One 28-year-old Male from Hingna was recently brought to Nagpur based Orange City Hospital and Research Institute- a unit of Ravi Nair Hospitals Private Limited(RNHPL) from N.K.P. Salve Institute of Medical Sciences- Hingna in an emergency with an alleged history of Snakebite on the wrist.
At the time of admission, he developed a change of voice and difficulty in swallowing in casualty. Suspecting poisonous snake bite, he was immediately shifted to CCU. By the time he reached CCU, he was completely paralyzed with no movements in hands and legs with respiratory paralysis. He was immediately resuscitated and intubated by Dr Himanshu Dodeja- Intensivist, Dr. Deepak Kore and Dr. Deepak Narwade- CMOs and put on ventilator support by Critical care team.
Therapeutic dose of Anti snake venom (ASV) was immediately started with other supportive treatment as per protocol. The patient is himself a sarpmitra. He told that on 7th August at around 8.30 pm he was passing through SRPF colony Hingna, at that time he was called to rescue a snake from a house. So he rescued the snake, suddenly this snake came out from jar and bite three times on his wrist. As he was aware that this is Cobra, he immediately went home and told his brother to take him to the hospital immediately. He also told his brother that he has 30 min time else he will go into respiratory failure.
Dr. Vidya Nair- RNHPL Director(Quality) added that the brother took the patient to Lata Mangeshkar Hospital-Hingna where first aid was given and directed to OCHRI for further management. He told that this snake was cobra and that bite by this snake is fatal and there is no chance of survival. The family brought him immediately to OCHRI to take a chance of snatching him from jaws of death from this fatal bite. He was admitted under the care of Dr. Rajesh Atal- Senior Critical Care Physician.
Dr Rajesh Atal informed that this patient of Snakebite is under treatment and now he has recovered with no neurological deficit & No sequelae (side effects) of Neuroleptic (King Cobra)Snakebite. Dr Rajesh Atal said, “In addition to being an occupational hazard for field workers, snakebite is a leading cause of accidental death in the developing world, especially among otherwise healthy people. In some fatal snakebites, victims are paralyzed by the snake’s neurotoxins, resulting in death by respiratory failure, working on the fields or staying near them are exposed to this risk which can prove to be fatal if not treated on time.†“Snakebites often occur in remote locations far from medical centers, and anti-venoms are expensive, require refrigeration, and demand significant expertise to administer and manage.†He further added.
Fortunately, OCHRI had kept an emergency stock of Anti-snake venoms in their stock. Locals must know that no home remedy like applying mud should be tried. The patient must be kept in an immobile position with tourniquet application and rushed to the hospital which has the expertise in treating snake bites. Once the ASV is given to the patient, recovery happens depending on the severity.
Dr. Sweety Pasari, Dr. Akshay Burlawar, Dr. Himanshu Dodeja, Dr. Roshan Jawlekar, Dr. Santosh Gadge, and Dr. Sachin Gondane Intensivists along with Sr. Preety Joseph- Ward Section Supervisor and the team supported Dr. Rajesh Atal during the comprehensive treatment.
Complimenting Dr. Rajesh Atal & team; Dr. Anup Marar- OCHRI Director stated that OCHRI is among the few critical care centers which have anti-snake venom (ASV) treatment available 24×7 along with hospital stationed round the clock trained a group of Critical care specialists for rendering timely treatment. ASV is the medically recommended line of treatment for snake bites and if administered at the earliest can effectively save a life.
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