Read Here or Download

 

Here we are trying to upload the Presentations of Dr Dayal Bandhu Majumdar. English presentations are in PPT format and Bengali are Picture format ( for Slide show); You may use these PPT for Training purposes , with Acknowledgement to Dr Dayal Bandhu Majumdar.

PDF quality is of very low resolution. If you want to print , mail to Dr DBM for high resolution copy.

 

জনসচেতনতার জন্য বাংলা ভিডিওগুলির লিংক                     " VIDEOS" পেজে দেখুন। 

সর্পদংশনের অ আ ক খ  তিনিটি পর্বে পাবেন।

 

 

 

 

বাংলায় জনসচেতনতার  জন্য, নিচে ছবিগুলি "Galary" হিসেবে আছে।

Post Training Assessment ( for Doctors)

প্রশিক্ষণ শেষের মূল্যায়ণ 

Clinical Situations for Snakebite Training Module

Case No.1. 

35 yrs male patient, (B H) was brought to Habra State General Hospital in North 24-Paraganas, at about 4 AM . On examination the patient was unconscious with flaccid limbs, no respiration notable. Pulse was normal. Relatives gave the history of suspected snake bite about 2 hours back while the pt. was sleeping on open floor outside his house. Snake not seen by pt. but he told about severe pain in left arm. He could speak till 30 minutes before reaching hospital. No medical specialist was available that time. No bite mark noted.

Q. a). Can you rely upon the history of Snakebite? 

b). Can you start treatment without identification of a snake? 

c). Whether to try treating there or to refer to district Hospital 20 KM away?

d). What treatment to start with?

e). How far to wait for improvement?

f). When to transfer? 

g) If treated at S G Hospital, when to discharge?

 

 

 

 

Case No.2. 

(B M) 29 yrs male patient, brought to  Debra BPHC at 10 AM from a remote village. H/O Russell’s viper bite about an hour back. There were two bite marks near Rt. ankle with swelling. Moderate pain was complained by the patient. There was a tight ligature on Rt. thigh. 

Q. a). Try to manage there or to transfer to Midnapur Medical College 35 Km away?

           b).What to do with the ligature?

c). Start ASV straight way or to do any investigation?

d) What investigation to do?

 

 

Case No.3. 13 yrs boy (T B) brought to one private nursing home at a small town of WB about 50 KM from Kolkata, at about 11 AM with severe convulsions. Pt. went to total respiratory failure within 5 minutes while doctors were examining the patient. Relatives gave history of sore throat at about 8 AM, followed by some tablets from a village quack. Complaint of blurring of vision and drooping of eye lids starting at about 8.45 AM. Convulsions started about half an hour before they reached the N Home. There was no previous history of convulsions, no other H/O any previous illness like Head injury.

Q. a). What should be the diagnosis? 

b)  What other history is important?

c) How this pt. can be managed if attended Tamluk District Hospital?

d) Could you try artificial respiration? How?

                                                                                                    e) What other medications can be tried?

f)       When and where to transfer?

 

 Case No.4. 

12 yrs boy, (J R), was brought to Habra S G Hospital of WB at about 11 AM with H/O snakebite about two hours back. On examination the boy was conscious and cooperative. There were multiple tight ligatures starting from middle of the Rt. Leg to upper part of Rt. thigh. There were multiple scratch marks near the Rt. ankle. Part of the leg below the lowest ligature was swollen, there was no complaint of pain. 

    Q. a) Should we wait for the snake to be brought?

b) What to do with the ligatures?

c) Any investigation to be done?

d) What treatment to be started?

e) How long to wait before referral, if at all?

f) When to discharge? 

 

 

Case No.5. 

(S G),10 yrs boy,was brought to Bishnupur S D Hospital of Bankura in the evening with history of snakebite 2 hrs back. One medium size R. Viper snake was killed and brought along with. There were two bite marks on Rt. Foot of the boy. There was no pain, no swelling. 

Q. a) Manageable at S D Hospital or should be referred to Bankura Medical College, 30 KM away?

b) What treatment to start with?

                               c) What investigation to be done?

d) How long to wait before referral?

e) How long to be kept under observation?

 

How the Cases were Actually Managed in WB Hospitals., Given in the  "Snakebite Articles" page.

এই পাঁচজন সাপের কামড় -এর রুগীর কি চিকিৎসা হয়েছিল; " শুধু সাপের কামড়" নিয়ে লেখা পেজে পাবেন।