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How to Tell a Vampire Bite From a Poisonous-Snake Bite (And What to Do Once You Know)

Edward and Bella from "Twilight: Eclipse"

Beware what lurks in the bushes. (Edward and Bella—Robert Pattinson and Kristen Stewart—get some alone time in "The Twilight Saga: Eclipse.")

by James Hubbard, M.D., M.P.H.

You’re wading through brush when you feel a nip on your ankle. You look down and see a couple of marks, but don’t see what bit you (and it’s better not to go looking since you might get bitten again). Two marks. Fang marks. Have you disturbed a copperhead or was it that Twilight boy taking a nap?

Most of the time, you’ll know fairly quickly if it was a venomous snake bite.  You’ll have severe pain, swelling, or both. Sometimes, large blisters will form. As it seems with all things snake related, these guidelines aren’t a hundred percent accurate for all bites. It may be hours before you develop problems from some snakes, like the Mojave rattlesnake and coral snake.

A vampire bite? Most people who get bitten seem to have this “the pain feels so good” look on their face. With snake bites, I don’t think there’s any doubt. The pain feels really bad, really quickly.

Vomiting? Snake Bite. Craving for blood? Vamp.

Paleness? Could be either.

Chance of dying? With a vampire, forget it. You’re now one of the undead. Unless it’s a vamp from True Blood; then … never mind. It’s so complicated these days. With a poisonous snake bite, you have much better odds of living.

  • Only eighty percent of poisonous snake bites inject venom. Thirty percent or so of those inject a fairly small amount. So your chances of getting a really bad bite are fifty-fifty.
  • In the U.S., you have over a ninety-five percent chance of surviving a poisonous snake bite. With the proper use of anti-venom, it’s about ninety-nine-and-a-half percent survival. You may lose a digit or two.

Snake-Bite Treatment

There’s no treatment for a vampire bite; you’re doomed … or destined for an eternity of tortured bliss, depending on the vamp. So let’s focus on snakes for a minute. The first step in any snake-bite treatment is to remove any restrictive clothing or jewelry in case of swelling.

Then, if it’s venomous, get to a medical facility, Antivenom is the only poisonous snake bite treatment that’s been shown to help. Experts recommend getting it within four hours, but it sometimes can help days afterward. Get to a facility that has it ASAP.  This may mean calling in a helicopter, or having someone hike out for one. If the bite victim has to walk out, make a crutch out of a limb, and have the person drink as much fluid as they can along the way. All that swelling that can occur around the bite can dehydrate a person fast.

Even if the victim can stay put while waiting for the helicopter, they should drink a lot of fluids, if they can hold them down without vomiting. They should even drink on the way to a facility.

Snake-bite treatment don’ts:

  • Don’t cut into the marks. It doesn’t help and likely will cause a worsening infection.
  • Don’t try to suck the poison out, even with instruments made for such. It wastes time and hasn’t been shown to help.
  • Don’t apply ice. It can damage the tissue further.
  • Don’t use a tourniquet. It damages tissue, and when it’s released you can get a sudden surge of poison.
  • Don’t try to catch the snake. You waste time and risk getting bit. Remember, a snake can strike a distance of half its body length, and the bite reflex can last up to ninety minutes after the snake is dead.

If you can’t get to a medical facility:

  • Clean bite marks with soap and water.
  • Keep the bitten extremity at the same level as your heart. If you keep it too high, you might be sending the venom faster to your heart. If you keep it too low, you might aggravate swelling.
  • Take pain medicine if you have it—anything from ibuprofen or acetaminophen to opiates like codeine or morphine.
  • Start IV fluids, if available.
  • If an open wound develops, treat as suggested in past posts.

If you’re bitten by a vampire, I’d suggest staying out of direct sunlight.

Photo by Kimberley French. © 2010 Summit Entertainment, LLC. All rights reserved.

  • Paul (old RT)

    Dr. Hubbard, Ive been catching up on some of the other articles here. As for snake bites all I learned was from the Boy Scouts (1960s version). I never encountered any snake bite candidates till I lived up in North Central Montana. We had many good size rattlers! Our small Rural hospital had anti-venom on hand plus Gt Falls wasnt to far to get more if needed. One thing in researching/studying up on venomous snake bites is that many poisonous types may not invenomate (sp) as this is an extreme tax on the snake as well, Their venom is for hunting / survival and they really dont wish to “waste” it. Oh they will bite if provoked but as a defense mechanism. Obbiously one should expect it but as described in other replies here a wait and watch approach is a sound idea.

  • http://yaHOO.COM aries0042

    @ goatlady , its the same here at this hospitol and its a regional one . As for the Doc , I will agree do not go looking for the snake but one has to remember to keep calm if your bitten you want to remember what the snake looks like as it may not be poisionous . If you go to a hospitol with a non poisionous snake bite they may give you the antifvenom anyway which will make matters worse . Also hospitols and healthcare isnt what it used to be , once you get to an E.R. if they dont take you in immediately and you have to wait for a doctor longer than 15 minutes you need to seek medical attention at a Competent facility if possible . remember you have 4 hours But sometimes its less , and time is the key .

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Thanks,aries0042. All good points. Most docs are pretty cautious about giving the antivenom and give it only if there’s physical and lab signs of envenomation. Still, it’s very helpful to know what kind of snake, even take a quick photo if you have your camera or phone.

  • Pingback: 7 Ways to Get a Snake Bite

  • http://www.northeastpreppers.com NortheastPreppers.com

    Good article, poisonous snakes aren’t overly common up here but they do exist.

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Well, watch your step.

  • http://blog.judyrodman.com/ Judy Rodman

    Brilliant! A whole new generation will now be prepared for snakebite in a way they never would otherwise because of the interesting slant of this read! hahaha!

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Thanks, Judy.

  • goatlady

    More than likely they would transfer via chopper to Springfield, MO. or further north? LifeFlight is BIG in this area what with so many retirees.

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      In addition to the cost, antivenom can cause severe allergic reactions. People have died from the antivenom. So doctors always have to weigh the risk vs benefit.

  • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

    Leigh Ann,

    Glad I could help.:)

  • http://www.lawordsmith.com Leigh Ann

    Thank goodness! I’ve always wondered. LOL.

  • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

    Thanks for that information, goatlady. I wonder can they get it within that 4-6 hour window, or maybe transfer you if things start going south.

  • goatlady

    Don’t know about hospitals in your area, Doc, but around here they do NOT stock anti-venon and only order it in cases of snakebite on a person who has severe, pre-existing medical problems such as heart disease or DM. When I got bit and asked about anti-venon, the ER doc laughed out loud and stated it costs $1000 a pop and to be effective it takes 5-6 doses! Plus it apparently has a short shelf life and is not normally kept on hand in the pharmacy. The normal treatment here in the Ozarks for a copperhead bite is I hydration, pain control and CBC every 3-4 hours to follow any anemia trend, and draw/chart with a magic marker on the effected limb the movement of swelling, signed and timed!