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'Snake bite victim got anti-venom too late'


snake bite: Geeta Lochan

South Bureau

Although she had made it to the Sangre Grande-based toxicology management centre -the only institution in the country equipped to deal with venomous snake bites-anti-venom was not administered to 42-year-old Gandira Geeta Lochan until she was admitted to a ward two hours later.

At her funeral yesterday, relatives blamed the health facility for Lochan’s death.

Her sister-in-law, Dandaye Pattoo, said when Lochan was taken to the Rio Claro Health Centre, nurses advised them to go to the Sangre Grande District Hospital.

’The nurse said they had no anti-venom and we needed to go to the hospital. It happened around 1.30 p.m. and it was not until she was admitted to the ward at 8 p.m. that she received the anti-venom,’ she said.

The Ministry of Health has now responded to the claims of relatives.

The Sangre Grande toxicology management centre is the only facility in Trinidad to administer anti-venom, which is used in the treatment of venomous snake bites. The centre is equipped with four types of anti-venom, since there are four species of venomous snakes in Trinidad-two types of coral snakes, the fer-de-lance and the bushmaster.

Lochan, who lived at Cuche Village near Biche, was bitten by a fer-de-lance, relatives said. Lochan’s house is located near a river and surrounded by vegetation.

The Express initially reported that Lochan did not seek medical attention after the bite, and attempted to treat the injury because her village was cut off by flood waters, but that was not the case.

Paltoo said, ’We believe if she had received the treatment, she would have been alive,’ Pattoo said.

An autopsy stated that Lochan had died as a result of poisoning. See Page 41.


 Comments: 'Snake bite victim got anti-venom too late'
This is shameful. Posted: 2009-08-12 7:56:00 PM
Judging from the time factor, it appears as though no one in medical institution was willing to save this lady's life. Unfortunately, nothing is going to come out of this. In another part of the world, there would be an inquest into the matter.
LET'S ALL GO TO CUBA Posted: 2009-08-12 10:55:00 PM
What else is new?
snake bite victim Posted: 2009-08-12 11:20:00 PM
or maybe if they had treated her at home she would still be alive do snakes only live in the sande grande are?
sad case Posted: 2009-08-13 01:23:00 AM
It is a sad case that this woman reached to late. Who is to blame here? Sangre Grande A and E is to blame for one, they should have called the poison control and had the anti-venom given in A and E The Rio Claro doctors should have called ahead so everything would have been ready. The Rio Claro doctors should have called for the anti-venom to be ambulanced down to them. The family should not have tried to treat this lady without medical care.
Re: sad case Posted: 2009-08-13 12:41:00 AM
Agree...the first medical facility should send this woman by ambulance to the Sangre Grande medical centre. That weight on the woman's behalf would have shown some urgency. Both facilities are responsible for this woman's death. THIS WARRANTS BOTH GETTING SUED....and BIG TIME I'm talking here to prevent this from happening to another person. These medical facilities treat human beings like animals. There is no loyalty to their jobs and the people of T&T.
Negligence Posted: 2009-08-12 8:15:00 PM
This is the problem with every public institution in Trinidad. No one cares, no one assumes responsiblity and no one gets blamed. This behaviour manifest itself everyday in Trinidad. You go to the Inland Revenue, Immigration Office, any hospital and the treatment is the same. There is no service to be had in any of these institutions. The only problem is that at the hospitals you can die but even then that does not spur the doctors and nurses to treat anything with any urgency. That this poor woman had to wait so long for treatment is scandalous. Was there no doctors or nurses who understood that the anti venom was needed ASAP. By now heads should rolling Narace should have already made a statement. But not in Trinidad. What do they care. They can all go to Cuba if its just for an aspirin. My sympathy to the family.
My Second letter..same subject. Posted: 2009-08-13 02:52:00 AM
A few months ago someone was bitten by a snake while bathing outside by a barrel, I think this occurred at Point Fortin. I had asked the said question, “Why is it that there is only “One” hospital in Trinidad and Tobago that has the capability of handling poisonous snake bites”? I just spoke to a Nurse at our Military Medical facility her in Germany on the subject and she said that a simple Refrigerator “Fridge” can be used to store Anti-venom, and that once the type of snake was identified, the dosage is administered based on how old the victim is, and the time frame that lapsed before treatment is administered. Now if this Nurse is telling the truth, my question again is why is there only one medical facility in Trinidad and Tobago "Equipped" to handle snake bites? Why can’t we Store four types of Anti- Venom at all the major Hospital in this country, to include Tobago if I may say so. I will personally send the money to purchase a Fridge for the Hospital at Port of Spain San, Fernando, Point Fortin, and Tobago. Just contact the Editor of this article and ask for my email address. Are we that backward or just ill informed? Good day!! Lloyd C. Johnson US Army Retired, Germany
Snake Venom Posted: 2009-08-13 04:09:00 AM
I think that it would be better to put the snake anti venom near to where the snakes normally live. Ray.Fbn
20/20 here we come! Posted: 2009-08-13 01:20:00 AM
If we only have four species of venomous snakes, why can't we have anti venom in all the major hospitals in the country? How difficult and costly could it possibly be to simply have at least one vial of each anti venom at each hospital?? Yet the government wants to spend 2 billion dollar on 4 helicopters! Keep it up government, you are poisoning this country. Right now we are waiting to be admitted to the ward. Will you admit this country needs help now? Or do we have to wait...
What a shame Posted: 2009-08-13 01:55:00 AM
In Trinidad and Tobago, people in charge don't value human lives except if he or she is a relative How many years this has been happening. The Hospital Director should be suspended immediately if not sooner AP Miramar, Florida
"Snake bite" Posted: 2009-08-13 06:46:00 AM
This is so sad, my condolences to the family. There should be a few poison centres across Trinidad, where the people can get treatment right away. It's a known fact they usually let go these snakes when they catch it and the zoo let go more when they have babies, I am surprise the snakes are not multiplying and comming out more in the public. I guess when their for supply is finish in the forest area they will be out. I believe they should depose of some of the snakes not let them go some zoos & research facility abroad might need them.....just my opinion....Trinigirl (Toronto)
SNAKE BITE IS A MEDICAL EMERGENCY Posted: 2009-08-13 03:24:00 AM
Being that a snake bite is deadly, she needed to be treated as an emergency - straight into the ward. What ? She had to be involved in an vehicular accident with blood all over or stab wounds. When wil common sense prevail? A snake bike is deadly, she needed the shot immediately and not two hours after being admitted to a ward. Who is responsible for such negligence ? What the anti-venom medicine is for showcase. My head is hurting !!!
This is shamefully unbelievable Posted: 2009-08-13 07:49:00 AM
Could anyone in authority please explain to me, why is it that throughout the entire country (Trinidad and Tobago), there is only ONE toxicology department and located all the way in Sangre Grande? I read of a previous incident where a man also died of snake bite, because of the same situation as Geeta Lochan. We the citizens endure serious flooding with the washing up of deadly reptiles such as caymans and snakes in our homes, and yet we don't have anti venom to save our lives? The Minister of Health who was recently polled as the best performing minister can't apply simple common sense and ensure that anti venom is made available at every major and private medical hospitals? Poisonous snakes are real and evident in our country and this is the medical response we get after paying taxes, NIS and health surcharge? This is again so unbelievable, but that again it is a bush island governed by a third world bush village council. My sincerest sympathy to the bereaved family.
Availability of Anti Venom Posted: 2009-08-13 09:05:00 AM
It is unthinkable that only one hospital in Tdad has anti venom. With all the money flowing through our beloved country shouldn't ALL hospitals have anti venom ?
Could the family sue the state in this matter Posted: 2009-08-13 09:09:00 AM
Could the family seek legal redress for being denied the right to medical attention on the part of the state. One toxicology department is a denial of medical attention to the growing population and to the service of the country and citizenry. Could this family please be able to sue the state here?
!!!! So only Grande has snakes !!!! Posted: 2009-08-13 09:47:00 AM
Lots of snakes in the SWAMP, does someone has to go to Grande for treatment...We could house the SUMMIT in T'dad but can't provide Health Ctr through the country with basic meds..
washington Posted: 2009-08-13 04:38:00 AM
They could have given her emergency care,until she makes it to the main Hospital.Do whatever to save her.Nurses and doctores are trained. These nurses and doctors should have there license suspended.
Hospital staff management Posted: 2009-08-13 05:36:00 AM
In the hospital setting in Trinidad and Tobago, are Nurses supervised by senior nurses during the course of their duties? Are there protocols in place to administer medicine? Who is responsible for checking stores and medicines and who ensures that these are proactively in place long before they are needed? If these proceedures are not in place, then the Nursing management needs shaking up.
Snake bite Posted: 2009-08-13 09:37:00 AM
Some one should sue Gov't on this woman behalf. As her family may not have the means to do so. It is time the Gov't becomes responsable.
Medical malpractice Posted: 2009-08-13 11:39:00 AM
This story sounds like the basis for a very good medical malpractice suit. Medical staff continue to play the fool with people's lives with their lackadaisical attitude. A venomous bit needs to be attended to immediately, not hours later. All health facilities in T&T should have snake anti-venom and doctors trained in how to properly administer it. There should not be only one location that has this lifesaving serum.
Sangre Grande-based toxicology management centre Posted: 2009-08-13 08:47:00 AM
Lochan's death. from a snake bite could have been saved if the medical staff at the hospital took into count the seriousness of the injury Her sister-in-law, Dandaye Pattoo, said when Lochan was taken to the Rio Claro Health Centre, nurses advised them to go to the Sangre Grande District Hospital. now my question is why the Rio Claro Health Centre did not rush this woman to the angre Grande-based toxicology management centre by amburlance this all started on about 1.30 p.m. and it was not until she was admitted to the ward at 8 p.m. that she received the anti-venom," this is crazy a person should be given anti-venom at least three to four hours after the snake bite or thee chance of survival is slim this is the secound person that die in trinidad this year due to snake bite and the main reason is slackness by the medical staff country wide something needs to be done ASAP.The Sangre Grande-based toxicology management centre -the only institution in the country equipped to deal with venomous snake bites-anti-venom this needs to be changed if the Rio Claro Health Centre had venomous snake bites-anti-venom on site that woman life would have been saved we need to have East west north and south hospital equipped with venomous snake bites-anti-venom there are people I have seen bitten by a Cobra got the anti-venom shot soon as the got to the hospital not even warded yet after a three hour drive to a hospital and survive what's wrong with trinidad medical team at these hospital are they to busy talking on cell phone or talking people buisness rather than saving lives
What would the minister say on thiis incident Posted: 2009-08-13 2:44:00 PM
i wonder if the minister of health would make one of his famons comments in this matter like "the snake was not venomous" or Trinidad has no venomous snakes like he did with the outbreak of dengue and swine flu

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