Snakebite and snake identification
The photograph is of a Cape Cobra.
In the event of a snakebite it is not necessary to know what snake bit you and most snakebite victims that end up in hospital do not know what they were bitten by.
Killing or catching the snake responsible is not a good idea and a second bite will really complicate matters.
Most doctors are not good at identifying snakes and when victims arrive at hospital with a dead snake, doctors usually contact the Poison Information Center for assistance.
Most snakebite victims do not receive antivenom as all bites are not life-threatening.
Snakebites are treated according to the symptoms that present and this may be a drop in oxygen levels, bleeding, progressive swelling, or progressive weakness.
Doctors take a blood sample which is sent off to a laboratory for analysis and, in cases of severe envenomation, antivenom may be administered. It is the correct treatment for serious snakebites and, if given early enough and in the right dosage, it neutralises the effects of the venom and may also prevent or reduce tissue damage.
Having said that, the correct identification of a snake responsible for a bite could be of great value and snake expert are often called upon to assist in this regard.
In a recent case a person was bitten by a snake in the Western Cape and ended up in hospital.
The patient had ptosis and dilated pupils but was breathing normally and it was assumed that it may have been a Berg Adder bite.
The symptoms matched that of a Berg Adder bite and antivenom was not a consideration as there is no antivenom for Berg Adder bites.
The only description of the snake was that it had some orange coloration.
The ASI team was contacted, and we quickly established exactly where the incident took place.
With the largest and most detailed database of snake localities in Southern Africa and good knowledge of snake habitat, we could quickly eliminate the possibility of a Berg Adder bite as this snake has never been recorded within 30 km of the bite site and the habitat was not suitable.
We suspected a Cape Cobra bite and as time progressed, the victim started experiencing breathing difficulties.
Antivenom was administered once it was deemed necessary and the patient had a full recovery.