ArticleInternational journal of critical illness and injury science
Mass awareness regarding snake bite induced early morning neuroparalysis can prevent many deaths in North India.
Article in International journal of critical illness and injury science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 14 citations in OpenAlex.
- Mortality due to snakebite and other venomous animals in the Indian state of Bihar: Findings from a representative mortality study.PloS one · 2018Trial
- Clinical and demographic profiling of snakebite envenomation in a tertiary care centre in northern India.International journal of emergency medicine · 2025Article
- The Curious Case of the "Neurotoxic Skink": Scientific Literature Points to the Absence of Venom in Scincidae.Toxins · 2021Article
- New insights into snakebite epidemiology in Costa Rica: A retrospective evaluation of medical records.Toxicon: X · 2020Article
- Bilateral Parotid Enlargement and Trismus: An Unexpected Clinical Finding in a Patient with Common Krait (Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018Article
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4 authors at 1 institution in 1 country.
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Abstract
introductionIn North India snake bite deaths are predominantly seen with neurotoxic envenomations (NEs) whereas in South India the hemotoxic envenomation (HE) is more common. Krait is responsible for most deaths in North India. It bites people sleeping on the floors, mostly at night. We describe the profile of venomous snake bites over 1 year in 2013. MATERIALS AND
methodsThe study was conducted in a rural tertiary care hospital in North India. Demographics, circumstances of bite, envenomation, first aid, delay, consultation, treatment, anti-venom, and outcomes were recorded for all victims of snake bite. We included all consecutive adult (>18 years) venomous snake bite victims admitted from January to December 2013.
resultsA total of 91 patients with venomous snake bites were included in the study. Pure NEs were 41 (45.1%), pure HE in 31 (34.1%), 7 (7.7%) had mixed NE + HE, and 12 (13.2%) had only local swelling. Forty patients (44%) were bitten during sleep presenting as NE (92.5%), NE + HE (5%), and HE (2.5%). Findings in the 51 patients (56%) bitten during activity were HE (58.8%), local swelling (23.5%), NE + HE (9.8%), and NE (7.8%) (
conclusionAlmost all (97.5%) bites during sleep resulted in NE in our study. About 96% of NE sought first aid from alternate practitioners or religious healers in hope of some magical treatment. Thus, a deadly combination of krait bite during sleep and wrong health seeking behavior is responsible for high mortality krait bites in this region. Mass public awareness regarding krait bites can prevent mortality in many such cases.
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