Description

Pathmeswaran et al developed a score that can help to identify the source of a snakebite. The authors are from University of Kelaniya in Sri Lanka and Liverpool School of Tropical Medicine.


 

Snakes seen in Sri Lanka:

(1) cobra

(2) Russell’s viper

(3) Krait

(4) hump-nosed or saw-scaled viper (showed similar findings)

 

Snake

Bite in Daytime

Bite in Evening to 11 PM

Bite at Night After 11 PM to Dawn

cobra

2

1

-1

Russell’s viper

1

2

-1

Krait

-2

-1

2

HN or SS viper

1

2

-1

 

 

Snake

Bite Inside Dwelling

Bite in Garden or Home Compound

Bite Elsewhere Outdoors

cobra

1

1

1

Russell’s viper

-1

1

1

Krait

2

-2

-2

HN or SS viper

-2

2 HN, 1 SS

2

 

 

Snake

Bitten on Trunk

Bitten Distal Limb

Bitten Proximal Limb

Bitten Elsewhere

cobra

-2

2

1

-1

Russell’s viper

-2

2

-1

-1

Krait

2

1

1

2

HN or SS viper

-2

2

-1

-2

 

 

Snake

Swelling

Necrosis

Abdominal Pain

Hemorrhage

cobra

1

2

0

-1

Russell’s viper

2

-1

-2

2

Krait

-1

-4

2

-4

HN or SS viper

2

-1

-2

-2

 

 

Snake

Neurotoxicity

Respiratory Paralysis

Renal Failure

cobra

2

1

-1

Russell’s viper

2

-1

-2

Krait

2

2

-4

HN or SS viper

-2

-2

-2

 

total score =

= SUM(points for each type of snake)

 


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