Only 4 types of hotges, Gyurza, Armenian Jerk, Darseki Izh and Yerevan steppe are poisoned in Armenia. Snakes are attacked and bite only for self-defense.
According to Marine Grigoryan, head of the House of Hospital and Children's Resuscitation Clinic of "Muratsan" University Hospital, the poison has a local and systemic effect, developing blood, leveling, heart vascular system, and heavy skin and muscles.
Local effect (15 minutes - for several hours)
Radiation pain (from the limb to the underlying / groin)
Development of growing swelling in the spot and distributed to adjacent segments (from the bitten limb to Iran, waist)
most dangerous is bitten by the neck and head when the swelling threatens the violation of the respiratory transability
The sensitivity of bitten local leopards and lymphates (venom is spread by lymphatic paths and increasing the lymph nodes predetermines a heavy systemotoxic effect)
Bell traces. Two or one point dental traces of poisonous fangs, and in the case of double-bitten, sometimes in the form of multiple point or scratched wounds, sometimes atypical, without typical dentures,
One of the local signs of patriarchal is the innocular swelling, redness, bruises, hemorrhaels, eckhemoz, bulls, dip.
Systemic effect (from 5 minutes - for several hours)
Alarm, common weakness, dizziness, in severe cases, consciousness suppression
Nausea, vomiting, metal flavor, dug, headache, trembling, supercharge
Frequency, frequent, drop of blood pressure
In severe cases, signs of blood coagulation, hemolysis
Hypovolemia developing a liquid emission due to the direct impact of the fluid emission to the coagulopathy, secondary hemorrhage,
Vazodilate / myocardial depression can lead to a heavy shock.
What to do if the snake is bitten
Lay out the victim,
urge, to calm, explain that it does not keep the bitten bitten,
immobilize the bitten limb in a functional position by keeping a bitten wound in an equal position in the level of the heart (low position of the constitution will increase the swelling, the high position, the poison faster
penetration),
Remove compression / overwhelming clothing, connections, shoes, rings and other. You do not have to remove the non-prescribing clothes, reducing reducing excess movements and rapid spread of poison,
Measure and specify the maximum distribution limit of swelling for further comparison.
The following interventions are prohibited in case of snake bite
to an excrement of poison with a mouth or mechanical device,
cuts in the wound period,
wound burning,
putting iceboards,
Pressure bandage,
LARAR,
Wound processing or washing (if transporting the hospital lasts <1 hour),
alcohol intake.
Recruit anamnesis
to clarify the scene and time,
Clarify the circumstances of the incident, whether there is an injury,
To verify the type of snake as much as possible, help with the Digital Pictures,
to find out before the medical care provided in the medical stage,
Whether there are accompanying diseases and regular drugs (aspirin, beta layer, non-steroid anti-inflammatory, antidivable drugs) that can disrupt
Clinical assessment or treatment,
To find out whether it has received anti-vaccination, if not, to take the injection of the anatoxy.
Monitoring of vital indicators
consciousness, breath, pulse, heart rhythm, arterial pressure, body heat, Diuruster,
Ensure the continuous imminacy of the limb, measure and specify the boundaries of the increasing swelling,
All the victims are subject to hospitalization and at least 12 hours of control and should be moved to the nearest medical facility, where the antidote is available.
Absolutely absolute instructions for anticipation of antidote
The presence of local and systemic symptoms
Local swelling rapidly during the first 2-4 hours, more than half of the limb (in the upper limit above the wrist, above the ankle).
Shock:
gastrointestinal symptoms,
Neurological symptoms.
According to the clinic, this year, compared to previous years, the cases of snake bites have decreased significantly.
