for at least half an nour, and the more blood and lymph that can be ex- 
tracted the better. If a special suction bulb having more power than a 
breast pump and with a smaller mouthpiece can be obtained, it will be 
HOUNGMACN mEUCHeRt. In whe absence Of any such device, one may 1re= 
move enough of the venom by suction with the mouth. It is best to be 
sure that there 1s no abrasion in the,mouth, for the venom is effective 
Wnerevier ab may entcr the) blood) stream. The principal thing vo do is to 
use suction and remove as much of the venom and as quickly as possible. 
iiyvuheragove procedure as followed wathin one hour ‘after tne bite, the 
chances are that no further treatment will be necessary. It is always 
best, Of course, Vol'sScekMihe care or a ‘competent physieian as quickly as 
possible, 
While the cutting advised should go through the skin, care should 
be taken not to cut too deeply nor to sever blood vessels of any size. 
If amadvertentily this ais done, bleeding from veins, recognized by the 
dark red color and steady fiow, may be checked by a tourniquet placed on 
the far side of the cut from the heart. Bleeding from an artery is bright 
red and in spurts and may be controlled by placing the tourniquet betwceen® 
the wound and theshmeart. In either case a knot in the tourniquet or a 
solid objecet under iat should be placed directly over the severed blood 
vessel, 
iim you nawevanvavenin wath you, redid carerully the directions) for 
preparing the syringe and making the injection... Do not allow fear or 
agitation to make you overlook important points. Wnen the syringe has 
been made ready, ‘proceed at once tO anject the entire contents of the 
syringe under the skin near the bite. The tourniquet should then be 
released for a minute. 
Additional Treatment 
Additional treatment, or treatment in cases where the above metnods 
were |newnuised soon atber! the bite.) preterably to be adminastercd by a 
surgeon, should consist of following up the advance of the swollen area 
and making a double row of incisions at the very upper edges of the 
swollen parts. These should be about 1/8 by 1/8 inch, and a series of 
them should completely encircle the limb affected. 
It is well to remark here that novocain can be used by even a lay— 
man without ill effect. Besides enabling the one operating to do the 
cutting without pain to the patient, it also serves somewhat to check 
the spread of the venom, It may be injected completely around the limb 
and is very valuable in any emergency where a considerable amount of 
pain is unavoidable in rendering first aid. 
As the swelling advances the one administcring medical aid should 
follow 1t up with the incisions, and should apply suction for a period 
ef at least thirty minutes to every series of incisions. In case one 
particular region becomes more swollen then the others - a nest of in- 
cisions should be made over and around it and suction applied there, 
If improvement is not shown the incision treatment should be repeated 
every fours hours and the suction kept wp constantly, until relliler is 
obtained. The punctures will continue to leak diluted venom and bloody 
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