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.
Padma Shri (Dr) Himmatrao Saluba Bawaskar
Bawaskar Hospital and Research center (Mahad, Maharashtra)
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 | |
2002 | 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 |