Dr. Priyam Bordoloi Profile picture
MBBS | MD Internal Medicine 🩺 | Resident | Evidence-Based Medicine Advocate | Unreserved | ⚠️Views are my own.

Apr 9, 7 tweets

Three months ago, a patient died in our ER. What he did in the hours before reaching us still makes me shudder.

A 35-year-old shouldn’t die from a snake bite in 2026. He died because he followed myths instead of science.
Don’t let your "first aid" be the thing that kills you 🧵

The "Action Movie" Myth 🔪

The patient tried to cut and suck the venom out.

Don't ❌

• Cutting: Causes massive bleeding and local tissue necrosis.
• Sucking: Introduces mouth bacteria, leading to secondary infections.

You waste the "Golden Hour" playing hero.

The Tourniquet Trap 🚫

Stop using tight ligatures/tourniquets.
They often cut off arterial blood, leading to gangrene and limb loss. Worse, releasing them can cause a "venom burst" to the heart.

✅ Use a Pressure Immobilization Bandage or a simple splint instead.

The Identification Trap 🐍

He wasted 1 hour trying to catch the snake to show the doctor.

STOP. We don't need the snake; we treat the symptoms. Chasing it only increases your heart rate (pumping venom faster) and risks a second bite.

If you can, take a quick photo from afar.

The Fatal Delay ⏳

He spent another 2 hours at a local healer using herbs.
In snake bites, Time = Life. Herbs won’t stop kidneys from failing or lungs from paralyzing. Only Anti-Snake Venom (ASV) works.

If you aren't at an ER, you aren't being treated.

The Survival Protocol ✅

If bitten:
1️⃣ Freeze: Keep the victim still.
2️⃣ Splint: Immobilize the limb like a broken bone.
3️⃣ Remove Jewelry: Rings/watches become "strangle-wires" during swelling.
Get to the ER immediately.

🚨 Thousands still die from snakebites due to misinformation. Education is the only real antidote to fear.

Follow and bookmark this. It could save a life today.

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