Dr Himmatrao Saluba Bawaskar MD

Bawaskar Hospital and Research center (Mahad, Maharashtra)

Bawaskar Hospital and Research center At- Mahad Dist-Raigad Maharashtra India 402301 Mesobuthus Tamulus a most lethal scorpion flourished all over Konkan region. 30-40% fatality due to refractory pulmonary edema  have been reported from   Maharashtra, Karnataka, Andhra Pradesh, Madurai,  Chennai, Pondicherry  and Saurashtra ( Gaitonde BB, Jadhav SS and Bawakar HS. Lancet 1978).  In the year 1976 Dr Bawaskar HS joined the primary health  center Birwadi and studied in detail the clinical signs and symptoms due to the venomous scorpion sting and published an original article in the Lancet 1982. After completion of MD he volunteered to work in a rural Hospital in Poladpur in Raigad district to continue the research in scorpion sting. In 1981 his doctor wife Pramodini joined his venture.  In the year 1983 the doctor couple  tried sodium nitroprusside and then prazosin  an alpha blocker  to reverse the refractory pulmonary edema due to scorpion sting. The fatality due to scorpion sting has dropped to 1%. This was published in the Lancet 1986 and many other tropical medicine journals and British heart Journal. QJM, Annals of tropical medicine parasitology, Annals of tropical pediatrics, Trans.Roy.Soc.Trop.Med.Hyg. Indian Pediatrics, Indian journal of pediatrics. Current science. NEJM Tropical doctor publish editorial on prazosin written by Professor David A. Warrell.  He was invited by Ciba foundation London 1994 and   Morocco government at Rabat 2009 for discussion and guidance of scorpion sting management. He is the author of editorials on snake bite and organophosphate poisoning published in JAPI Recently in January 2011 utility of prazosin and scorpion antivenin scientific paper is published in British Medical Journal with cover illustration and accompanied editorial. Original contribution on snake poisoning published in Tropical doctor, Trans .Roy.Soc .Trop.Med.Hyg etc. Dr Bawaskar has contributed two chapters on scorpion and snake bite in API text book of medicine and a chapter on scorpion sting in an international text book of emergency medicine. He was invited as a peer reviewers  for scientific article by the editor of Lancet , NEJM, Clinical Toxicology, JAPI , JICMR, Current Science Dr Bawaskar has traveled extensively across Maharashtra, Tamil Nadu, Andhra Pradesh and Karnataka and trained peripheral doctors by giving lectures and presentations on how to manage scorpion sting and snake bite cases with the limited resources available at the village health center level.   http://www.anilaggrawal.com/ij/vol_009_no_001/others/interview/1/bawaskar.html       BIBILOGRAPHY          Dr H.S.BAWASKAR & P.H.BAWASKAR

YEAR              SUBJECT JOURNAL
1977 Scorpion sting and cardiovascular complications Ind. Heart. J. ;29;228
1978 Pulmonary oedema after scorpion sting Lancet I  445-46
1982 Diagnostic cardiac premonitory signs and symptoms of red scorpion sting Lancet  ii 552-54
1984 Scorpion sting Trans. Roy. Soc. Trop. Med. Hyg.,78:414
1986 Prazosin in management of cardiovascular manifestations of scorpion sting lancet, I:511-12
1987 Prazosin for vasodilator treatment of acute pulmonary oedema due to scorpion sting. Annal. Trop. Med. And parsitol.,81: 719-23.
1987 New directions in the management of scorpion sting Mah. Med. J.,38:149-40.
1989 Sting by red scorpion ( Buthotus tamulus)in Maharashtra state .India: a clinical study Tans.roy. soc. Med. Hyg., 83:858-60.
1991 Treatment of cardiovascular manifestations of human scorpion envenoming is serotherapy essential. J. trop. Med. Hyg., 94; 156-58.
1991 Consecutive sting by red scorpions evoke severe  cardiovascular manifestations in the first, but not in second victim: A clinical observations. j. trop. Med. Hyg.,94:231-33.
1991 Scorpion sting: a review of 121 cases j. wilderness med.,2:164-74.
1991 Cardiovascular manifestations of  severe scorpion sting in India ( a review of 34 children) Annals. Trop. Pedtr.,11;381-87.
1992 Treatment of envenoming by Mesobuthus tamulus( Indian red scorpion) trans. Roy. Soc. Med. Hyg.,86:459.
1992 Role of atropine in management of cardiovascular manifestations of scorpion envenoming in humans. J. trop. Med. Hyg.,95:30-35.
1992 Management of the cardiovascular manifestations of poisoning by the Indian red scorpion ( Mesobuthus tamulus). Brit. Heart .j.,68:478-80.
1992 Myocardial damage caused by mesobuthus tamulus envenoming. Bombay. Hospital. J. ,34:215-17.
1992 scorpion sting continuing med. Education,2:19-23.
1994 Vasodilators :scorpion envenoming and  the heart(An Indian experience), Toxicon ,32:1031-40.
1996 Malaria vaccine Lancet ,348:1379
1994 Scorpion envenoming Ciba foundation bulletin,37:16-17.
1994 Scorpion sting. Med. Update. Feb. 799-823.
1996 Severe envenoming by the Indian red scorpion mesobuthus tamulus. The use of prazosin therapy Q,J.med. ,89:701-4.
1996 management of scorpion sting proceeding of first national symposium on venom and toxins ICMR 30-35.
1997 Ian Munro remembered lancet 349:960.
1997 Peripheral doctors form backbone for the management of acute life threading medical emergency evoked by Indian red scorpion envenoming. Bombay hospital J. 710-14
1998 Contributed chapter on scorpion sting Medicine Update
1998 Management of scorpion sting medical therapeutic
1999 Management of scorpion sting Heart
 
2000 Envenoming by scorpion and Snakes (Elapidae) their neurotoxins and therapeutics. TropicaL Doctor ;30:23-25
Quoted Scorpion sting 3rd edition of Oxford text book of medicine
Quoted Clinical research in rural area clinical science and clinical research by Prof. R.D.Lele
Included   Pharmacology and pharmacotherapeutics 14th ed. By Satoskar& Bhandarkar.
Guest lecturers    
author ·         Scorpion sting its management and literature review POPULAR PRAKASHAN .
OTHER PUBLICATIONS  
1993 Clinical science and rural medicine Bombay hospital .j. ,35: 115-29.
1994 Thrombolytic therapy in acute myocardial infarction in rural setting Bombay hos. J. ,36;214-17.
1993 Prolonged QT interval due to chloroquin. Bom. Hos. J.36:272-74.
1993 Hypothyroidism Bom.Hos. J.,35:213-15.
1992 Snake bite. Bom. Hos. J.34:190-94.
1993 Toxic effects of brochodilators. Bom. Hos. J. 35:213-14.
1996 Non allopathic doctors form the backbone of rural health Issues in med. Ethics.,4:112-14.
1998 Premonitory diagnostic signs and symptoms (scores) of thyroid hypo-function:  A clinical observations. JAPI, 46: 714-15.
1995 Member of Indian Council of Medical research (Task force Venom & Toxins) New Delhi.  
1999 Sudden cardiac death in hospital Iisues in Medical ethics ;4: 123
2000 Electrical alternans with scorpion sting Ind. J. electrocardiology 59-63.
2000 Is BCG vaccination   obsolete?

National medical. j( correspondence) ;13 no 2

108-109
2000 Prazosin therapy and scorpion envenomation

JAPI ;2000;48:1175-80.

 
2000 Endothelin, nitric oxide and prazosin

JAPI;2000;48:1224

2001 Clinical profile of HIV in Rural Western Maharashtra

JAPI;49:388-89.

2001 Call for global snake –bite control and procurement of funding .

Lancet ;357:1132-33 7th

April

   
2002 Profile of snake bite poisoning in western Maharashtra

Tran. Roy. Soc. Tro. Med. Hyg  ,96:79-84.

2001 Researcher, clinician, or teacher?

Lancet ;358:921-2

 
2002 Thrombolytic therapy in acute myocardial infarction in a rural setting

Trop. Doctor ,32:66-70

2002 Minerva south Asia

BMJ ,17:888

2002 General practice in rural areas

Issues in medical ethics

Vo. X no 2 april-june 14
2002 International CME- critical  Care in community hospital.

12-13 TH NOV mgims WARDHA

2002 National symposium on venom & Toxins Jammu

15-16th nov

2002 Review meeting D/D, DHO/Civil surgeon  Dr  Salunke

AT BAIFf pune 20th nov

20022002 Aphasia in a farmer after viper biteGuest speaker

Lancet 23 nov.02; 360;9346 :1703

The national Symposium on venom and toxins 15th and 16th November  
2003 Uses of errors Mistakes are the lessons of the past

Lancet 4th Jan 03

2002 Authentic hero ‘s of  India

The week 29th Dec 02 page 78

2003 A sold out soul can not impersonate to be a purchaser.

JAPI 2003;51:92-93

 
2003 World’s forgotten children

Lancet  5th April 03

2003 Who’s  interest the world trade market serve?

Lancet 12th April 03

2003 Profile of scorpion sting in children and its management at rural setting

Indian pediatrics

2003 Child survival in India – debate

Lancet ;362 Web

2003 Sponsored conferences

issue in medical ethicsXI:4:134

2003 Clinical profile of severe scorpion envenomation in children  at rural setting

Indian Pediatrics ;40:1072-80.

2004 Snake venoms and antivenins :critical supply issues (Editorial)

JAPI;52:11-13

2004 Towards evidence to secure reproductive rights(letter)

Lancet ;363:991

2004 envenoming by krait(bungarus caereulus and  cobra(Nana naja) envenoming and their management at Rural setttin in India

Journal wilderness  and environmental medicine 15;4:257-66

2004 Political neglect in India’s health

Lancet. :364:248 17 July 04

2004 Bilateral ptosis following wasp sting

JAPI;52:842.

2005 Management of scorpion sting in rural setting: what is role of scorpion antivenom?

J. animal  toxins and venom tropical med. January JATViYD 05

2005 Organophosphorus poisoning in agricultural India- status in 2005

Editorial JAPI ;53:422-24

2005 Research fraud

Lancet ;36:1076

2005 Scorpion sting: Current Management

Physician Digest Vol 15 No 4 ; 43-58

 
2006 Scorpion sting –current management

Pediatrics on call

   
2006 Endemic fluorosis-a description of severely affected  population in an isolated village in western Maharashtra

Tropical Doctor;36:221-23

   
2006 Novel role of anti-platelet agent(aspirin plus clopidogrel) in an incoaguable n blood of a victim of Russell’s viper snake bite

J.venom.anim.toxinsIncl.trop.dis vol12 no 1 : 137-141

2007 Utility of scorpion antivenin Vs prazosin in the management of severe  mesobuthus tumulus (Indian red scorpion) envenoming at rural setting

JAPI ;55:14-21.

2007 Snake bite poisoning

Medicine update Vol 17 :349-358

2007 High dose of pralidoxime for organophosphorus poisoning

Lancet ;369:1425

2007 Can scorpion be useful?

Lancet 370:1664

2008 Profile snake bite in rural  Maharashtra

JAPI ;56:88-95

2008 Snake  bite, cocktails , and a girls with a stomach ache

Lancet;371:696

2008  Woke up paralysed-no injury , no stroke

Lancet ;371:870

2008 Scorpion sting: study of clinical manifestations and treatment regimen

Current science ;95:9:1337-41

2009 Antivenom for  children with  neurotoxicity  from  scorpion sting

NEJM ;361:631-32

2009 Management of snake bite and scorpion sting

Quarterly Medical review ;60:4 Oct-Dec page 1-48

2010 Snake bite  in South  Asia :A Review

PLOS Negledted Tropical diseses  :4:e603-11

2010 Snake bite

Lancet 2010:375:805

         
2010 Chronic renal failure associated with heavy metal contamination of drinking water: a clinical report from small village in Maharashtra.

Clinical toxicology 2010;48:768-768

2011 Efficacy and safety of scorpion antivenom plus prazosin compared with prazosin alone for venomous scorpion (Mesobuthus tamulus) sting: randomised open label clinical trial2012  Scorpion sting:Update                                      JAPI

BMJ  ( in press)

Likely to be publish on web site BMJ on 15th Jan 2011
2012 Hemothorax in snake bite                                          pediatrics

Indian Paediatrics 2012

2012 Problem at small nursing home in rural India

Issue in medical ethics

 2013 Tobacco and health at rural India –High lights 2012

Lancet 5th Jan 2013

 
2013 Snake bite poisoning                                                                                          Journal of the Science of  healing

                                                                                    outcomes :5:18-20

2013 Medical trade IJME oct 2013
2014 Snake bite poisoning: A neglected life threatening –Occupational hazard Ind.J.Crit.Care  Med. 18;123-24
2014 Premonotory signs and symptoms of  envenoming by common krait  44:82-85
2014 Scorpion envenomation :Review NEJM ;371:473-63
2014 RBC acetyl choline esterase: A poor man’s  early diagnostic biomarker  for familial alzheimer’s and parkinson’s disease dementia J.Neurosciences in rural practice JAN 2015
2014 Severe scorpion sting result in acute myocardial infarction J  Cardiovascular disease research 2014;5 :27-29
2014 Homocysteine :Often neglected but common culprit of coronary heart disease J cardiovascular disease  research 2014;5:40-43