tatjana , here is a link to a cool page. It a medical database on snakebite protocols, they list everyone known to man, taipans, death adders and my favorite , listed below
http://www-surgery.ucsd.edu/ENT/DAVIDSON/snake/proinde.htm
P.S. Do you know anything about karma, I want to come back as a horse.... in Oregon :)
MEDICAL MANAGEMENT
for bites by
Black Mamba
(Dendroaspis polylepis polylepis)
This person has received a bite and probable envenomation from a Black Mamba (Dendroaspis polylepis polylepis). This is an extremely venomous, aggressive, rapidly moving scrub and tree dwelling snake from central, eastern and southern Africa. Clearly the most dangerous of the mambas, it is responsible for many snake bite fatalities. Envenomation signifies a true medical emergency. In this particular species, envenomation usually presents predominately with systemic neurologic manifestations. Drowsiness, neurological and neuromuscular symptoms may develop early; paralysis, ventilatory failure or death often ensue rapidly.
Please read and execute the following procedures without delay.
A crepe bandage and splint have been applied as immediate first aid adjuncts to retard the absorption of the venom. DO NOT remove the bandage or splint until the patient has arrived at the hospital and is receiving the antivenom.
If the patient has been envenomated, the treatment is 4 to 20 vials of intravenous antivenom. Envenomation is diagnosed by the presence of characteristic signs and symptoms. Necessary information follows and is organized in sections:
Signs and Symptoms of Envenomation
Neurological and Neuromuscular: These signs and symptoms will usually manifest earliest. Not all signs and symptoms will necessarily develop, even with severe envenomation.
Respiratory paralysis or Dyspnea
Excessive salivation (Oral secretions may become profuse and thick)
Drowsiness
Restlessness
Sudden loss of consciousness
Ptosis
Ophthalmoplegia
Paresthesias and Dysesthesias
Palatal paralysis
Glossopharyngeal paralysis or Dysphagia
Vertigo
Fasciculations
Limb paralysis
Ataxia
Head drooping (Cervical muscle paresis or paralysis)
Headache
Local pain or Numbness around bite site (tends to be mild)
General: These symptoms typically manifest within thirty minutes to four hours following the bite if envenomation occurred.
Shock
Hypotension
Abdominal Pain (may be severe)
Nausea and Vomiting
Regional lymphadenopathy and Lymphadenalgia
Fever
Epistaxis
Flushing of the face
Warm skin
Increased Sweating
Pallor
Nephrotoxicity: Acute Renal Failure has been reported in a few cases of Black Mamba bites in humans as well as in animal models. Oliguria or Anuria with possible changes in urinary composition will herald the development of renal shutdown. Dialysis is advised.
Cardiotoxicity: Changes in cardiovascular status result primarily from the effects of Circulatory Collapse and Shock, as well as vagal blockade resulting in Tachydysrhythmias. Pulse and pressure may initially be within normal limits, but may change with rapid onset cardiovascular collapse.