Cambodia News (Kampot): According to social media, a woman was bitten on the shoulder by a venomous snake in Kampot; this was posted on an account named Thida Mean saying: " a snake bit a girl while she was selling some stuff under a tree."


The account from the woman's friend, named Thida Mean, also mentioned," she was bitten by a tree snake in the morning. After that, she was sent from Kampot to Phnom Penh hospital. Could she get rescued from the venomous snake bite? Her auntie's phone number is 0884363732, who was traveling with the girl to Phnom Penh. We are raising money to help the girl. If anyone knows which doctor could treat the girl, please contact her mother".

looks like a malayan pit viper. Will severely damage skin and flesh,but rarely kills.

It is, and she should have been sent to Sonja Kill - they carry the antivenom.

Poor snake. Minding it’s own business and then without a by-your-leave, gets it’s head lopped off. It’s probably broiling in someone’s pot as we speak.

Shame they always kill them.

Malaysian Pit Viper - Calloselasma rhodostoma:

She needs to get to a large hospital where there is access to antivenin: "Pit Viper (crotalid).
Patients who have been envenomed by pit vipers can be treated with polyvalent antivenin obtained from horses immunized with pit viper venom.115 Reconstitution of each vial yields a 10- mL solution of antivenin. For minimal exposure to venom, 2 to 4 vials are administered, moderate exposure requires treatment with 5 to 9 vials, and 10 to 15 vials are used to treat severe exposure. The dose is typically given IV but may be given IM. When given IV, the dose is usually diluted 1:1 or 1:10 using sodium chloride. The first 5 to 10 mL are given slowly over 3 to 5 minutes and then increased as tolerated by the patient. The dose is most effective when given within 4 hours of the pit viper bite." BLOOD BANKING
Elizabeth E. Culler, Lennart E. Lögdberg, in Blood Banking and Transfusion Medicine (Second Edition), 2007

Treatment recommendations:
First Aid
Description: First aid for bites by Viperid snakes likely to cause significant local injury at the bite site (see listing in Comments section).
Details
1. After ensuring the patient and onlookers have moved out of range of further strikes by the snake, the bitten person should be reassured and persuaded to lie down and remain still. Many will be terrified, fearing sudden death and, in this mood, they may behave irrationally or even hysterically. The basis for reassurance is the fact that many venomous bites do not result in envenoming, the relatively slow progression to severe envenoming (hours following elapid bites, days following viper bites) and the effectiveness of modern medical treatment.
2. The bite wound should not be tampered with in any way. Wiping it once with a damp cloth to remove surface venom is unlikely to do much harm (or good) but the wound must not be massaged.
3. All rings or other jewellery on the bitten limb, especially on fingers, should be removed, as they may act as tourniquets if oedema develops.
4. The bitten limb should be immobilised as effectively as possible using an extemporised splint or sling; if available, crepe bandaging of the splinted limb is an effective form of immobilisation.
5. If there is any impairment of vital functions, such as problems with respiration, airway, circulation, heart function, these must be supported as a priority. In particular, for bites causing flaccid paralysis, including respiratory paralysis, both airway and respiration may be impaired, requiring urgent and prolonged treatment, which may include the mouth to mask (mouth to mouth) technique of expired air transfer. Seek urgent medical attention.
6. Do not use Tourniquets, cut, suck or scarify the wound or apply chemicals or electric shock.
7. Avoid peroral intake, absolutely no alcohol. No sedatives outside hospital. If there will be considerable delay before reaching medical aid, measured in several hours to days, then give clear fluids by mouth to prevent dehydration.
8. If the offending snake has been killed it should be brought with the patient for identification (only relevant in areas where there are more than one naturally occurring venomous snake species), but be careful to avoid touching the head, as even a dead snake can envenom. No attempt should be made to pursue the snake into the undergrowth as this will risk further bites.
9. The snakebite victim should be transported as quickly and as passively as possible to the nearest place where they can be seen by a medically-trained person (health station, dispensary, clinic or hospital). The bitten limb must not be exercised as muscular contraction will promote systemic absorption of venom. If no motor vehicle or boat is available, the patient can be carried on a stretcher or hurdle, on the pillion or crossbar of a bicycle or on someone's back.
10. Most traditional, and many of the more recently fashionable, first aid measures are useless and potentially dangerous. These include local cauterization, incision, excision, amputation, suction by mouth, vacuum pump or syringe, combined incision and suction ("venom-ex" apparatus), injection or instillation of compounds such as potassium permanganate, phenol (carbolic soap) and trypsin, application of electric shocks or ice (cryotherapy), use of traditional herbal, folk and other remedies including the ingestion of emetic plant products and parts of the snake, multiple incisions, tattooing and so on.
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Treatment from University of Adelaide Austraila:
http://www.toxinology.com/fusebox.cfm?f ... &id=SN0080

Treatment Summary
Malayan pit viper bites can cause severe local & systemic effects, potentially lethal, so require urgent assessment & treatment with IV fluids, good wound care, avoid early surgical intervention, early IV antivenom therapy (only effective treatment for severe coagulopathy/bleeding).
Key Diagnostic Features
Local pain, swelling, blistering, necrosis + coagulopathy, bleeding, renal failure
General Approach to Management
All cases should be treated as urgent & potentially lethal. Rapid assessment & commencement of treatment including appropriate antivenom (if indicated & available) is mandatory. Admit all cases.
Antivenom Therapy
Antivenom is the key treatment for systemic envenoming. Multiple doses may be required.
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Antivenoms
1. Antivenom Code: SAsTRC06
Antivenom Name: Malayan Pit Viper Antivenin
Manufacturer: Science Division, Thai Red Cross Society
Phone: ++66-2-252-0161 (up to 0164)
Address: Queen Saovabha Memorial Institute
1871 Rama IV Road
Pathumwan
Bangkok 10330
Country: Thailand
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2. Antivenom Code: SAsPBF01
Antivenom Name: Antivenin Polyvalent (Equine)
Manufacturer: P.T. Bio Farma ( Persero )
Phone: ++62-22-203-3755
Address: Jl. Pasteur 28
Bandung 40161
Country: Indonesia
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3. Antivenom Code: SAsGPO01
Antivenom Name: Malayan Pit Viper Antivenom
Manufacturer: Thai Government Pharmaceutical Organisation
Phone: ++662-644-8851
Address: 75/1 Rama VI Road,
Ratchathewi
Bangkok 10400,
Country: Thailand
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4. Antivenom Code: SAsVRU01
Antivenom Name: Calloselasma rhodostoma - Malayan Pit Viper Antivenom
Manufacturer: Venom Research Unit
Address: University of Medicine and Pharmacy
Ho Chi Minh City
217 An Duong Vuong Q5
Country: Vietnam
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5. Antivenom Code: SAsVRU02
Antivenom Name: Calloselasma rhodostoma - Malayan Pit Viper Antivenom
Manufacturer: Venom Research Unit
Address: University of Medicine and Pharmacy
Ho Chi Minh City
217 An Duong Vuong Q5
Country: Vietnam

Hope they get her to somewhere they have the antivenin and someone who knows how to administrate and treat her, its always been very uncertain who will have, which hospital if any.
It was not long back when my partner was getting off the back of the bike, and one came out of the grass next to her, she was lucky it did not strike.

Close ups of the bite wound:

krisduncs wrote: ↑Sat Jul 04, 2020 1:53 am Shame they always kill them.

So they can find out the species of the snake.

Should they just let it go off and leave?

Every .... has a phone. A photo would be suffice.

[Mod edit: let's keep it civil..thanks]