Struan Sutherland's “Rationalisation Of First-Aid Measures For Elapid Snakebite”—A Commentary

Rogers, Ian R.; Winkel, K. D.

doi:10.1580/er20-04.1

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…When dealing with bites from Australian elapids (e.g., Eastern Brown Snake), the technique of placing a pressure bandage is supported by medical literature. The actual application, however, is difficult and often done incorrectly by laypersons (Rogers and Winkel 2005). The usefulness of this technique is primarily due to the neurotoxic components of the venom of these snakes, and although it is not technically a tourniquet, a pressure dressing has an impact on the flow of blood and lymph from an affected limb.…”

Section: Myth 3: Snakebite Mythsmentioning

confidence: 99%

Ten Myths about Medical Emergencies and Medical Kits

Hawkins

Simon²

2021

Adv. archaeol. pract.

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Wilderness medicine is plagued by myths and dogmatic teachings not supported by evidence. This article focuses particularly on those teachings and tools that would be most likely used in archaeological fieldwork. It lays out 10 of the most common and concerning myths taught in wilderness medicine and wilderness emergency medical services, both in terms of first aid and preparation of medical kits. The myths described are provide a structure for the main purpose of the article: to explain interventions and medical kit contents that are more evidence based and supported by modern understandings of wilderness medicine and fieldwork risk management. The list of top 10 myths includes (1) the use of medications other than epinephrine for anaphylaxis and (2) the availability and proper use of epinephrine auto-injectors, (3) the use of suction devices and tourniquets for snakebites, (4) the use of spinal immobilization for neck injuries, (5) the identification and treatment of heat illnesses, (6) the use of CPR in remote areas, (7) the appropriateness of dislocation reduction in remote areas, (8) the use and choice of tourniquets for arterial bleeding, (9) the initial definition and management of drowning patients, and (10) wound management myths.

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Section: Myth 3: Snakebite Mythsmentioning

confidence: 99%

Ten Myths about Medical Emergencies and Medical Kits

Hawkins

Simon²

2021

Adv. archaeol. pract.

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“…Following the publication of Sutherland et als [13] results, PI was widely adopted for snake-bite first-aid in Australia [12]. Published case reports seemed to confirm the benefit of PI in delaying systemic envenomation [17].…”

Section: Pi Application and Effectivenessmentioning

confidence: 99%

“…As proteins constitute 90% of a venom [2] systemic absorption is primarily lymphatic [12] and theoretically PI slows the movement of venom through the lymph vessels without causing ischaemia. This review evaluates the published research about PI in snakebite to inform British military guidelines.…”

Section: Introductionmentioning

confidence: 99%

British Military Snake-bite Guidelines: Pressure Immobilisation

Wall

2012

J R Army Med Corps

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Snake-bite is a significant problem worldwide. Despite frequent deployments and exercises to countries where venomous snakes are endemic there are few reported cases of British Army personnel being bitten. Clinical Guidelines for Operations includes direction on the treatment of snakebite, including the application of pressure immobilisation. This article reviews the history and development of pressure immobilisation, the optimum equipment and the efficacy of training in order to inform future guidelines. It is the conclusion of this review that pressure immobilisation should be advocated in all snakebites where the snake species is not known. In addition guidelines should advocate the use of Sam splints and Emergency Bandages in the application of pressure immobilisation.

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“…Basınç-immobilizasyon-bandajı engerek yılan ısırmasına bağlı sitotoksik zehirlenmeye karşı uygun değildir. Struan Stherland tarafından 1978 yılında yapılan klinik çalışmada Basınç-immobilizasyon-bandajı, bacak hareketlerini engelleyerek lenfatik dolaşım ile zehrin yayılmasını engellemek ve iskelet kaslarını hareketsiz hale getirerek dolaşımın yavaşlamasını sağlamaktadır [49][50][51][52][53] .…”

Section: Turnike Uygulamasıunclassified