Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India D.K. Kochar, MBBS, MD, P.D. Tanwar,

Slides:

Advertisements

Similar presentations

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning Andrew C. Schmidt, DO, MPH, Justin R. Sempsrott, MD, Seth C.

Advertisements

Acute Coronary Ischemia Following Centipede Envenomation: Case Report and Review of the Literature Murat Ozsarac, MD, Ozgur Karcioglu, MD, Cuneyt Ayrik,

Ian D. Simpson, BSc DM, Robert L. Norris, MD

Search and Rescue in Yosemite National Park: A 10-Year Review

Students Experience Self-Esteem Improvement During Mountaineering

Sarah Barker, MD, Nathan P. Charlton, MD, Christopher P. Holstege, MD

Case Report of Probable Desert Black Snake Envenomation in 22-Year-Old Male Causing Profound Weakness and Respiratory Distress Cynthia Lauer, MD, Thomas.

Clinical Images Wilderness & Environmental Medicine

Venomous Snakebite in Mountainous Terrain: Prevention and Management

Brief Altitude Exposure in New Zealand White Rabbits (Oryctolagus cuniculus) Does Not Produce Elevated Intracranial Pressure Joseph D. Pendon, MD, James.

Students Experience Self-Esteem Improvement During Mountaineering

Acute Coronary Ischemia Following Centipede Envenomation: Case Report and Review of the Literature Murat Ozsarac, MD, Ozgur Karcioglu, MD, Cuneyt Ayrik,

Rabies exposures in Thai children

Injury and Illness Encountered in Shenandoah National Park

The “Knot Method” of Tick Removal

Jeremy S. Windsor, James S. Milledge, George W. Rodway

Ricky L. Langley Wilderness & Environmental Medicine

Brian Lin, MD, Robert L. Norris, MD, Paul S. Auerbach, MD

Climbing the Education Mountain: Designing the New Diploma in Mountain Medicine for the United Kingdom Kyle Pattinson, BM, FRCA, Sarah Matthews, BSc,

Medical Incidents and Evacuations on Wilderness Expeditions

Risk Factors for Coliform Bacteria in Backcountry Lakes and Streams in the Sierra Nevada Mountains: A 5-Year Study Robert W. Derlet, MD, K. Ali Ger,

Effective Tick Removal With a Fishing Line Knot

Colin Powell, BSc (tech) FHEA Wilderness & Environmental Medicine

Search and Rescue in Yosemite National Park: A 10-Year Review

Death by Volcanic Laze Wilderness & Environmental Medicine

Bruno Ernst Durrer, MD: January 14, 1953 to December 5, 2016

Temperature and Blood Pressure Following Amlodipine Overdose

The Snow Snorkel: A Proof of Concept Study

Avalanche trauma and closed head injury: adding insult to injury

A Mystery Wilderness & Environmental Medicine

Ian D. Simpson, BSc DM, Robert L. Norris, MD

Ultrasound Identification of Patella Fracture

Calotropis gigantea Wilderness & Environmental Medicine

Snakes of Medical Significance in India: The First Reported Case of Envenoming by the Levantine Viper (Macrovipera lebetina) Col. Lekh R. Sharma, MBBS,

Robert L. Norris, MD, James A. Wilkerson, MD, Joanne Feldman, MD

Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India D.K. Kochar, MBBS, MD, P.D. Tanwar,

Brief Altitude Exposure in New Zealand White Rabbits (Oryctolagus cuniculus) Does Not Produce Elevated Intracranial Pressure Joseph D. Pendon, MD, James.

Case Report of Probable Desert Black Snake Envenomation in 22-Year-Old Male Causing Profound Weakness and Respiratory Distress Cynthia Lauer, MD, Thomas.

Gender Differences Among Long-Distance Backpackers: A Prospective Study of Women Appalachian Trail Backpackers David R. Boulware, MD Wilderness & Environmental.

Black Widow Spider Envenomation, A Rare Cause of Horner's Syndrome

Ankle-Brachial Index on Kilimanjaro: Lessons from High Altitude

How Not to Train Your Dragon: A Case of a Komodo Dragon Bite

Health Care Provider Beliefs Concerning the Adverse Health Effects of Environmental and Ecosystem Degradation Robert T. Truckner, MD, MPH Wilderness.

Tribute to Jonna Barry Wilderness & Environmental Medicine

O. Larsell Wilderness & Environmental Medicine

Time for an Alternative Perspective: The Eternal Problem of Supply and Quality of Anti Snake Venom in the Developing World—“It's the Economy, Stupid”

A Locally Developed Snakebite Management Protocol Significantly Reduces Overall Anti Snake Venom Utilization in West Bengal, India Soumitra Ghosh, MD,

Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test Ian Quigley, MBBS, Ken Zafren, MD Wilderness.

Editor's Note Wilderness & Environmental Medicine

Animal-Caused Fatalities in New Mexico, 1993–2004

Tick Attachment Sites Wilderness & Environmental Medicine

Douglas McGraw, Stephen J. Gluckman, MD

Cougar Attacks on Humans: A Case Report

Significant Traumatic Intracranial Hemorrhage in the Setting of Massive Bee Venom– Induced Coagulopathy: A Case Report Kelsey Stack, DO, Lindsey Pryor,

Palsy in the Desert Wilderness & Environmental Medicine

A Broken Leg in the Bugs Wilderness & Environmental Medicine

Snakebite envenomation in children: a 10-year retrospective review

Wolf Spider Envenomation

Patient attitudes toward issues of environmental health

Risk Assessment in Winter Backcountry Travel

Timothy S. Talbot, MD, David A. Townes, MD, MPH, FACEP, Ian S

The “Worldwide Shortage” of Antisnake Venom: Is the Only Right Answer “Produce More” Or Is It Also “Use It Smarter?” Ian D. Simpson, BSc, PG (Dip) Wilderness.

Ian R. Rogers, MBBS, FACEM, Tony Celenza, MBBS, FACEM, FFAEM

Adam M. Anderson, MD, John M. Leisey, MD

Human North American River Otter(Lontra canadensis) Attack

Russell's Viper Envenomation-Associated Addisonian Crisis

Recreational Surfing Injuries in Cornwall, United Kingdom

Year 2000 Whitewater Injury Survey

Todd McGrath, MD, Crystal Murphy, MD

Airway Compromise After First Rattlesnake Envenomation

Presentation transcript:

Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India D.K. Kochar, MBBS, MD, P.D. Tanwar, MBBS, MD, Robert L. Norris, MD, M. Sabir, MBBS, MD, K.C. Nayak, MBBS, MD, T.D. Agrawal, MBBS, MD, V.P. Purohit, MBBS, MD, A. Kochar, MBBS, Ian D. Simpson, BSc, DM Wilderness & Environmental Medicine Volume 18, Issue 2, Pages 75-85 (June 2007) DOI: 10.1580/06-WEME-OR-078R.1 Copyright © 2007 Wilderness Medical Society Terms and Conditions

Figure 1 Adult northern saw scaled viper (Echis sochureki) poised to strike in the Thar desert. Wilderness & Environmental Medicine 2007 18, 75-85DOI: (10.1580/06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

Figure 2 The use of “morpunki” in a victim of Echis sochureki envenoming. A peacock feather is tied loosely above the bitten foot in the belief that it will prevent venom absorption. Wilderness & Environmental Medicine 2007 18, 75-85DOI: (10.1580/06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

Figure 3 Fixed, dilated right pupil in a 24 year old victim of Echis sochureki envenoming complicated by intracranial hemorrhage (22½hours following the bite). Wilderness & Environmental Medicine 2007 18, 75-85DOI: (10.1580/06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

Figure 4 Severe anemia (haemoglobin 2gm/dl) demonstrated by a pale tongue in a 64 year old patient bitten by Echis sochureki (at 66½hours following the bite) (see also figures 5 and 6. Wilderness & Environmental Medicine 2007 18, 75-85DOI: (10.1580/06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

Figure 5 Abdominal wall ecchymosis in the same victim shown in figures 4 and 6. Wilderness & Environmental Medicine 2007 18, 75-85DOI: (10.1580/06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

Figure 6 Gluteal ecchymosis in the same victim shown in figures 4 and 5. Wilderness & Environmental Medicine 2007 18, 75-85DOI: (10.1580/06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions