{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:35:51Z","timestamp":1786739751462,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,8,27]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Snakebite, a medical emergency, faced by rural populations in tropical and subtropical countries assumes special significance in hilly terrains. Therefore, the hills provide a natural setting to study the challenges in the management of snakebite cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>A hospital record-based retrospective descriptive study was conducted. Data were collected from the Medical Records Department of the 821-bedded, tertiary care hospital catering to the rural hilly population of the state of Himachal Pradesh, India. Information were recorded on details of demography, clinical profile treatment and outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 252 patients were analyzed. Maximum patients were in the age-group of 21\u201340 (43.7%) with mean and standard deviation of 30.52 \u00b1 5.693 and 31.81 \u00b1 7.117 for male and female, respectively. A small minority (17.06%) of patients reported to health facility within 4\u20136 h of the bite. Maximum bites were on lower limb (143;56.74). Overall mortality rate in our study was 2.38%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Large-scale studies on epidemiological determinants of snakebite coupled with research in venom biochemistry and bio-pharmacology of anti-snake venom (ASV) are needed. The study also provides insights into the role of primary care practitioners in creating an ecosystem favorable for snakebite management at local level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2377_20","type":"journal-article","created":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T12:53:08Z","timestamp":1630068788000},"page":"2793-2797","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Snakebite profile from a tertiary care setup in a largely rural setting in the hills of North-West India"],"prefix":"10.4103","volume":"10","author":[{"given":"Anil","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil 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