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Impact of first aid training in management of snake bite victims in madi valley.
MedLine Citation:
PMID:  21879005     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Background: Tropical lowland on Nepal is at full of risk to snake bite. The snake bite mortality is due to lack of awareness about proper management of victims. The study aims to assess the change in the pattern of management of snake bite victims after first aid training. Methods: A retrospective study was done from October 2007 to October 2008 among 43 snake bite victims in rural Madi valley comprising of 4 village development committees where first aid training was conducted one year before. Results: Only 26% of the snake bite victims approached traditional healer before arriving at the heath facility. The case fatality rate dropped to 22% after venomous snake bite. Pressure Immobilization bandaging and local compression pad immobilization technique was used by 56% who went to the health facility. Mean duration for reaching health facility was 61.51±33.55 minutes. Common places of bite were field 16 (37.2%), Indoor 6 (14%), while sleeping 6 (14%), and yard 6 (14%). Lower extremity bites were 32 (74.4%), upper extremity 8 (18.6%) and head 3 (7%). Bicycle was the commonest mode of transport 22 (51%) followed by ambulance 9(27.9%) and Motorcycle 6 (11%). Conclusions: First aid training changes the attitude of the people in management of snake bite victims and is one of the effective ways in decreasing mortality. Nationwide campaigning should be done especially at snake bite prone area about the proper first aid technique to improve the awareness level of the general population. Key words: first aid, mortality rate, snake bite, traditional healer, venomous snake.
Authors:
D P Pandey; C L Thapa; P K Hamal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Nepal Health Research Council     Volume:  8     ISSN:  1727-5482     ISO Abbreviation:  J Nepal Health Res Counc     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2011-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101292936     Medline TA:  J Nepal Health Res Counc     Country:  Nepal    
Other Details:
Languages:  eng     Pagination:  5-9     Citation Subset:  IM    
Affiliation:
Department of Zoology, Birendra Multiple Campus, Tribhuvan University, Chitwan, Nepal.
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