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Kharat, Rajesh
- Early Detection of Snake Bite - a Case Report
Authors
1 Dept. of Forensic Medicine, TNMC & BYL Nair Ch.Hospital, Mumbai-400 008 Maharashtra State, IN
2 Dept. of Forensic Medicine, T.N. Medical College & B. Y. L. Nair, Ch. Hospital, Mumbai, IN
Source
Medico-Legal Update, Vol 13, No 1 (2013), Pagination: 85-88Abstract
Snakebites can be deadly if not treated immediately. Snake envenomations are frequently encountered in medical emergencies. Some snake venoms contain hemotoxins that can result in widespread bleeding, disseminated intravascular coagulation (DIC) and a rapid death. This can be prevented by giving polyvalent antisnake venom within hours.
A three & half years old male child was admitted to Pediatrics I.C.U. of T.N.M.C.&B.Y.L. Nair Ch. Hospital, Mumbai with history of unknown bite. Initially Pediatricians were confused to diagnose the bite and called forensic experts for evaluation. On detailed examination and investigations by Forensic Medicine personnel and Pediatricians it was observed that the child was having two puncture wounds, 1cm apart from each other along with swelling of left foot and leg, multiple ecchymotic patches over the body and laboratory parameters revealed state of disseminated intravascular coagulation. On these findings, we diagnosed a case of vasculotoxic snake bite which help the Pediatrician for starting polyvalent antisnake venom therapy that proved to be beneficial in prevention of development of compartment syndrome and advancement of DIC. Here we report a case of snakebite who presented with vasculotoxic manifestation, showed full recovery after effective treatment.
Keywords
Snake Bite, Coagulation Profile, Polyvalent Antisnake VenomReferences
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- Novus Actus Interveniens - A Case Report
Authors
1 Dept. of Forensic Medicine, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IN
2 Dept. of Forensic Medicine, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IS
3 Dept. of Pathology, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 1 (2013), Pagination: 231-233Abstract
A new unexpected happening which cannot be reasonably a foreseeable complication, may break the continuity of events. Novus actus interveniens occurs with such happening when the legal proceeding in the case will stand modified. The assailant is not held responsible for the death of the victim if death could be attributed to new and unrelated act. Here one case of novus actus interveniens is discussed, where thirty year old person was stabbed with Koyta over abdomen by his friend but he died of dengue after 15 days of admission. In the present case assailant was initially charged under attempt of murder (Section 307 IPC) and after death of victim he was charged under murder (Section 302 IPC). The medical evidence was deposed in the court of law and charge of murder was reverted back to attempt of murder.Keywords
Novus Actus InterveniensReferences
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- Epidemiological Profile of Snake Bites over 1-Year Period from Tertiary Care Centre in Maval Region of Maharashtra, India:Original Research Article
Authors
1 Associate Professor, Dept. of Forensic Medicine, Govt. Medical College, Shahdol (M.P.), Pune, IN
2 2Assistant Professor, Dept. of Pharmacology, MIME Medical College, Talegaon (D), Pune, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 14, No 1 (2020), Pagination: 44-49Abstract
Estimated deaths rate due to snake bites are more than 46,000 annually in our country. Ninety-seven to ninety eight percent bites occur in rural or remote areas. Snake bite is a one of common problem faced in rural India. It takes a high toll of lives mainly of working male of the family. The current prospective observational study was carried out to study the clinical and management by systematic approach of snake bites. The 245 cases of snake bite were hospitalized to Rural Hospital in a period of July 2017 to June 2018.
The present data showed that majority (91.43%) of cases were encountered from rural area,in the age group ranging from 21 to 30 years (24.90%) Majority were male patients (62.04%). Most affected were the agricultural laborers and farmers (56.33%). 60.82% of the cases were presented with bite over lower extremities .Most of the snake bite (75.97%) occurred during day time. July to October was the period in which most snake bite cases were observed. It was seen that syndromic or systematic approach was more effective in early diagnosis and treatment of snake bite. The average requirement of anti- serum venom (ASV) required for cobra bite was 16, krait bite 22, Russell’s viper bite 12 and saw scaled viper bite 10. The total duration of treatment in hospital for cobra bite were 6, krait bite 8, Russell’s viper bite 4 and saw scaled viper 4 days.