first aid ppt.
 
Foreign body nose
Foreign body noseForeign body nose
Foreign body nose
 
First aid on snake bite
First aid on snake bite First aid on snake bite
First aid on snake bite
 
Snake bite management in Pediatrics.. Dr.Padmesh. V
Snake bite management in Pediatrics..  Dr.Padmesh. VSnake bite management in Pediatrics..  Dr.Padmesh. V
Snake bite management in Pediatrics.. Dr.Padmesh. V
 
"Snake Bite Management in Indian Context" by Dr Subhash Ranjan NM,VSM
"Snake Bite Management  in Indian Context" by Dr Subhash Ranjan NM,VSM"Snake Bite Management  in Indian Context" by Dr Subhash Ranjan NM,VSM
"Snake Bite Management in Indian Context" by Dr Subhash Ranjan NM,VSM
 
Snake Bite! - Firstaid, Facts & Prevention
Snake Bite! - Firstaid, Facts & PreventionSnake Bite! - Firstaid, Facts & Prevention
Snake Bite! - Firstaid, Facts & Prevention
 
INTRAOCULAR FOREIGN BODY
INTRAOCULAR FOREIGN BODYINTRAOCULAR FOREIGN BODY
INTRAOCULAR FOREIGN BODY
 

Similar to Snake Bite.ppt

Snake bite ICU mangement in INDIA
Snake bite ICU mangement in INDIASnake bite ICU mangement in INDIA
Snake bite ICU mangement in INDIAintentdoc
 
Snake Bite Icu Management
Snake Bite Icu ManagementSnake Bite Icu Management
Snake Bite Icu Managementchandra talur
 
Snake bite management 2021
Snake bite management  2021Snake bite management  2021
Snake bite management 2021Best Doctors
 
Management of snake bite at rural hospital in india
Management of snake bite at rural hospital in indiaManagement of snake bite at rural hospital in india
Management of snake bite at rural hospital in indiaAbhay Mange
 
Poisoning snake2012+MCQs.
Poisoning snake2012+MCQs.Poisoning snake2012+MCQs.
Poisoning snake2012+MCQs.Shaikhani.
 
Snake bite in children
Snake bite in childrenSnake bite in children
Snake bite in childrenAshwiniBelur2
 
Snake Bite Management Bangladesh.pptx
Snake Bite Management Bangladesh.pptxSnake Bite Management Bangladesh.pptx
Snake Bite Management Bangladesh.pptxTahlilShawon
 
Snake bite and its management by first aid and antivenom
Snake bite and its management by first aid and antivenomSnake bite and its management by first aid and antivenom
Snake bite and its management by first aid and antivenomShwetaKhadka
 
Snake bite management`new anil 1 july
Snake bite management`new anil 1 julySnake bite management`new anil 1 july
Snake bite management`new anil 1 julyanil kumar g
 
Snake envenomation
Snake envenomationSnake envenomation
Snake envenomationHanan Fathy
 
"Venomous Encounters: Understanding the Physiology, Treatment, and Prevention...
"Venomous Encounters: Understanding the Physiology, Treatment, and Prevention..."Venomous Encounters: Understanding the Physiology, Treatment, and Prevention...
"Venomous Encounters: Understanding the Physiology, Treatment, and Prevention...krjx9cpvdg
 
Presentation emergency medicine
Presentation emergency medicinePresentation emergency medicine
Presentation emergency medicineLijo Joy
 
Snake bite poisoning and its treatment by RxVichuZ!
Snake bite poisoning and its treatment by RxVichuZ!Snake bite poisoning and its treatment by RxVichuZ!
Snake bite poisoning and its treatment by RxVichuZ!RxVichuZ
 
Snake Bite and Scorpion Stings,(Kurdistan)
Snake Bite and Scorpion Stings,(Kurdistan)Snake Bite and Scorpion Stings,(Kurdistan)
Snake Bite and Scorpion Stings,(Kurdistan)Znar Mzuri
 
Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...
Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...
Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...MayankkumarDubey4
 

Similar to Snake Bite.ppt (20)

Snake bite ICU mangement in INDIA
Snake bite ICU mangement in INDIASnake bite ICU mangement in INDIA
Snake bite ICU mangement in INDIA
 
Snake Bite Icu Management
Snake Bite Icu ManagementSnake Bite Icu Management
Snake Bite Icu Management
 
Snakes 1
Snakes 1Snakes 1
Snakes 1
 
Snake bite management 2021
Snake bite management  2021Snake bite management  2021
Snake bite management 2021
 
Management of snake bite at rural hospital in india
Management of snake bite at rural hospital in indiaManagement of snake bite at rural hospital in india
Management of snake bite at rural hospital in india
 
Poisoning snake2012+MCQs.
Poisoning snake2012+MCQs.Poisoning snake2012+MCQs.
Poisoning snake2012+MCQs.
 
Envenomations1
Envenomations1Envenomations1
Envenomations1
 
Snake bite in children
Snake bite in childrenSnake bite in children
Snake bite in children
 
Toxicology of animal poisoning
Toxicology of animal poisoningToxicology of animal poisoning
Toxicology of animal poisoning
 
Snake Bite Management Bangladesh.pptx
Snake Bite Management Bangladesh.pptxSnake Bite Management Bangladesh.pptx
Snake Bite Management Bangladesh.pptx
 
Snake bite and its management by first aid and antivenom
Snake bite and its management by first aid and antivenomSnake bite and its management by first aid and antivenom
Snake bite and its management by first aid and antivenom
 
Snake bite management`new anil 1 july
Snake bite management`new anil 1 julySnake bite management`new anil 1 july
Snake bite management`new anil 1 july
 
Snake envenomation
Snake envenomationSnake envenomation
Snake envenomation
 
Snake bite management
Snake bite managementSnake bite management
Snake bite management
 
"Venomous Encounters: Understanding the Physiology, Treatment, and Prevention...
"Venomous Encounters: Understanding the Physiology, Treatment, and Prevention..."Venomous Encounters: Understanding the Physiology, Treatment, and Prevention...
"Venomous Encounters: Understanding the Physiology, Treatment, and Prevention...
 
Presentation emergency medicine
Presentation emergency medicinePresentation emergency medicine
Presentation emergency medicine
 
Snake bite poisoning and its treatment by RxVichuZ!
Snake bite poisoning and its treatment by RxVichuZ!Snake bite poisoning and its treatment by RxVichuZ!
Snake bite poisoning and its treatment by RxVichuZ!
 
Snake Bite and Scorpion Stings,(Kurdistan)
Snake Bite and Scorpion Stings,(Kurdistan)Snake Bite and Scorpion Stings,(Kurdistan)
Snake Bite and Scorpion Stings,(Kurdistan)
 
Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...
Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...
Snake bite and its management- Mayank Kumar Dubey (Forensic/DNA Expert & Asst...
 
Project on snake bite
Project on snake biteProject on snake bite
Project on snake bite
 

Recently uploaded

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Anamika Rawat
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Dipal Arora
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...Sheetaleventcompany
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Mechennailover
 

Recently uploaded (20)

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
 

Snake Bite.ppt

  • 1. ENVENOMATION SNAKE BITE Vikas Kesarwani MD A/Professor Consultant, Pulmonary & Critical care medicine, HIHT University, Dehradun.
  • 2.
  • 3.  
  • 4.
  • 5.
  • 6.  
  • 7.
  • 8.  
  • 9. India: Poisonous snakes In India, >200 species of snakes. Only 52 are poisonous. Krait and russell’s viper is much more toxic than that of cobra Sea Snakes Russell’s Vipers., Saw scaled Vipers., Pit Vipers. Cobra, Kraits Myotoxic Hydrophidae Hemotoxic Viperidae (Vipers) Neurotoxic Elapidae
  • 10. Krait Cobra Pit Viper Rusell’s viper
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. Dose 5 vials(50ml) 5-10 vials (50-100ml) 10-20 vials (100-200ml)
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.  
  • 38.  
  • 39.

Editor's Notes

  1. Deep vein thrombosis (DVT) and acute pulmonary embolism (PE) are two manifestations of the same disorder, venous thromboembolism.
  2. Cold blooded animals take the temp. of there surrounding.
  3. Cold blooded animals take the temp. of there surrounding.