有奖问答--在野外被毒蛇咬了应该怎样处理--答案已公布欢迎继续分享信息

MtDreamer

原帖由 MtDreamer 于 2-9-2010 15:11 发表

                               
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没见到mk82的提示是怎么写的，hoopoos这个是全帖唯一靠谱儿的答案，但加压和缠的方法没说，木棍也不是必须的。

补充下，其实俺更倾向国内那种积极的救治，哪怕有创呢，而且那些开口子、烧灼、吮吸、结扎的办法的确救过很多人的命，甚至以治蛇伤闻名的医院也是这么干的。
不过没辙，咱在澳洲。

hoopoos

澳洲这里提倡的是，稳定住伤情，延缓毒液的扩散，为专业医疗争取时间。打绷带这个很容易操作，其他的办法就需要技巧了，万一手忙脚乱的搞不好反而误事。加一条木棍或者木板的作用是进一步阻止伤员活动肢体。

泡沫

原帖由 ozbird 于 2-9-2010 14:32 发表

                               
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蓝环也有很多种的(3-4种) ，毒性彼此也有差异。找到蓝环的照片不太难，判断可以根据身上的“蓝环”吧？

                               
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http://www.blueboa ...

我发现越漂亮的东西越毒。

136mydream

原帖由 泡沫 于 2-9-2010 16:26 发表

                               
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我发现越漂亮的东西越毒。

是吗？
那我最毒啦

地瓜

我选D，觉得最可行，但不知道是不是最有效

136mydream

原帖由 泡沫 于 2-9-2010 16:26 发表

                               
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我发现越漂亮的东西越毒。

那我又要出新题目了

既然大家都这么有知识，我们一起写一个澳洲最危险的动物介绍，以及防范和救治方法吧，我觉得很有意义呀

开了新帖在这里
http://www.freeoz.org/ibbs/viewt ... e%3D1&frombbs=1

泡沫

原帖由 136mydream 于 2-9-2010 16:54 发表

                               
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是吗？
那我最毒啦

那怪不得人人都说我善良

136mydream

原帖由 136mydream 于 2-9-2010 17:01 发表

                               
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那我又要出新题目了

既然大家都这么有知识，我们一起写一个澳洲最危险的动物介绍，以及防范和救治方法吧，我觉得很有意义呀

开了新帖在这里
http://www.freeoz.org/ibbs/viewt ... e%3D1&frombbs=1 ...

新帖请大家一起编写澳洲危险动物介绍-含防范和救治方法

凡是提供有用信息的都有分加哦，先到先得

比如谁先说出 毒蛇 这个危险动物种类，就有分加，后来的想要分就得提供更多信息，比如澳洲毒蛇的种类，如何防范，如何救治等信息，越往后就越难了

现在先来的有便宜占哦，比如简单地说出 鳄鱼，鲨鱼 这样的，就能骗到分了 骗分要趁早哦

西澳海豚

RFDS （皇家飞行医生）上周刚来CAMP上急救课程，对於毒蛇咬也是和D一样的处理方式。

而自己无论在民间医院里的急救课程或是学校里，都是这麽教-----

我有问为何不用A的方式，得到答案是：无法有效吸出毒液，想像一块布倒上一些饮料，然後用吸管去吸，吸不出来吧？大概就是这个意思～

qjfkdht

我选D.The last one

megamicro

C 用火药在伤口上烧灼，以杀死毒素，并拨打急救电话

136mydream

答案都已经公布了，是D
大家不要继续猜了，再猜没有分分加了

可以继续探讨救治方法，细节以及原因

pamccc

D

136mydream

原帖由 MtDreamer 于 2-9-2010 15:04 发表

                               
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谢谢两位加分，不过。。。
47楼俺说题目里没有正确答案，D也不是。
LZ还是把书里边pressure immobilization technique的部分完整写出来吧，有这么多人关注呢，而且大多数都是国内的观念。

Pressure Immobilisation Technique

The pressure-immobilisation first aid technique was developed in the 1970's by Professor Struan Sutherland. Its purpose is to retard the movement of venom from the bite site into the circulation, thus "buying time" for the patient to reach medical care. Research with snake venom has shown that very little venom reaches the blood stream if firm pressure is applied over the bitten area and the limb is immobilised. Pressure-immobilisation was initially developed to treat snakebite, but it is also applicable to bites and stings by some other venomous creatures. It is currently recommended for most life threatening venomous bites and stings in Australia.

Pressure-immobilisation is recommended for:
all species of Australian snakes, including sea snakes
funnel web spiders
bee, wasp and ant stings in allergic individuals
blue ringed octopus
cone shell stings

Do not use pressure-immobilisation first aid for:
spider bites other than from a funnel web spider
jelly fish stings
stonefish and other fish stings
bee, wasp and ant stings in non-allergic individuals
bites by scorpions, centipedes, beetles

136mydream

Bites to the lower limb
Call 000 for an ambulance
Apply a broad pressure bandage over the bite site as soon as possible. Crepe bandages are ideal, but any flexible material may be used. Clothing, towels etc may be torn into strips. Panty hose have been successfully used.

Do not take clothing off as the movement of doing so will promote the movement of venom into the blood stream. Keep the patient (and the bitten or stung limb) still.
Bandage upwards from the lower portion of the bitten or stung limb. Even though a little venom may be squeezed upwards, the bandage will be more comfortable, and therefore can be left in place for longer if required.
The bandage should be as tight as you would apply to a sprained ankle.

Extend the bandage as high as possible up the limb.

Apply a splint to the leg. Any rigid object may be used as a splint. e.g. spade, piece of wood or tree branch, rolled up newspapers etc.

Bind it firmly to as much of the leg as possible.

Keep the patient still. Lie the patient down to prevent walking or moving around. Have the patient taken immediately by ambulance to the emergency department of the nearest hospital.
(Images: Pressure-immobilisation, courtesy of the Australian Venom Research Unit)


Bites to the hand or forearm
Call 000 for an ambulance
Bandage as much of the arm as possible, starting at the fingers
Use a splint to the elbow
Use a sling to immobilise the arm
Keep the patient still. Lie the patient down to prevent walking or moving around. Have the patient taken immediately by ambulance to the emergency department of the nearest hospital.


Bites to the trunk
Call 000 for an ambulance
If possible apply firm pressure over the bitten or stung area. Do not restrict chest movement. Keep the patient still. Have the patient taken immediately by ambulance to the emergency department of the nearest hospital.


Bites to the head or neck
Call 000 for an ambulance
No first aid for bitten or stung area. Keep the patient still. Have the patient taken immediately by ambulance to the emergency department of the nearest hospital.

136mydream

Additional information:
Research stresses the importance of keeping the patient still. This includes all the limbs.
Do NOT cut or excise the bitten or stung area

Do NOT apply an arterial tourniquet. (Arterial tourniquets, which cut off the circulation to the limb, are potentially dangerous, and are no longer recommended for any type of bite or sting in Australia.)

Do NOT wash the bitten or stung area. The type of snake involved may be identified by the detection of venom on the skin.
Note: Even if the bitten or stung person is ill when first seen, the application of pressure-immobilisation first aid may prevent further absorption of venom from the bite or sting site during transport to hospital.

If the bandages and splint have been applied correctly, they will be comfortable and may be left on for several hours. They should not be taken off until the patient has reached medical care.

The treating doctor will decide when to remove the bandages. If a significant amount of venom has been injected, it may move into the blood stream very quickly when the bandages are removed. They should be left in position until appropriate antivenom and resuscitation equipment has been assembled.
Bandages may be quickly reapplied if clinical deterioration occurs, and left on until antivenom therapy has been effective

136mydream

以上资料出自 http://www.health.qld.gov.au/poi ... ngs/bs_pressure.asp

不同出处的资料可能有细微差别，比如我老师就没有教蛇咬伤后用木棍，只是骨折时提到用木棍固定。hoopoos提到这点后我认为是有一定道理，如果咬的位置适合使用木棍的话

我老师教的还先用布条绕一个圈，围在伤口周围，然后在上面缠绷带，作用一是不会破坏伤口使得医生辨别更容易，二是阻断伤口周围血液流通

101dot

选 D 吧，少做少错