Michael D. Cardwell  Wilderness & Environmental Medicine 

Slides:



Advertisements
Similar presentations
Ian D. Simpson, BSc DM, Robert L. Norris, MD 
Advertisements

Sarah Barker, MD, Nathan P. Charlton, MD, Christopher P. Holstege, MD 
Prolonged Coagulopathy, Ecchymoses, and Microangiopathic Hemolytic Anemia Following Hump-Nosed Pit Viper (Hypnale hypnale) Bite in Sri Lanka  Rathnayaka.
Morteza Khodaee, MD, MPH, David R. Torres, MD 
Case Report of Probable Desert Black Snake Envenomation in 22-Year-Old Male Causing Profound Weakness and Respiratory Distress  Cynthia Lauer, MD, Thomas.
The UPLOADS Project: Development of an Australian National Incident Dataset for Led Outdoor Activities  Natassia Goode, PhD, Paul M. Salmon, PhD, Michael.
Michael D. Cardwell  Wilderness & Environmental Medicine 
An Assessment of Coliform Bacteria in Water Sources Near Appalachian Trail Shelters Within the Great Smoky Mountains National Park  Brian C. Reed, MD,
Interfang Distances of Rattlesnakes: Sexual, Interspecific, and Body Size-related Variation, and Implications for Snakebite Research and Management  William.
Venomous snake husbandry in Thailand
Cutaneous Exposure to Cobra Venom: An Uncommon Presentation
Jason D. Heiner, MD, Todd J. McArthur, MD 
Tough Beginnings on Galapagos, Baby Blue Footed Booby
Ricky L. Langley  Wilderness & Environmental Medicine 
Bitten by a Dragon Wilderness & Environmental Medicine
The UPLOADS Project: Development of an Australian National Incident Dataset for Led Outdoor Activities  Natassia Goode, PhD, Paul M. Salmon, PhD, Michael.
Wilderness Communications
Effective Tick Removal With a Fishing Line Knot
Colin Powell, BSc (tech) FHEA  Wilderness & Environmental Medicine 
Novel Use of a Hemostatic Dressing in the Management of a Bleeding Leech Bite: A Case Report and Review of the Literature  Preston J. Fedor, MD  Wilderness.
Cardiovascular Demands of Deer Retrieval Methods
Bruno Ernst Durrer, MD: January 14, 1953 to December 5, 2016
Colorful Mushroom Ingestion
Jenny T. Visser, MbChB, MTravMed, Adam F.R. Campbell 
Dental Extractions Using Improvised Equipment
Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers  Michael Simon, MD, Dominik Popp, MD, Christoph Lutter,
Gordon G. Giesbrecht, PhD  Wilderness & Environmental Medicine 
Ian D. Simpson, BSc DM, Robert L. Norris, MD 
Symptoms and Treatment of Acute Conjunctivitis Caused by Skin Secretions of Veined Tree Frog (Trachycephalus Venulosus)  Levente Tanacs, MD, Etienne Littlefair,
Wristwatch-Associated Ski Injury
Interfang Distances of Rattlesnakes: Sexual, Interspecific, and Body Size-related Variation, and Implications for Snakebite Research and Management  William.
The “Newbie” Syndrome Wilderness & Environmental Medicine
Kapalleki, Doti, Nepal Wilderness & Environmental Medicine
Wilderness Images Wilderness & Environmental Medicine
Coati (Nasua nasua) Attacks on Humans: Case Report
Peyto Lake and Icefields Parkway, Banff National Park, Canada
Case Report of Probable Desert Black Snake Envenomation in 22-Year-Old Male Causing Profound Weakness and Respiratory Distress  Cynthia Lauer, MD, Thomas.
An Analysis of Sea Kayaking Incidents in New Zealand 1992–2005
Chemical Oxygen Generation: Evaluation of the Green Dot Systems, Inc Portable, Nonpressurized emOx Device  Neal W. Pollock, PhD, Michael J. Natoli, MS 
Black Widow Spider Envenomation, A Rare Cause of Horner's Syndrome
Forrest C. Wells, BS, Craig R. Warden, MD, MPH, MS 
Samson Phan, MS, John Lissoway, MD, Grant S. Lipman, MD 
Dental Extractions Using Improvised Equipment
Tribute to Jonna Barry Wilderness & Environmental Medicine
Gordon H. Worley, MSN, RN, FNP, EMT-P 
Painful Sting After Exposure to Dendrocnide sp: Two Case Reports
M. Josephine Hessert, DO, MPH, Brad L. Bennett, PhD, MA, EMT-P 
O. Larsell  Wilderness & Environmental Medicine 
Dennis K. Wasko, PhD, Stephan G. Bullard, PhD 
Microangiopathic Hemolytic Anemia Following Three Different Species of Hump-Nosed Pit Viper (Genus: Hypnale) Envenoming in Sri Lanka  Rathnayaka Mudiyanselage.
Sailing Injury and Illness: Results of an Online Survey
Mathias B. Forrester, BS  Wilderness & Environmental Medicine 
Animal-Caused Fatalities in New Mexico, 1993–2004
Adverse Encounters With Alligators in the United States: An Update
Gregory D. Richardson, MD, Susanne J. Spano, MD 
Wilderness First Aid Training
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
Neal W. Pollock, PhD, Gene W. Hobbs, CHT 
A Broken Leg in the Bugs Wilderness & Environmental Medicine
Shannon E. Essler, MD, Maneesha Julakanti, Andrew L. Juergens, MD 
Gordon G. Giesbrecht, PhD  Wilderness & Environmental Medicine 
Alison Sheets, MD, Dale Wang, MD, Spencer Logan, Dale Atkins 
Mathias B. Forrester, BS  Wilderness & Environmental Medicine 
Health of High Altitude Pilgrims: A Neglected Topic
William F. Rushton, MD, J. Priyanka Vakkalanka, ScM, James H
In Reply to Birkeland, Greene, and Logan
Health of High Altitude Pilgrims: A Neglected Topic
Comparing Student Outcomes of Hybrid and Conventional Wilderness Emergency Medical Technician Programs  Joshua D. Martin, DNP, WEMT-P  Wilderness & Environmental.
Morteza Khodaee, MD, MPH, Jill Tirabassi, MD 
Presentation transcript:

Recognizing Dangerous Snakes in the United States and Canada: A Novel 3-Step Identification Method  Michael D. Cardwell  Wilderness & Environmental Medicine  Volume 22, Issue 4, Pages 304-308 (December 2011) DOI: 10.1016/j.wem.2011.07.001 Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 1 Keeled dorsal scales (a). Smooth dorsal scales (b). Examine the scales near the dorsal midline and ignore scale shape and color; look only for the tiny longitudinal ridge that forms the keel. Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 2 Undivided (above) compared to divided (below) subcaudal (under the tail) scales. The relatively large anal plate (a) separates the ventral (belly) scales at left from the subcaudal scales at right. The determination of divided or undivided must be based on the majority of the subcaudal scales on the proximal two-thirds of the tail, as a few aberrant scales are common proximally, and subcaudal scales near the distal tip are usually divided in all taxa. Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 3 The tricolored rings extend all the way around the coral snakes, including across the belly, as in this Texas Coral Snake (Micrurus tener). Compare to Figures 5 and 6. Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 4 Several harmless tricolored snakes are native to the United States. Every other ring is black in most of the coral snake mimics, such as this kingsnake (Lampropeltis triangulum). Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 5 Although this harmless Shovel-nosed Snake (Chionactis palarostris) resembles a coral snake dorsally, the red bands do not extend across the belly. Compare to Figure 3. Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 6 The harmless Long-nosed Snake (Rhinocheilus lecontei) is the species most likely to cause confusion at question one of the flow chart, as some may consider it to be tri-colored. Regardless of which choice is made at question one, the result will be correct: it is eliminated as a coral snake by its predominantly white belly and as a pit viper by its smooth middorsal scales. Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions

Figure 7 Flow chart depicting the 3-step process using objective noncephalic characteristics to determine if a native snake in the United States or Canada is dangerously venomous. Wilderness & Environmental Medicine 2011 22, 304-308DOI: (10.1016/j.wem.2011.07.001) Copyright © 2011 Wilderness Medical Society Terms and Conditions