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January 1969

Problems in the Management of Rattlesnake Bites

Author Affiliations

Silver Spring, Md
From Emergency Health Services, Public Health Service, Silver Spring, Md. Dr. Sparger was formerly Chief of Surgery and Thoracic Surgery, Public Health Service Hospital, Gallup, NM.

Arch Surg. 1969;98(1):13-18. doi:10.1001/archsurg.1969.01340070031003

With increased recognition throughout the country of the need for improved emergency care and the need for all people to recognize when emergency care is needed, it is then to be expected that an enlightened routine for the management of rattlesnake bites from the time of the bite until the patient is discharged from the hospital should continue to be promulgated. Credit is given to those who have worked untiringly in the past in this regard. Based on the case histories that follow, it is apparent that there is still need for teaching the public that snakes are dangerous; and in fact, not only that they are dangerous, but that once a person has been bitten, a dire emergency exists.1,2

Rattlesnakes are still quite prevalent in certain areas of the country—particularly in the Southwest. With a high percentage of the Navajos still being herdsmen, it is not surprising

Lockhart, W.E.:  Modes of Treatment for Rattlesnake Bite ,  Southwestern Med 44:250-252 ( (July) ) 1963.
Russell, F.E.: " Snake Venom Poisoning ," in Moyer, J.H., III (ed.):  The Cyclopediae of Medicine, Surgery, and Specialties , Philadelphia: F. A. Davis Co., 1962, vol 2 pp 197-210.
Parrish, H.M.:  Incidence of Treated Snakebites in the United States ,  Public Health Rep 81:269-276 ( (March) ) 1966.Crossref
Sowder, W.T., and Gehres, G.W.:  Snakebites in Florida ,  J Florida Med Assoc 49:973-976 ( (June) ) 1963.
Dees, J.E.:  Florida Snakebite Data—1963 ,  J Florida Med Assoc 49:981-982 ( (June) ) 1963.
Wood, J.T., et al:  Treatment of Snake Venom Poisoning With Acth and Cortisone ,  Virginia Med Monthly 82:130-135 ( (March) ) 1955.
McCollough, N.C., and Gennaro, J.F., Jr.:  Evaluation of Venomous Snake Bite in the Southern United States From Parallel Clinical and Laboratory Investigations ,  J Florida Med Assoc 49:959-967 ( (June) ) 1963.
Parrish, H.M.; Goldner, J.C.; and Selberg, S.L.:  Comparison Between Snakebites in Children and Adults ,  Pediatrics 36:251-256 ( (Aug) ) 1965.
Ellis, F., and Smith, R.T.:  Systemic Anaphylaxis After Rattlesnake Bite ,  JAMA 193:401-402 ( (Aug 2) ) 1965.Crossref
Lockhart, W.E.: " Snakebite ," in Conn, R.B., Jr. (ed.):  Current Therapy—1967 , Philadelphia: W. B. Saunders Co., 1967, pp 770-771.
McCollough, N.C.:  Venomous Snake Bite , editorial,  J Florida Med Assoc 49:980-981 ( (June) ) 1963.
 Special Communication, Ad Hoc Committee on Snakebite Therapy ,  Toxicon 1:81-87, 1963.Crossref
Stahnke, H.L., and McBride, A.:  Snake Bite and Cryotherapy ,  J Occup Med 8:72-76 ( (Feb) ) 1966.
Lockhart, W.E.:  Treatment of Snakebite ,  JAMA 193:336-338 ( (Aug 2) ) 1965.Crossref
Lockhart, W.E.:  Snakebite , letter to the editor,  JAMA 195:597 ( (Feb 14) ) 1966.Crossref
Russell, F.E., et al:  Snakebite , letter to the editor,  JAMA 195:596-597 ( (Feb 14) ) 1966.Crossref
Russell, F.E.: " Injuries by Venomous Animals ,"  Bulletin of the National Clearinghouse for Poison Control , US Dept of Health, Education, and Welfare, pp 1-9, (Jan) -Feb, 1967.
McCollough, N.C., and Gennaro, J.F., Jr.:  Summary of Snake Bite Treatment ,  J Florida Med Assoc 49:977 ( (June) ) 1963.
Russell, F.E., and Lauritzen, L.:  Antivenins ,  Trans Roy Soc Trop Med Hyg 60:797-810, 1966.Crossref
Russell, F.E.:  Use of a Crotalus Monovalent Antivenin From Rabbit Serum ,  Curr Ther Res 3:438-440 ( (Oct) ) 1961.
Danzig, L.E., and Abels, G.G.:  Hemodialysis of Acute Renal Failure Following Rattlesnake Bite, With Recovery ,  JAMA 175:136-137 ( (Jan 14) ) 1961.Crossref