John E. Werler

“ It is widely known among snake bite authorities that more persons die from snake bite in Texas than in any other state of the nation. This startling fact should encourage every Texan to obtain a thorough working knowledge of the correct first aid treatment for snake bite so he will be prepared to act promptly in the event of an emergency. In addition, and perhaps just as important, he should learn how to prevent a bite before it can happen. ”

“ The head is small and rounded and eye pupils are circular. Its venom-conducting fangs, in the front of the upper jaw, are small and permanently erect; consequently, some chewing is required before the snake can inject its poison with certainty. As if to make up for its poor biting equipment, the coral snake possesses a venom of high toxicity, a venom much more potent than that of the pit vipers which are so well adapted for injecting their poison quickly and deeply. Because this poison produces scarcely any severe local symptoms, the danger from a bite may be overlooked and treatment delayed. ”

“ On the other hand, he would not care to undergo either the pain associated with snake bite treatment or the anxiety following a bite if a harmless snake were the cause of the accident. Yet time and again people have been bitten by harmless snakes and have been needlessly given first aid and hospital treatment because the offending snake was incorrectly classified as poisonous. Still others have been bitten by harmless snakes and died from nothing more than fright. ”

“ When recognition of the snake is doubtful, it should, if possible, be killed and taken to a hospital or doctor’s office for correct identification. Always keep in mind, however, that a recently killed poisonous snake may still be potentially dangerous. Even after its head is cut from the body, a reptile is capable of marked reflex activity; merely touching the head may cause it to bite. To be on the safe side, use a stick to lift or carry a dead snake. ”

“ He should not be terrified by the thought that every snake bite means certain death. Actually, a survey of case histories shows that with prompt and proper treatment, only about one or two per cent of all snake bites in this country are fatal. ”

“ Copperheads are quick to strike at any annoying object, and often bite several times in rapid succession.
Copperheads seldom deliver a fatal bite because of their short fangs and small size. Their strike is often blocked by a mere trouser leg. Records of the Antivenin Institute of America show that during a 10-year period, not a single death resulted from 308 recorded copperhead bites regardless of the lack or kind of treatment given victims. ”

“ The severity of each case of snake poisoning is determined by the speed with which symptoms progress. Although the bite of a large snake is generally more serious than one caused by a small snake, the seriousness of a bite cannot be gauged by snake size alone. ”

“ Each year Texas zoos receive calls from distressed home owners within city limits who have discovered rattlesnakes or copperheads under their houses or beneath trash piles on their property. These people ask for assistance in the removal of the snakes or for advice which may prevent similar future invasions. The trespassing snake often can be disposed of quickly, but the removal of one snake does not always solve the problem. Something must be done to discourage other snakes from taking residence on the grounds. ”

“ A summary of snake bite cases in the United States over a 10-year period shows that more people died from bites of this species than from bites of any other North American snake. There are several reasons why this snake is responsible for so many bites and such a high number of deaths. Chief among these is its large size. It ranks as one of the two largest poisonous snakes in the country, being second only to the eight-foot eastern diamondback rattlesnake of the southeastern states. In direct proportion to its size, it has long fangs and poison glands which hold a great amount of venom. ”

“ Because coral snakes cause so few bites in the United States, no serum to neutralize their venom is prepared in this country. In South America, where these snakes are common and may reach a length of five feet, a serum to neutralize the poison is being produced by the Instituto Butantan at Sao Paulo, Brazil. It and other foreign snake bite serums often are available at larger zoos where exotic poisonous species are exhibited. ”

“ It is important that every snake bite victim receive first aid treatment as soon as possible. The patient must not exert himself by running, because increased circulation brought on by such physical activity will speed up absorption of the poison. ”

“ The cottonmouth is one of our largest poisonous snakes. It is particularly abundant in the coastal marshes of southeastern Texas where it is found along streams, ponds and lakes. Although ordinarily rather sluggish, it immediately draws back its head and opens its mouth widely in a threatening manner when annoyed, exposing the white tissue lining the inside of the mouth. ”

“ Only 16 of the approximately 106 different kinds of snakes found in the state are dangerously poisonous to man, and some are so rare that they are seldom seen. In addition, we have in Texas several species of smaller snakes known as opisthoglyphs, each possessing a mild venom and a set of small grooved fangs far back in the upper jaw. Because of their weak and limited supply of venom and small fangs, which are poorly adapted for injecting poison into large animals, these rear-fanged snakes are considered harmless to man. ”

“ Also look for a body color of black, dark brown or olive and from 10 to 15 wide, usually indistinct, crossbands which are generally lighter in the center than 11 on the edges. The upper jaw below the eye, as well as the lower jaw, will be light colored in contrast to the dark color above the eye. Together, these characteristics will make identification quite certain at a reasonable distance. Remember that the young of this snake are colored differently from the adults and you will not be able to identify the juvenile by using the color characteristics of the adult snake. ”

“ If a poisonous snake is discovered close by, the best protection is to remain as still as possible until the snake has moved away. It should be remembered that a snake is quick to strike at a moving object, so to quickly step away at such a moment may be disastrous. ”

“ Nevertheless, a more accurate and scientific approach is possible if we consider each species and subspecies as a different kind.
Illustrations in this booklet show the 16 kinds (species and subspecies) of poisonous snakes known in Texas. These photographs, together with descriptions in the text, should aid in identification. The accompanying distribution map for each form has been compiled from county records based on museum specimens, but in a few cases reliable “sight” records have been used as proof of a snake’s occurrence within a county. ”

“ A rattlesnake’s age cannot be determined by the number of segments of its rattle because a new segment is added with each shedding of the skin. Because a snake may shed several times a year, the resulting number of segments added annually may be six or more. ”

“ This last item is especially important if you are alone and cannot reach the wound to apply suction by mouth.
Snake bite kits containing the essential items can be purchased at most drug or sporting goods stores at a cost of from two to five dollars, depending upon the make. Anyone who spends much time outdoors should carry a snake bite kit at all times, and he should know how to use it. A smaller kit can be more easily carried and is less likely to be left at home or in the car. ”

“ Four kinds of copperheads are known in Texas. They are much smaller and more slender than the closely related cottonmouth and, because they have proportionately smaller fangs and less venom, are not very dangerous to man. The four copperheads resemble one another by having the same general pattern of chestnut or reddish-brown crossbands on a lighter body color. ”

“ Because almost all snake bites are inflicted on the arms or legs of the victim, these limbs require special protection. The use of a little caution, when placing hands or feet where snakes may be partially or completely hidden from view, is the best protection you can give them. This is particularly true when climbing hand-over-hand on rocky ledges, where your hands reach the level of the ledge before your eyes do. Rattlesnakes and copperheads are partial to such rocky hillsides and here, especially during the warm days of early spring, they prefer to coil and sun themselves. ”

“ This would allow air to enter the suction bulb from the outside and the device would then be unable to work. Incisions are of the utmost importance to first aid treatment; without them little or no poison can be withdrawn from the wound by suction. However, making even a small incision involves some risk and this operation should be done with considerable care. Improper or carelessly applied first aid may actually do more harm than good. ”

“ Harmless water snakes most frequently mistaken for the cottonmouth include the large diamondbacked water snake of central and eastern Texas, the blotched water snake found over most of the state, and the yellowbellied and broadbanded water snakes of eastern Texas. Most of them are relatively heavy bodied, possess somewhat diamond shaped heads and, although not venomous, will bite viciously if stepped upon or handled. ”

“ Intense local pain is symptomatic of coral snake poisoning but, unlike a case of pit-viper poisoning, swelling and discoloration are not pronounced. Diagnosis of coral snake envenomation is difficult and must be based primarily on systemic symptoms: headaches, weakness, lethargy and facial paralysis. ”

“ Muscular activity helps increase the spread of venom. Whenever feasible, transport the victim by litter to further medical aid.
2. APPLY A CONSTRICTING BAND from two to four inches above the bite, between the wound and the heart. This will help to limit the spread of venom until it can be removed by incision and suction or neutralized by antivenin. A piece of rubber tubing or a strap tourniquet, included with every snake bite kit, is best for this purpose. When these are not available, items of clothing may be used. ”

“ Although envenomation by one of the snakes of North America may present severe signs and symptoms, death is rare except in children or following envenomation by a large snake. However, permanent damage of an involved extremity is frequent following a bite by certain of the North American venomous snakes ”

“ In the field, where poisonous snakes are more common, they present a greater hazard to human life; consequently, campers, crop farmers and others who spend a great deal of time outdoors should necessarily take more care in avoiding snake bites. ”

“ Equipment necessary for first aid treatment of snake bite includes a sharp cutting instrument such as a razor blade or sharp knife for making incisions, a constricting band to retard the flow of lymph, 53 iodine or alcohol for sterilizing the knife and bitten area, and a suction device for removing the venom-contaminated lymph. ”

“ Rock piles, trash piles, stacked lumber, tree stumps and other forms of debris near or under houses often harbor rats and mice which form the principal food of most snakes. In addition, this trash furnishes cover for the reptiles and offers them protection from enemies and bad weather. Therefore, if all rubbish is removed from the premises, the food and shelter which attract snakes are largely eliminated and the snakes are forced to seek a more suitable environment. Dense, low growing plants may also supply cover for snakes. ”

“ Rarely reaching a length of two feet, this form has a pattern of narrow yellow rings which are bordered on each side by narrow black rings. The much wider red rings are separated from the yellow by the black rings. In the scarlet snake (Cemophora coccinea) of eastern and coastal Texas, the pattern is a series of wide red blotches bordered by much narrower black bands. The yellow bands, about half the width of the red ones, are separated from them by the black bands. The belly is unmarked white or yellow. Adults are about a foot and a half long but a 25-inch specimen is on record. ”

“ Antivenin. Polyvalent or specific antivenins prepared from venoms of snakes in the same geographic area should be administered in therapeutic quantity as recommended by the manufacturer only with full realization that the hazard of immediate allergic reaction or delayed serum sickness are factors to be evaluated in the decision to carry out this type of treatment. During hospitalization, antivenin should be given intravenously, provided 59 that sensitivity tests indicate that the patient is not allergic to the antiserum to be used. ”

“ Actually, the skull is rather elongated and the mouth can be opened to a greater degree than might be expected. Even when it bites a relatively flat surface, such as the back of the hand, the snake’s closing mouth will pinch the skin, allowing the fangs to penetrate. ”

“ Statistics show that a large percentage of all bites takes place near the home and more than a few of these are inflicted upon small children playing in their yards. Therefore, let us consider first the possible presence of poisonous snakes around the home and some precautions that can be taken to keep them away. ”