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Toxinology: Snakebite, Bites & Stings

A practical manual for doctors in India

  • Free PDF
  • Emergency & ICU
  • 115 pages
  • 4.9 MB
  • 1st (2026) edition
⬇ Download free PDF 📖 Read now

A practical, India-focused manual on snakebite and other bites and stings, from first aid to the ICU. Snakebite in India and basic toxinology; the venomous snakes of India with an at-a-glance identification table, a region-wise guide and illustrated profiles of the cobras, kraits, Russell’s viper, saw-scaled viper, hump-nosed and other pit vipers, sea snakes and non-venomous look-alikes; how venom harms, toxidromes and the syndromic approach to an unidentified bite; first aid, emergency department assessment and the 20-minute whole blood clotting test; anti-snake venom (ASV) preparations, test dose, dilution, minimum, repeat and maximum doses, reactions and desensitisation; neurotoxic and haemotoxic treatment protocols, airway and ventilation, acute kidney injury and dialysis, complications, children, ICU care bundle, medico-legal aspects, a one-page master algorithm and drug dose card. Also covers scorpion sting with its treatment protocol, bees, wasps, hornets and ants, spiders, centipedes, beetles and caterpillars, marine envenomation, animal and human bites, rabies post-exposure prophylaxis, ticks, mites, leeches and toads, and anaphylaxis. Bedside tools include a snakebite case record proforma, ASV observation chart, myths and facts, glossary, viva questions and MCQs, tap-to-open pictures and AETCM video lectures, guidelines, landmark articles since 2020 and a subject index. For emergency physicians, interns, postgraduates, medical officers and nurses.

Author: Dr. Gireesh Kumar K. P. · For: Practising doctors, PG (MD/MS/DNB), MBBS / UG students, Nursing & allied health

Inside this book

  1. Why a toxinology book for India?
  2. Snakebite Envenoming
  3. Snakebite in India
  4. Toxinology — Basic Concepts
  5. Venomous Snakes of India
  6. Identifying Poisonous Snakes of India — at a Glance
  7. Medically Important Snakes by Region of India
  8. Venomous vs Non-venomous, and Elapid vs Viper
  9. Spectacled Cobra
  10. Monocled Cobra & King Cobra
  11. Common Krait
  12. Banded, Sind & Other Kraits
  13. Russell's Viper
  14. Saw-scaled Viper
  15. Hump-nosed Pit Viper
  16. Green & Malabar Pit Vipers
  17. Sea Snakes
  18. Mildly Venomous & Rarely Dangerous Snakes
  19. Non-venomous Look-alikes
  20. Venom and How It Harms
  21. From Venom to Medicine
  22. Clinical Features and Toxidromes
  23. Which Snake Was It? — The Syndromic Approach
  24. First Aid and Pre-hospital Care
  25. Assessment in the Emergency Medicine Department
  26. Investigations in Snake Envenomation
  27. Anti-Snake Venom (ASV) — The Product
  28. Giving ASV — Test Dose, Premedication, Reconstitution and Dilution
  29. ASV Dose — Minimum, Repeat and Maximum in Each Type
  30. ASV — Frequently Asked Questions
  31. ASV Reactions — Anaphylaxis and Other Complications of ASV
  32. High-risk Patients, Desensitisation and Other ASV Problems
  33. Treatment Protocol — Neurotoxic Envenomation
  34. Airway, Ventilation and Recovery in Neuroparalysis
  35. Treatment Protocol — Haemotoxic (Vasculotoxic) Envenomation
  36. The Kidney in Snakebite — AKI, FAD and Dialysis
  37. Dialysis and Renal Follow-up
  38. Complications of Snakebite
  39. Special Situations, Referral, Discharge and Records
  40. The Snakebite-ready Facility

Look inside

Toxinology: Snakebite, Bites & Stings, page 1Toxinology: Snakebite, Bites & Stings, page 2Toxinology: Snakebite, Bites & Stings, page 3Toxinology: Snakebite, Bites & Stings, page 4Toxinology: Snakebite, Bites & Stings, page 5Toxinology: Snakebite, Bites & Stings, page 6

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