28/08/2025
What to do with a snake bite?
This week has had me field a couple of calls from people where someone has been bitten by a snake. Thankfully, in these cases the outcome has been good, with no envenomation or symptoms. If you call me, I am not a doctor, I am not going to tell you it might be ok. If you think it's a snake bite, then the only things to do are these: 000 and PIT.
If a person has possibly experienced a snake bite the Queensland Ambulance Service should be contacted immediately on “000” or “112” from mobiles. Do not delay.
Snake Bite Management.
Australia has some of the most venomous land snakes in the world. Many of which are found on the Atherton Tablelands. These species include the Coastal Taipan, Eastern Brown Snake, Mulga or King Brown Snake, Red Bellied Black Snake, Rough Scaled Snake, Pale headed Snake, Black Whip Snake, and Death Adders. A bite from any of these species is life threatening.
If a person has possibly experienced a snake bite the Queensland Ambulance Service should be contacted immediately on “000” or “112” from mobiles. Emergency Snake Bite Procedure should be followed.
Pressure Immobilisation Technique or PIT
PIT is recommended for bite from all Australian Venomous Snakes.
Steps to administer the PIT(Pressure Immobilisation Technique)
If resuscitation is needed it takes precedence over the PIT, otherwise follow the steps in the attached picture.
Do not let the patient walk around, and definitely drive themselves to the Hospital!!!!
The patient will be assessed and transported to hospital by paramedics for ongoing assessment and management as life-threatening effects may take from minutes to hours to present.
If there is any doubt about the validity of a snake bite, treat it as a snake bite!
Common Symptoms of a bite may be non-specific in many cases.
Nausea, vomiting, headache, abdominal pain, diarrhoea and diaphoresis (abnormal sweating) are common.
More significant symptoms include altered mental state, visual disturbances and seizures, respiratory dysfunction, and haemorrhage or haematoma (bleeding or bruising) at the bite site. Lymph glands of the affected limb will become swollen and tender.
Bites are not always paired marks, they can occur as scratches or as single puncture marks.
Snake venoms work in different ways, and vary with each species.
The three systemic effects are neurotoxicity, coagulopathy and myotoxicity.
Neurotoxicity affects the nervous system, drooping eyelids and drooling are early signs, followed by paralysis of limbs and airways.
Coagulopathy affects the ability of blood to clot and is signalled by failure of clots to form at the bite site and bleeding from the nose and gums.
Myotoxicity cases damage to skeletal muscle groups and is indicated by weakness, tenderness of muscles, muscular pain and renal impairment and failure.
Snake bite is particularly high risk for children due to the high venom dose relative to their body weight.
Treat any snake bite as an emergency!!