Spitting cobra refers to any one of several species of cobras that have the ability to spit or eject venom from their mouth when defending themselves against predators. The spit venom is harmless to intact skin. However, it can cause permanent blindness if introduced to the eye and left untreated (causing chemosis and corneal swelling).
Despite their name, these snakes do not actually spit their venom. They spray the venom, using muscular contractions upon the venom glands. These muscles squeeze the glands and force the venom out through forward facing holes at the tips of the fangs. As the venom leaves the fang tip, a large gust of air is expelled from the lung which aerosolizes the venom and propels it forward. When cornered, some species can "spit" their venom a distance as great as two meters. While spitting is typically their primary form of defense, all spitting cobras are capable of delivering venom through a bite as well. Most species' venom exhibit significant hemotoxic effects, along with more typical neurotoxic effects of other cobra species.
Western Barred Spitting Cobra (Naja nigricollis nigricincta)
Colour
In colour the snake is slate to olive grey, olive or tawny brown above, with some or all scales black-edging. Below, salmon pink to yellowish, with black bars across the neck and ventrals speckled or edged with brown or black; young specimens sometimes have pink or yellow bars on the throat.
Length
Naja nigricollis nigricollis; This is the largest species and can measure a lenght of 120 -220 cm but specimens are known to grow up to 280 cm.
Naja nigricollis woodi; This species has a average length of 120 – 150 cm with a max. of 200 cm. Which makes this subspecies a medium size spitting cobra.
Naja nigricollis nigricinta; Is the smallest subspecies of these cobras with a average length of 100 – 120 cm with a max of 150 cm.
General: Dangerousness Severe envenoming possible, potentially lethal
General: Rate of Envenoming: Unknown but likely to be high
General: Untreated Lethality Rate: Unknown but lethal potential cannot be excluded
General: Local Effects Marked local effects; pain, severe swelling, bruising, blistering, necrosis
General: Local Necrosis Common, moderate to severe
General: General Systemic Effects Variable non-specific effects which may include headache, nausea, vomiting, abdominal pain, diarrhoea, dizziness, collapse or convulsions
General: Neurotoxic Paralysis May cause moderate to severe flaccid paralysis
General: Myotoxicity Does not occur, based on current clinical evidence
General: Coagulopathy & Haemorrhages Does not occur, based on current clinical evidence
General: Renal Damage Rare, usually secondary effect
General: Cardiotoxicity Rare, usually secondary
General: Other These snakes can spit their venom, causing venom spit ophthalmia.
Description: First aid for bites by Elapid snakes which are likely to cause significant local damage at the bite site as their major clinical effect. This includes venom spat into eyes by spitting cobras.
Details Section 1: General first aid (for first aid of venom spit ophthalmia (venom in eyes) see Section 2 below). 1. After ensuring the patient and onlookers have moved out of range of further strikes by the snake, the bitten person should be reassured and persuaded to lie down and remain still. Many will be terrified, fearing sudden death and, in this mood, they may behave irrationally or even hysterically. The basis for reassurance is the fact that many venomous bites do not result in envenoming, the relatively slow progression to severe envenoming (hours following elapid bites, days following viper bites) and the effectiveness of modern medical treatment. 2. The bite wound should not be tampered with in any way. Wiping it once with a damp cloth to remove surface venom is unlikely to do much harm (or good) but the wound must not be massaged. 3. All rings or other jewellery on the bitten limb, especially on fingers, should be removed, as they may act as tourniquets if oedema develops. 4. The bitten limb should be immobilised as effectively as possible using an extemporised splint or sling; if available, crepe bandaging of the splinted limb is an effective form of immobilisation. 5. If there is any impairment of vital functions, such as problems with respiration, airway, circulation, heart function, these must be supported as a priority. In particular, for bites causing flaccid paralysis, including respiratory paralysis, both airway and respiration may be impaired, requiring urgent and prolonged treatment, which may include the mouth to mask (mouth to mouth) technique of expired air transfer. Seek urgent medical attention. 6. Do not use Tourniquets, cut, suck or scarify the wound or apply chemicals or electric shock. 7. Avoid peroral intake, absolutely no alcohol. No sedatives outside hospital. If there will be considerable delay before reaching medical aid, measured in several hours to days, then give clear fluids by mouth to prevent dehydration. 8. If the offending snake has been killed it should be brought with the patient for identification (only relevant in areas where there are more than one naturally occurring venomous snake species), but be careful to avoid touching the head, as even a dead snake can envenom. No attempt should be made to pursue the snake into the undergrowth as this will risk further bites. 9. The snakebite victim should be transported as quickly and as passively as possible to the nearest place where they can be seen by a medically-trained person (health station, dispensary, clinic or hospital). The bitten limb must not be exercised as muscular contraction will promote systemic absorption of venom. If no motor vehicle or boat is available, the patient can be carried on a stretcher or hurdle, on the pillion or crossbar of a bicycle or on someone's back. 10. Most traditional, and many of the more recently fashionable, first aid measures are useless and potentially dangerous. These include local cauterization, incision, excision, amputation, suction by mouth, vacuum pump or syringe, combined incision and suction ("venom-ex" apparatus), injection or instillation of compounds such as potassium permanganate, phenol (carbolic soap) and trypsin, application of electric shocks or ice (cryotherapy), use of traditional herbal, folk and other remedies including the ingestion of emetic plant products and parts of the snake, multiple incisions, tattooing and so on.
Section 2: First aid for venom spit ophthalmia. 1. Venom coming into contact with eyes can cause intense conjunctivitis with a risk of corneal erosions, complicated by secondary infection, anterior uveitis and even permanent blindness. All this can occur following venom spat into the eyes from a spitting cobra. 2. Irrigate the eye or other affected mucous membrane as soon as possible using large volumes of water or any other available bland fluid. Never use chemical solutions or petroleum products such as petrol or kerosene. Milk is soothing and can be used, or in an emergency beer or urine are possibilities. Keep irrigating the eyes, hold them under a slowly running tap for a several minutes, while opening the eyelids and rotating the eyeball. The eye will be very painful, so patience, tact and reassurance are needed. 3. The eye should be bandaged using a pad over the eye and dark glasses worn. 4. Don''t let the victim rub the eye. 5. Seek urgent medical attention
Treatment Summary Potentially severe bites, with both local tissue damage and paralysis. Admit all cases. Support impaired respiration. Good wound care essential. Avoid unnecessary surgery. For cases with paralytic features or major local effects, IV antivenom is appropriate.
Key Diagnostic Features Local pain, swelling, blistering, necrosis ± flaccid paralysis
General Approach to Management All cases should be treated as urgent & potentially lethal. Rapid assessment & commencement of treatment including appropriate antivenom (if indicated & available) is mandatory. Admit all cases.
Antivenom Therapy Antivenom is the key treatment for systemic envenoming. Multiple doses may be required.
Manufacturer: National Antivenom and Vaccine Production Centre
Phone: ++966-1-252-0088
Address: P.O. Box 22490 11426 Riyadh
Country: Saudi Arabia
Important Notice for First Aid treatment
The principle aim of the First Aid listed above is to provide information useful to improving outcomes for humans suffering from envenoming or poisoning by animals. A reasonable attempt is made by the first Aid treatment website to verify accuracy of information listed on their site. However, we cannot access every published paper of potential relevance, either because they are not available to us or are in a language we cannot translate internally. Equally, we cannot list knowledge which is not yet reported or known. It should not be assumed that humankind currently knows all there is to know about any species, even for common species. Further, we cannot control how users will interpret the information provided on this site. We therefore do not accept legal responsibility for use of the information provided and we require that all users use information from this site at their own risk. The following should also be noted when reading information contained within the databases on the original website: italics for scientific nomenclature cannot be displayed, and superscripting and subscripting is absent in some instances.
A field test of human snakebite victims is available online at www.PhillipsCompany.4T.com/VXft.pdf This field test shows how a topically applied antivenom, applied in the field at the time of the bite, can be helpful. Use of antivenom quickly, just following the bite, is important if the antivenom can be neutralized before the onset of major tissue damage.
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Comments
Use of antivenom quickly, just following the bite, is important if the antivenom can be neutralized before the onset of major tissue damage.