The early administration of an adequate dose of effective antivenom to patients with signs of envenoming is crucial. Intravenous access should be achieved early, hydration state determined and corrected if needed, and vital signs must be closely monitored. Improving the clinical outcomes for the victims of snake bite needs much more than just access to safe antivenoms. Health facilities should treat all snakebite cases as emergencies and give priority to assessing these patients and instituting treatment without delay.
Keep them on their left side with mouth turned down so that the risk of this is reduced. Many people die every year on the way to a health facility as a result of being transported lying flat on their backs and having their upper airway obstructed by vomit, or paralysis of muscles in the tongue. Traditional medicines and other treatments such as wound incision or excision, suction, or application of “black stones” should be avoided. People who suspect they have been bitten by a venomous snake should be transported to a health facility without delay.
This means, a health centre which is equipped with the basic resources needed to provide immediate emergency treatment needs, including the administration of antivenom and other adjunct therapy. Early access to medical care in a health facility that has personnel trained and capable of diagnosing snakebite envenoming is essential.
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