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==epidemiology==
*all continents have venomous snakes
*''Lamprophiidae''
*''"Colubridae"''
*1/4 of snakes are venomous
==venom==
*>100 different agents in each venom
*≈50% of all snake bites by venomous snakes inject no venom - "dry bites"
**traditional but dangerous and not effective therapies mimic effective
*neurotoxic
*coagulation inhibition
==first aid==
#reassure
#immobilise whole body, esp. bitten limb
#remove tight rings etc.
#apply pressure pad/bandage on bitten sites
#consider to give anticholinestarase
===never do===
*vacuum extractor
*too tight bandage
*incisions
==snake bites in Japanphysical exam==*exclude shock/hypovolemia**postural hypotension*exclude neurotoxicity**bilateral ptosis, let patient look upward*exclude coagulopathy/bleeding**20 min whole blood clotting test - always use glass container
==snake bites in Japan==
