Newswise — Authors of a new paper about the prevention and management of venomous snakebites in mountain terrain have synthesized the abundant knowledge of snakebites with the realities of first aid and mountain rescue to develop recommendations. The paper is published in the latest issue of Wilderness and Environmental Medicine.

Managing medical emergencies in mountainous terrain demands unique measures to deal with limited on-scene resources; communication and transportation difficulties; ongoing environmental stresses on victims, rescuers, equipment, and supplies; and protecting the patient from hazards inherent in mountain rescue.

With such obstacles, the best way to manage snakebites is to prevent them. For example, the paper's authors recommend gathering as much information about local snakes, including color photographs of indigenous species, before going into a new area. Preventive measures during rescue and other operations can reduce the risk of snakebite even in areas with a high density of venomous snakes. These measures include wearing adequate protective clothing such as long baggy trousers, long boots or gaiters, and thick socks.

If preventive measures don't succeed and snakebite occurs, a series of actions should be taken. The study mentions different methods that depend on snake identification. One series of steps and considerations consists of:- evaluate bite, remove constrictions- reassure victim- do no harm- splint - pain control- fluid management- logistics- transport

Another series of steps for advanced medical treatment is also given. With these two plans, mountaineers, first responders, and rescue clinicians are provided with a working knowledge of snakebite in the mountains.

To read the entire study, click here: http://www.allenpress.com/pdf/weme_18_303_190_202.pdf

Wilderness and Environmental Medicine is a peer-reviewed quarterly medical journal published by the Wilderness Medical Society. For more information, visit http://www.wms.org.

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CITATIONS

Wilderness and Environmental Medicine (Vol. 18(3), 2007)