List of Tables
Table 1: Statistics on clinical aspects of snake bites and outcome
Table 2: Categorisation of snakes (W.H.O.1981)
Table 3: Snakes, clinical aspects and therapeutic response
Table 4: Details of local envenomation
Table 5: 20 Minutes Whole Blood Clotting Test (20WBCT)
Table 6: Currently recommended First aid
Table 7: Principles involved in the management
Table 8: Manifestations of immediate reactions to ASV
Table 9: Dosage of adrenaline for adults and children
Table 10: ASV – Risk and Wastage (Ian D.Simpson Model)
Table 11: Surgical issues: assessment and action required.
Table 12: Initial evaluation – No systemic envenomation
Table 13: Haemotoxic envenomation
Table 14: Neurotoxic envenomation
Table 15: Referral aspects for snake bite
Table 16: Distinguishing features of lethal and non-lethal scorpion
Table 17: Infl uencing factors for symptoms and signs
Table 18: Local effects at the site of sting.
Table 19: Systemic signs of scorpion sting.
Table 20: Non-neurological signs
Table 21: Measures to be adopted while using Prazosin
Table 22: Initial evaluation of scorpion sting without systemic envenomation
Table 23: Evaluation of scorpion sting with systemic envenomation
Table 24: Referral aspects for scorpion sting
Table 25: Responsibilities of health care providers
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Table 26: Levels of analysis
Table 27: Formula to calculate case fatality rate at different levels
Table 28: Snake bite cases reported and ASV vials used in secondary care hospitals
(district wise)
Table 29: Fluid requirement chart for children
Table 30: Normal Respiratory Rate (per minute) by age.
Table 31: Normal Heart Rate (per minute) by age
Table 32: Normal Blood Pressure in children by age
Table 33: Hypotension by systolic Blood Pressure and age
List of Figures
Figure 1: Grading of scorpion envenomation
Figure 2: Nervous system signs
List of Pictures
Picture No. 1: Snakes of Medical Importance in Tamil Nadu
Picture No. 2: Typical signs of local envenomation
Picture No. 3: Cellulitis with compartmental syndrome
Picture No. 4: Showing bilateral ptosis with overaction of frontalis
Picture No. 5: Showing ophthalmoplegia
List of Plates
Plate No. 1: Snake Identifi cation
Plate No. 2: Important Venomous Snakes of India
Plate No. 3: Primary / Community Health Care Centre – Snake bite Treatment
Guidelines
Plate No. 4: Secondary Health Care Centre – Snake bite Treatment Guidelines