Wall Colin
RCDM, Birmingham.
J R Army Med Corps. 2012 Sep;158(3):194-8. doi: 10.1136/jramc-158-03-09.
Snake-bite is a significant problem worldwide. Despite frequent deployments and exercises to countries where venomous snakes are endemic there are few reported cases of British Army personnel being bitten. Clinical Guidelines for Operations includes direction on the treatment of snakebite, including the application of pressure immobilisation. This article reviews the history and development of pressure immobilisation, the optimum equipment and the efficacy of training in order to inform future guidelines. It is the conclusion of this review that pressure immobilisation should be advocated in all snakebites where the snake species is not known. In addition guidelines should advocate the use of Sam splints and Emergency Bandages in the application of pressure immobilisation.
蛇咬伤是一个全球性的重大问题。尽管英国军队经常在毒蛇为地方病的国家进行部署和演习，但报告的英军人员被蛇咬伤的案例却很少。《作战临床指南》包括蛇咬伤治疗指南，其中有关于加压固定法应用的指导。本文回顾了加压固定法的历史和发展、最佳设备以及培训效果，以便为未来的指南提供参考。本次综述的结论是，对于所有不明蛇种的蛇咬伤，均应提倡使用加压固定法。此外，指南应提倡在应用加压固定法时使用山姆夹板和急救绷带。
