Re: {Tidal Potomac Fly Rodders} Re: Snakes, Chacos and Brookies - a Sunday Funday down the tubes

Then I'm curious what happens at the hospital? With no anti venom, no tourniquet, no anti swelling, no cuts, no suction, these new guidelines seem to have removed the treatments. (Electroshock is a new one on me.) 

Are they just saying these things need to be done under supervision?

I'm making plans to be kayaking alone often, and I don't think I'll be helicoptering over to the ER. Surely there's room for a wilderness plan for snakebites in this era?

On Jun 22, 2018, at 9:40 AM, 'Miles' via Tidal Potomac Fly Rodders <tidal-potomac-fly-rodders@googlegroups.com> wrote:

A tourniquet is a bad idea because most of the venomous snakes in North America have hemotoxic venom, and applying a tourniquet concentrates the blood and tissue damage to the area around the bite.

A review study in the New England Journal of Medicine found that best practices for snake bites in North America:

"After a bite from any venomous snake, the victim should be moved beyond striking distance, placed at rest, kept warm, and transported immediately to the nearest medical facility. The injured part of the body should be immobilized in a functional position below the level of the heart. Rings, watches, and constrictive clothing should be removed, and no stimulants should be administered.

"Previously recommended first-aid measures such as tourniquets, incision and suction, cryotherapy, and electric-shock therapy are strongly
discouraged."

Other studies have demonstrated that suction alone - the Sawyer Extractor - is useless. It doesn't remove any venom.

An ounce of prevention is worth several pounds of cure.

-Miles

On Thursday, June 21, 2018 at 7:44:54 PM UTC-4, HeaveToo wrote:

I am surprised about you saying not to tourniquet it.  I always thought that you were supposed to do that an elevate it.   

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