Snakes and snake bites
Appearance
Snakes tend to leave humans alone when humans leave them alone. Ensure that you follow the necessary safety precautions to avoid being bitten.
Safety precautions
- Get to know the snakes in your area.
- Keep your eyes open and watch your step.
- Step onto logs and not over them.
- Wear boots and trousers when walking in the bush.
- Do not pick up what appears to be a dead snake.
- If you come across a snake, remain still until it has gone away. If it remains, back off quietly.
- Keep your surroundings free of rubbish when you are out in the country.
- Take a snake bit kit with you whenever you go hiking.
- Don't walk around at night without good shoes and a torch.
- Don't put your hand or feet into holes where snakes may be hiding.
How to handle a snake bite
- Stay calm. Only a small percentage of all snake bites are fatal – usually only those that receive no medical care. Panic also causes faster blood flow in your body.
- Get to a hospital as soon as possible.
- Apply a firm, but not tight (don't restrict blood flow), pressure bandage and immobilise the limb.
- With puff adder bites, only apply a pressure bandage if there is no swelling.
- Make a note of the time the bite occurred and provide this to the doctor.
- Get a photograph of the snake or make a note of its appearance.
- Phone the hospital and explain what type of snake bite you suspect.
- Provide CPR if needed.
Do NOT
- Do not use tourniquets
- Do not try and cut the wound or suck the venom
- Do not administer your own anti-venom. Many snake bites are dry bites (no venom injected) and you run the risk of an allergic reaction to the serum.
- Do not remove clothes, massage, or rub the bite area as this will spread the venom.
- Do not give them anything to eat or drink.
Common snakes
Western Cape

Cape cobra
- Fairly common in South Africa and is found throughout the Western Cape
- Yellow and brown with black specks
- Most active during the day and hide in holes and under large objects.
- They often come into contact with humans when they slither into homes to escape the heat.
- Flat-headed
- Neurotoxic bite (affects the nervous system)
- Apply a wide crepe bandage firmly above the bitten area (as tightly as possible, but not a tourniquet).
- This will slow the spread of the venom to vital organs like the heart and lungs.
- Find medical attention urgently.

Puff Adder
- Identified by its brown and black v-pattern
- Short and stout with a broad flat head.
- They're found across Africa, from the Southern Cape to the Sahara desert.
- They prefer open grassland, savannah, forests and rocky outcrops.
- Cytotoxic and haemotoxic bite (toxic to living cells)
- Bites can lead to extensive swelling, extreme pain and tissue breakdown in the bitten limb.
- If left untreated, death may occur within 24 hours.
- Comforting and reassuring the patient is a very important part of first aid treatment.

Berg Adder
- Also known as the Cape Mountain Adder
- Often mistaken for its larger cousin, the Puff Adder.
- Usually measuring between 40 - 60cm, these small snakes are identified by their keeled scales and triangular heads.
- Usually found in mountainous regions and at sea level, such as the Cape coast, where they lie in thick fynbos.
- neurotoxic bite, which leaves you with localised pain, increased heart rate, loss of balance, dizziness, double vision and temporary loss of taste and smell.
- A single dose of this venom is not strong enough to kill an adult person, but you should still seek medical help.

Boomslang
- Identified by their egg-shaped heads and large eyes, and they seldom grow larger than 1.5m in length.
- They're found across South Africa, usually in trees or bushes.
- The Boomslang is one of the most venomous snakes in the world, but because they're extremely shy, bites are uncommon.
- Haemotoxic bite, destroying the thickening properties of the blood.
- The venom is very slow acting and it can take up to 24 hours for symptoms to appear.
- Victims risk internal and external bleeding.

Rinkhals
- The Rinkhals is similar to a cobra but smaller.
- It seldom grows larger than 1.2m in length and tends to be a dark-grey or brownish colour with irregular spotting lighter browns and creams.
- They're known to fake their own death very well to be left alone, so don't approach them even if they look dead.
- They can spit venom as far as 2.5m usually aimed at the eyes.
- The venom is neurotoxic and can cause muscle paralysis, resulting in respiratory and heart failure.
- If the venom enters the eyes, it will burn fiercely and complications may arise from secondary infection if not treated immediately.
- Immediately wash out the eyes with any form of liquid you have handy, whether it's water, which is the best, milk, beer or even urine.
Black spitting cobra
- Found east of Cape Town northwards into much of Namaqualand and north into southern Namibia.
- The snake thrives in dry and arid conditions.
- It's most active during the day and favours dry river beds.
- It's a shy and elusive snake that's quick to escape if encountered.
- Its venom, like that of all spitting cobras, is potently cytotoxic, causing severe pain, swelling, and tissue damage.
- It can also spit its venom and does so effectively.