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Critical Emergency ↗

🐍Snake Envenomation / Animal Bite

A bite from a venomous snake or animal requiring urgent management. Africa has some of the world's most venomous snakes including black mamba, puff adder, spitting cobra, and boomslang.

What To Do — Step by Step

1

Move the person away from the snake immediately. Do not attempt to catch or kill the snake. If safe, note its colour and markings for the doctor.

2

Keep the person as calm and still as possible. Physical activity speeds venom absorption through the lymphatic system.

3

Remove any tight clothing, jewellery, or watches from the bitten limb immediately — swelling will develop.

4

Immobilise the bitten limb in a position lower than the heart if possible. Treat it as if it were fractured — splint it gently.

5

Mark the edge of any swelling with a pen or fingernail if available, and note the time. This helps doctors track how fast the venom is spreading.

6

Keep the person lying down and still during transport to hospital.

7

If the bite is from a spitting cobra and venom has entered the eyes: flush the eyes immediately with large amounts of clean water for 15 to 20 minutes.

8

Monitor breathing closely — some venoms cause respiratory paralysis. Be prepared to perform CPR.

Go To Hospital Immediately If

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Difficulty breathing or swallowing — neurotoxic venom affecting respiratory muscles.

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Drooping eyelids, double vision, or inability to open the mouth.

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Rapid swelling spreading beyond the bitten limb.

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Bleeding from the bite site that will not stop, or bleeding from gums, nose, or other sites — cytotoxic or haemotoxic venom.

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The person collapses or loses consciousness.

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Signs of anaphylaxis — severe swelling, hives, difficulty breathing.

Important Warnings

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Never cut the wound and suck out venom — this does not work and causes infection.

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Never apply a tourniquet — this concentrates venom and destroys tissue.

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Never apply ice, electric shock, or traditional remedies to the bite.

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Do not give alcohol.

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Do not apply a tight bandage unless specifically instructed for a neurotoxic snake — firm bandaging is used only for mamba or cobra bites, not puff adder bites.

Pharmacy Guidance

✗ What To Avoid

· Aspirin and ibuprofen — worsen bleeding with haemotoxic venoms

· Alcohol of any kind

· Traditional bite remedies — none are effective and many are harmful

→ Ask The Pharmacist For

· Antivenom is the only effective treatment — available at district hospitals

· Paracetamol only for pain if the snake is confirmed non-venomous

🏥 Get Professional Help

All snakebites must be treated as a medical emergency until confirmed otherwise. Get to the nearest hospital with antivenom immediately. Time is critical — do not wait for symptoms to develop.

This guidance is based on universal medical protocols. It does not replace a doctor. Seek professional medical help as soon as possible.