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October 18, 1976

Treatment of Snakebite-Reply

Author Affiliations

San Antonio, Tex

JAMA. 1976;236(16):1844. doi:10.1001/jama.1976.03270170009006

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


I presented my work and ideas as a positive approach to the treatment of snakebite. The reader may accept or reject it as he wishes.

Since June 7, 1976, I have received more than 700 requests for printed information. I ordered 2,000 reprints which will soon be gone.

The article was written more than a year ago, and since that time I have made some determinations that might be of help to the reader. I have noted over the years that the low fibrinogen levels and depressed platelet counts persisted in some patients for five days even when partially corrected with platelet packs and commercial fibrinogen. I now have five cases in which complete defibrination occurred within four hours postbite; in these cases, the combined use of as little as 10 ml antivenin administered intravenously at the same time the platelet packs and commercial fibrinogen were given has