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Treatment of Snakebite

Treatment of Snakebite To the Editor.— The SPECIAL COMMUNICATION by Thomas G. Glass, Jr, MD, mentioned the use of cortisone, tourniquets, and ice bags. I think the following points are worth bringing out. Cortisone has never been demonstrated to have any effect whatsoever on any snake venom known.Cortisone has never been shown to have any effect on the tissue product breakdown of the actions of snake venom.Cortisone has never been demonstrated to be of any benefit in the systemic manifestations of pit viper envenomation. The fact that Dr Glass uses it and his patients survive can not be used as proof of efficacy.The hyperdynamic shock state so characteristic of Gram-negative shock has never been demonstrated in pit viper bites.The use of tourniquets will decrease perfusion. This combined with cryotherapy will enhance tissue loss. This fact is well known to both physicians and lawyers, and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Treatment of Snakebite

JAMA , Volume 236 (16) – Oct 18, 1976

Treatment of Snakebite

Abstract



To the Editor.—
The SPECIAL COMMUNICATION by Thomas G. Glass, Jr, MD, mentioned the use of cortisone, tourniquets, and ice bags. I think the following points are worth bringing out.
Cortisone has never been demonstrated to have any effect whatsoever on any snake venom known.Cortisone has never been shown to have any effect on the tissue product breakdown of the actions of snake venom.Cortisone has never been demonstrated to be of any benefit in the systemic manifestations of pit viper...
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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1976.03270170009004
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— The SPECIAL COMMUNICATION by Thomas G. Glass, Jr, MD, mentioned the use of cortisone, tourniquets, and ice bags. I think the following points are worth bringing out. Cortisone has never been demonstrated to have any effect whatsoever on any snake venom known.Cortisone has never been shown to have any effect on the tissue product breakdown of the actions of snake venom.Cortisone has never been demonstrated to be of any benefit in the systemic manifestations of pit viper envenomation. The fact that Dr Glass uses it and his patients survive can not be used as proof of efficacy.The hyperdynamic shock state so characteristic of Gram-negative shock has never been demonstrated in pit viper bites.The use of tourniquets will decrease perfusion. This combined with cryotherapy will enhance tissue loss. This fact is well known to both physicians and lawyers, and

Journal

JAMAAmerican Medical Association

Published: Oct 18, 1976

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