• Hypotension and shock, abnormal ECG, or other evidence of severe cardiovascular dysfunction • Generalized rhabdomyolysis or massive intravascular haemolysis: black urine Supporting evidence of severe envenoming is a neutrophil leucocytosis, elevated serum enzymes such as creatine kinase and aminotransferases, haemoconcentration, severe anaemia, myoglobinuria, haemoglobinuria, methaemoglobinuria, hypoxaemia, and acidosis. In the absence of systemic envenoming, local swelling involving more than half the bitten limb, extensive blistering or bruising, bites on digits, and rapid progression of swelling are indications for antivenom, especially in patients bitten by species whose venoms are known to cause local necrosis (e.g., Viperidae and cobra). Prediction of antivenom reactions Early anaphylactic or late serum sickness type of antivenom reaction cannot be predicted by skin and conjunctival tests so it should not be used. Selection, dose and administration of antivenom Antivenom should be given only if its stated range of specificity includes the species thought to be responsible for the bite. Whatever the stated expiry date on the vial, opaque solutions should be discarded, as precipitation of protein indicates loss of activity and an increased risk of reactions. Monospecific (monovalent) antivenom is ideal if the biting species is known. Polyspecific (polyvalent) antivenoms are used in many countries because of the difficulty in identifying the species responsible for…
Cobras are awful reptiles, who can live in gardens. Indian cobras can become massive creatures, they can eat some of the little animals that help a garden grow. In the print version of a book and a movie, they can differ or be the same. Both of them can be very accurate in telling the story plot. These versions can be quite enjoyable and exciting. However, sometimes the plots of the stories don’t differ that much. In the printed version of Rikki-tikki-tavi the plot takes place in the summer in…
When was the last time a fashion statement saved your life? The answer is most-likely never, but in the last day of Survivor camp, that’s exactly the moment the castaways will be preparing for. Paracord bracelets are both accessories and survival tools for outdoor recreationists. Practical, colorful and arguably, even stylish, these symbols of outdoor lifestyle allow you to carry 10 ft. of cordage right on your wrist, cord that can be used as a shoelace, a can koozie, to build a raft, construct…
comes to an end with a picture of Columbus lying on his deathbed, sick, and surrounded by friends, family, and priests. This ending makes readers sympathize for Columbus. It is sad and emotional to see a man being depicted as a national hero to die. The way Zinn ends his first chapter is also in a benevolent way, but with a dark undertone. Zinn discusses how Indian society worked and interacted with each other before the introduction of Europeans. Zinn tells how the Indian people were peaceful…
European exploration began with the desire for trade and to spread religion. Finding the Indians offered them the chance to do both. These people had never seen anything like the Europeans and were mostly receptive to new goods to trade, and were willing to listen to new religious ideas. No one was prepared for the Old diseases that the Europeans brought with them. Disease swept across the continent in the years of European settlement, paving the way for the European dream of controlling the…
This picture of the Indians presents one aspect of their culture in which they might recognize themselves. This is a way of shaping identity or reputation, a good way but there is also a bad way. This happens when Indians confess that: “We didn’t begin that way. We haven’t always been entertainment” but due to the lies and deceit and their effects on the Indian people “we ceased being people and somehow became performers in an Aboriginal minstrel show for whites in North America” (King 68). In…
warfare”, found the Indians style of fighting much too barbaric. Instead of face to face combat, the Indians liked to use surprise tactics and ambushes. Many of the Europeans found this style of fighting cowardly, that they could not face their enemy in combat face to face. But this did not at all halt the use of these “cowardly savages” by either side during the war. The British and French, both found that they would much rather have tomahawks thrown toward the enemy, rather than towards…
appreciate the service, ethnicity, and quality of food that they offer. With my recent relocation of residency I have found myself unable to eat what I am used to when I plan to go out to eat; this is simply because I am ignorant of what is available. I began searching for local, non-chain, restaurants that serve good quality food at a reasonable price. There were two establishments that caught my eye right off the bat, Happy Sushi and Gateway to India. I have always enjoyed eating sushi, and…
. Sherman Alexie is an author who grew up in Spokane, Washington and spent his childhood on the spoken Indian reservation but later on left to get a better education in Reardan, Washington, then later on went to Washington University. In Washington University, he met a professor name Alex Kuo who mentored him and taught him to connect to on-native literature that also inspired him to be a writer. After meeting Kou he went on to create his own native literature first…
pastor from New York, since we came all the way to South Africa and heard a sermon from another American pastor. The pastor’s sermon was about love and acceptance, which is also interesting given the churches history and apartheid. Another aspect of the service, which I thought was different was the use of incents. I had never been to a church service where they used incents, which were symbolizing cleansing and for prayer. I thought it was an interesting element to the service, although I was…