• Avoid shrubs coming right up to your house, which snakes could hide in;
• Be careful if you have an aviary, and do not have birds nesting in your roof, because boomslang are attracted to the birds as they eat the eggs of nesting birds; and
The Garden Route has an abundance of snakes.
- Neurotoxic – nerve-acting poison
- Neurotoxic venom paralyses the musculature. Early warning symptoms are tingling in the lips, inability to swallow saliva and increasingly difficult respiration. The pupils dilate and do not respond to light. The action of such venoms is usually fairly rapid with severe symptoms manifesting themselves within hours in most cases.
- Cytotoxic – cell-acting poison
- Cytotoxic venom destroys the cells, usually causing massive necrosis or death of large parts of tissue. Adders have long fangs and this means the venom can be injected quite deeply into the tissues.
- Haemotoxic – blood-acting poison
- Haemotoxin causes the prolongation of blood clotting time or destroys the blood's ability to clot at all. The victim suffers massive tissue bleeding and huge "bruises" develop all over the body. Blood oozes from all mucous membranes. It is slow-acting and responds rapidly to the correct antivenom. In severe cases blood transfusions may be necessary.
• Cape cobra (Naja nivea) – neurotoxic. Apply pressure bandage, immobilise limb, transport to hospital immediately, support breathing.
• Cape coral snake (Aspidelaps lubricus) – neurotoxic. Apply pressure bandage, immobilise limb, transport to hospital.
• Black spitting cobra (Naja nigricollis woodi) – cytotoxic. Pressure bandage, immobilise limb, transport to hospital.
• Rinkhals (Hemachatus haemachatus) – Neurotoxic. Pressure bandage, immobilise limb, transport to hospital.
• Puff adder (Bitis arietans) – cytotoxic. Pressure bandage, immobilise limb, transport to hospital.
• Boomslang (Dispholidus typus) – haemotoxic. Pressure bandage, immobilise limb, transport to hospital.
These inflict painful but nonfatal bites
• Berg adder (Bitis atropos, montane) – neurotoxic.
• Red adder (Bitis rubida) – toxin not known.
• Southern adder (Bitis armata) – toxin not known.
• Common/Rhombic night adder (Causus rhombeatus) – mildly cytotoxic.
• Many-spotted snake (Amplorhinus multimaculatus) – mildly cytotoxic.
• Do not inject antivenom. Antivenom is refined from host serum and a percentage of people are highly allergic to it. Anaphylactic shock will kill these patients. Patients often has a good chance of surviving the bite without antivenom.
• Do not cut into the bite, this will probably assist the venom to spread more rapidly.
• Do not suck on the bite. If you have cuts in your mouth there will be two patients where there was one.
• Do not apply electrical shock to the patient. It is a dangerous myth that application of shock or a stun gun is of assistance. You are more likely to kill than cure using this method.
• Do not give drugs or intoxicants to the patient, unless advised by a medical practitioner.
• Do not rub topical substances into the wound. Clean the wound with mild disinfectant and dress lightly with something like Betadine ointment, but preferably leave it alone.
• Do not apply a tourniquet. You are likely to do far more damage with the tourniquet than without.