Emergency

SNAKE BITES

If you see one leave it alone. Back off cautiously ( sudden movements may alarm the snake ) and keep the snake in sight until a safe distance away. Call for help if necessary ( snakes are deaf ). Snakes will usually try to escape if encountered by humans – but don’t count on it.

• Malayan ( banded ) Krait or Black Krait :
  Highly venomous and common on Bali – survival of a bite is unlikely.
• King Cobra :
  Highly venomous – better outcomes with treatment than krait bite.
• Malayan Spitting Cobra :
  Aims for the eyes when spitting. If hit wash eyes or skin immediately with water. Highly venomous if it bites.
• Russell’s Viper :
  Highly venomous and responsible for thousands of deaths in South East Asia – not confirmed on Bali but sightings have been reported.
• Green Pit Viper or White Lipped Viper :
  Venomous but not likely to cause death in a healthy human being if treated promptly.

1. Allow bite to bleed freely for 15 – 30 seconds.
2. Cleanse and rapidly disinfect area with Betadine (assuming you’re not allergic to iodine).If the bite is on the hand, finger, foot or toe, wrap leg / arm rapidly with 7.5 cm to 10 cm crepe bandage past the knee or elbow joint immobilizing it ( you can improvise by using a sarong, scarf, towel or other piece of wide fabric ). Leave the area of fang marks open. Wrap the bandage no tighter than you would for a sprain. Make sure pulses in the ankle or wrist are present.
3. Apply hard direct pressure over bite using a gauze pad or clean piece of fabric. Soak gauze pad in Betadine solution if available. Strap gauze pad tightly in place with adhesive tape.
4. Immobilize bitten extremity, use splinting if available.
5. Try to stay calm and do not cause the victim to panic. Panic states will raise the victim’s heart rate causing faster distribution of the venom. If possible, try and keep bitten extremity at heart level or in a gravity-neutral position. Raising it above heart level can cause venom to travel into the body. Holding it down, below heart level can increase swelling.
6. Go to nearest hospital as soon as possible ! Sanglah Hospital in Denpasar can deal with snakebites, and is recommended. The phone number for Sanglah hospital is 0361 227 911. Then press 0 for the operator and explain to them the problem. For emergencies, it is quicker if the patient is taken directly to the hospital and straight to the UGD ( Unit Gawat Darurat ) or ER ( Emergency Room ), rather than waiting for an ambulance.
7. Try and identify the offending snake. Visual identification/description usually suffices.
8. Bites to face, torso or buttocks are more of problem. Apply pressure with a Betadine soaked pad to the bite and seek medical attention immediately. If the victim has been injected with a ‘ neurotoxin ‘ ( nerve poison ) that is characteristic of the cobra or Malayan krait. It may be necessary to assist the victims breathing by performing mouth to mouth resuscitation until such time as the victim can be given assistance at a medical facility.

Information courtesy of Ron Lilley

SNAKE RESCUE ( RON LILLEY )

Phone : 081338496700
E : ronlilley@indo.net.id

SOS ( SUMATRAN ORANGUTAN SOCIETY )

Maria C.Renner
E :maria@orangutans-sos.org
Hp : 081 337 012 164
Office : Jl. Hanoman 44B Ubud
P.O. Box 92 Ubud 80571 Bali
Tel : +62 361 972 906

SOS MEDIKA KLINIK BALI ( RABIES VACCINATION )

24 hours Animal Rescue
Tel : 0361 710505
E : sos.bali@internationalsos.com

VETERINARIAN

Drh. Ngakan Putu Loka Astawa
Jl. Cok Gede Rai. Br. Pande, Peliatan, Ubud, Bali
Ph : 0361 973471, Hp : 081 2390 8269

VILLA KITTY ( CAT RESCUE )

Jl. Ambarawati Lodtunduh ( Near Villa Jepun )
Tel : +6285857584131
E : villakittybali@gmail.com

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Fax : +62 361 286 806
Bali, Indonesia