International Journal of Critical Illness and Injury Science

: 2015  |  Volume : 5  |  Issue : 1  |  Page : 62-

Predictors of mortality in poisonous snake bite

Sim Sai Tin1, Viroj Wiwanitkit2,  
1 Medical Center Unit, Shantou, China
2 Department of Tropical Medicine, Hainan Medical University, Hainan, China

Correspondence Address:
Sim Sai Tin
Medical Center, Shantou

How to cite this article:
Tin SS, Wiwanitkit V. Predictors of mortality in poisonous snake bite.Int J Crit Illn Inj Sci 2015;5:62-62

How to cite this URL:
Tin SS, Wiwanitkit V. Predictors of mortality in poisonous snake bite. Int J Crit Illn Inj Sci [serial online] 2015 [cited 2021 Oct 16 ];5:62-62
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Dear Editor,

Sir, we would like to discuss on the report on "Predictors of mortality in poisonous snake bite. [1]" Chaudhari et al., reported that "mortality in patients with snake bite can be predicted by simple variables like presence of bleeding tendencies, respiratory failure, and shock. [1]" In fact, there is a similar report on this topic from India by David et al. [2] In the study by David et al., another interesting factor that is not mentioned by Chaudhari et al., is the "pre-hospital delay. [2]" In fact, as an acute disease, the early diagnosis and prompt treatment is the key principle for management of poisonous snake bite. Finally, it should be noted that the skill of medical care provider in management of poisonous snake bite is another possible factor to be addressed. According to a report from Thailand, a country with high incidence of poisonous snake bite, " training programs on appropriate management of snakebites for the medical and paramedical [3]" was necessary to reduce the mortality.


1Chaudhari TS, Patil TB, Paithankar MM, Gulhane RV, Patil MB. Predictors of mortality in patients of poisonous snake bite: Experience from a tertiary care hospital in central India. Int J Crit Illn Inj Sci 2014;4:101-7.
2David S, Matathia S, Christopher S. Mortality predictors of snake bite envenomation in southern India-a ten-year retrospective audit of 533 patients. J Med Toxicol 2012;8:118-23.
3Buranasin P. Snakebites at Maharat Nakhon Ratchasima Regional Hospital. S Asian J Trop Med Public Health 1993;24:186-92.