Evidence map›Paper›PMID 40487912›Full record

ReviewThe Lancet regional health. Southeast Asia2025

Clinical challenges, controversies, and regional strategies in snakebite care in India.

Siju V Abraham, Deo Mathew, Aravind Sreekumar, Akhil V George, Vijay Chanchal, Purushothaman Kuzhikkathu Kandiyil, Punchalil Chathappan Rajeev, Udaya Bhaskaran Valuvil, Jayesh Kumar, Kuruvath Bahuleyan Mohan and 10 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Siju V AbrahamDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Deo MathewDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Aravind SreekumarDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Akhil V GeorgeDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Vijay ChanchalDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Purushothaman Kuzhikkathu KandiyilDepartment of Pediatrics, MES Academy of Medical Sciences, Perinthalmanna, Kerala, India.
Punchalil Chathappan RajeevDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Udaya Bhaskaran ValuvilDepartment of General Medicine, Malabar Medical College & Research Centre, Kozhikode, Kerala, India.
Jayesh KumarDepartment of General Medicine, Government Medical College, Kozhikode, Kerala, India.
Kuruvath Bahuleyan MohanDepartment of General Medicine, Jubilee Mission Medical College & Research Institute, Thrissur, Kerala, India.
Joe ThomasDepartment of General Medicine, Jubilee Mission Medical College & Research Institute, Thrissur, Kerala, India.
Manu AyyanDepartment of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Sandeep DasDepartment of Zoology, University of Calicut, Thenhipalam, Kerala, India.
Freston Marc SirurKasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Indira MadhavanDepartment of General Medicine, Government Medical College, Ernakulam, Kerala, India.
Aboobacker Mohamed RafiDepartment of Transfusion Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Pradeoth Korambayil MukundanDepartment of Plastic Surgery, Burns and Hyperbaric Medicine, Jubilee Mission Medical College & Research Institute, Thrissur, Kerala, India.
Kartik SunagarEvolutionary Venomics Lab, Indian Institute of Science, Bengaluru, Karnataka, India.
Vimal Krishnan SKasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Babu Urumese PalattyDepartment of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Snakebite envenomation remains a significant public health issue, particularly in southeast Asia, where diverse venomous snake species and resource-limited healthcare settings complicate effective management. This Health Policy employed thematic analysis of a panel discussion involving multidisciplinary experts with over 300 years of combined experience. Four key themes were identified: (i) the evolution of snakebite treatment paradigms, (ii) clinical and procedural challenges, (iii) debates over controversial practices, and (iv) the role of policy and research in improving outcomes. The findings emphasise the need for region-specific antivenoms, enhanced peripheral healthcare capabilities, and evidence-based treatment protocols. This work provides actionable insights to inform health policy, guide targeted training initiatives, and prioritise research on neglected areas in the management of snakebite.

Indexed as

AntiveninsCapillary leak syndromeOne healthRegional healthSnakebiteVenoms

Identifiers

PMID40487912
PMCPMC12145746

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.