Canning subdivisional hospital 24 paraganas s w b
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CANNING SUBDIVISIONAL HOSPITAL 24-PARAGANAS( S), W.B. Dr. Dayal Bandhu Majumdar www.kalachkrait.webs.com. Number of snake bites in 2012. Total Number : 1225. Non Venomous Bites : 1157. Venomous Bites : 68. Neurotoxic Bites : 65. Hemotoxic Bites: 3. Number of Deaths : 10.

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CANNING SUBDIVISIONAL HOSPITAL 24-PARAGANAS( S), W.B.

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Canning subdivisional hospital 24 paraganas s w b

CANNING SUBDIVISIONAL HOSPITAL24-PARAGANAS( S), W.B.

Dr. DayalBandhuMajumdar

www.kalachkrait.webs.com


Number of snake bites in 2012

Number of snake bites in 2012.

  • Total Number : 1225.

  • Non Venomous Bites : 1157.

  • Venomous Bites : 68.

  • Neurotoxic Bites : 65.

  • Hemotoxic Bites: 3.

  • Number of Deaths : 10.


Treatment protocol

TREATMENT PROTOCOL


Status of the hospital

Status of the HOSPITAL

  • 2nd tier Govt. Hospital.

  • Number of M.Os: 22.

  • All the M.Os are treating S.Bite Cases.

  • No ICU or ITU.

  • No Mechanical Ventilator.

  • No Dialysis unit.

  • Blood Bank for Whole Blood only.

  • No. Laboratory for 24 hrs coverage.


Treatment policy

TREATMENT POLICY

  • By Syndromic approach only.

  • Snakes brought to Hospital: 30 only ( out of 1225 bites).

  • Vast individual variation on ASV Dosage.

  • Transferred to Kolkata for Mechanical Ventilation only.

  • 10 patients died before transfer.


Cause of deaths

Cause of Deaths

  • Total Deaths ( in 2012) : 10.

  • Respiratory failure in all cases.

  • 7 due to terminal stage reporting.

  • 3 ( ? ) Due to ASV failure; all Krait bites.


Asv brand used

ASV Brand USED

  • Free Supply from State Govt. Central Store.

  • Manufacturers :

  • Biological E.

  • VINS.

  • Bharat Serum.


Asv reaction

ASV REACTION

  • Reaction in 3 cases only ( in 68).

  • No Death from Reaction.

  • One Bronchospasm.

  • Two Urticarial Rashes .

  • Preventive Adrenaline not used.

  • Reaction Managed without Inj. Adrenaline.


Area covered

AREA COVERED

  • 8 Blocks of the Sunderban Area.

  • Population covered : 2 Million.

  • Mostly Primary cases.

  • Referred cases from Primary Health Centers also.

  • Door to Door Survey revealed 23% Hospital attendance only.


Common krait

COMMON KRAIT


Mysterious c krait

Mysterious C. Krait

  • 80% of the Venomous S. Bites.

  • 100% in the Floor Bed ( in Night).

  • 95% Presented with Pain Abdomen.

  • Other Symptoms: Vomiting, fainting Attack, Arthalgia. Hemiperesis or quadriperesis.

  • No H/O Bite in many cases.

  • All had Bilateral ptosis in different times.


Exceptions

Exceptions

  • Very few Russell’s Viper in the area.

  • No Spectale Cobra ( NajaNaja).

  • All Cobras are NajaKauthia.

  • Plenty of Common Kraits(Bungaruscaeruleus).

  • No Banded Krait ( BungarusFasciatus).

  • No Sawscled Vipers.


Green pit vipers

GREEN PIT VIPERS

  • Present only in the islands of Sunderbans.

  • Practically non-venomous.

  • Causes local swellings only.


Canning subdivisional hospital 24 paraganas s w b

THANK YOU

www.kalachkrait.webs.com


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