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             SUBJECTJOURNAL
1977Scorpion sting and cardiovascular complicationsInd. Heart. J. ;29;228
1978Pulmonary oedema after scorpion stingLancet I  445-46
1982Diagnostic cardiac premonitory signs and symptoms of red scorpion stingLancet  ii 552-54
1984Scorpion stingTrans. Roy. Soc. Trop. Med. Hyg.,78:414
1986Prazosin in management of cardiovascular manifestations of scorpion stinglancet, I:511-12
1987Prazosin for vasodilator treatment of acute pulmonary oedema due to scorpion sting.Annal. Trop. Med. And parsitol.,81: 719-23.
1987New directions in the management of scorpion stingMah. Med. J.,38:149-40.
1989Sting by red scorpion ( Buthotus tamulus)in Maharashtra state .India: a clinical studyTans.roy. soc. Med. Hyg., 83:858-60.
1991Treatment of cardiovascular manifestations of human scorpion envenoming is serotherapy essential.J. trop. Med. Hyg., 94; 156-58.
1991Consecutive 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.
1991Scorpion sting: a review of 121 casesj. wilderness med.,2:164-74.
1991Cardiovascular manifestations of  severe scorpion sting in India ( a review of 34 children)Annals. Trop. Pedtr.,11;381-87.
1992Treatment of envenoming by Mesobuthus tamulus( Indian red scorpion)trans. Roy. Soc. Med. Hyg.,86:459.
1992Role of atropine in management of cardiovascular manifestations of scorpion envenoming in humans.J. trop. Med. Hyg.,95:30-35.
1992Management of the cardiovascular manifestations of poisoning by the Indian red scorpion ( Mesobuthus tamulus).Brit. Heart .j.,68:478-80.
1992Myocardial damage caused by mesobuthus tamulus envenoming.Bombay. Hospital. J. ,34:215-17.
1992scorpion stingcontinuing med. Education,2:19-23.
1994Vasodilators :scorpion envenoming and  the heart(An Indian experience),Toxicon ,32:1031-40.
1996Malaria vaccineLancet ,348:1379
1994Scorpion envenomingCiba foundation bulletin,37:16-17.
1994Scorpion sting.Med. Update. Feb. 799-823.
1996Severe envenoming by the Indian red scorpion mesobuthus tamulus. The use of prazosin therapyQ,J.med. ,89:701-4.
1996management of scorpion stingproceeding of first national symposium on venom and toxins ICMR 30-35.
1997Ian Munro rememberedlancet 349:960.
1997Peripheral doctors form backbone for the management of acute life threading medical emergency evoked by Indian red scorpion envenoming.Bombay hospital J. 710-14
1998Contributed chapter on scorpion stingMedicine Update
1998Management of scorpion stingmedical therapeutic
1999Management of scorpion stingHeart
 
2000Envenoming by scorpion and Snakes (Elapidae) their neurotoxins and therapeutics.TropicaL Doctor ;30:23-25
QuotedScorpion sting3rd edition of Oxford text book of medicine
QuotedClinical research in rural areaclinical 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 reviewPOPULAR PRAKASHAN .
OTHER PUBLICATIONS 
1993Clinical science and rural medicineBombay hospital .j. ,35: 115-29.
1994Thrombolytic therapy in acute myocardial infarction in rural settingBombay hos. J. ,36;214-17.
1993Prolonged QT interval due to chloroquin.Bom. Hos. J.36:272-74.
1993HypothyroidismBom.Hos. J.,35:213-15.
1992Snake bite.Bom. Hos. J.34:190-94.
1993Toxic effects of brochodilators.Bom. Hos. J. 35:213-14.
1996Non allopathic doctors form the backbone of rural healthIssues in med. Ethics.,4:112-14.
1998Premonitory diagnostic signs and symptoms (scores) of thyroid hypo-function:  A clinical observations.JAPI, 46: 714-15.
1995Member of Indian Council of Medical research (Task force Venom & Toxins) New Delhi. 
1999Sudden cardiac death in hospitalIisues in Medical ethics ;4: 123
2000Electrical alternans with scorpion stingInd. J. electrocardiology 59-63.
2000Is BCG vaccination   obsolete?National medical. j( correspondence) ;13 no 2

108-109

2000Prazosin therapy and scorpion envenomationJAPI ;2000;48:1175-80.
2000Endothelin, nitric oxide and prazosinJAPI;2000;48:1224
2001Clinical profile of HIV in Rural Western MaharashtraJAPI;49:388-89.
2001Call for global snake –bite control and procurement of funding .Lancet ;357:1132-33 7th

April

2002Profile of snake bite poisoning in western MaharashtraTran. Roy. Soc. Tro. Med. Hyg  ,96:79-84.
2001Researcher, clinician, or teacher?Lancet ;358:921-2
2002Thrombolytic therapy in acute myocardial infarction in a rural settingTrop. Doctor ,32:66-70
2002Minerva south AsiaBMJ ,17:888
2002General practice in rural areasIssues in medical ethics

Vo. X no 2 april-june 14

2002International CME- critical  Care in community hospital.12-13 TH NOV mgims WARDHA
2002National symposium on venom & Toxins Jammu15-16th nov
2002Review meeting D/D, DHO/Civil surgeon  Dr  SalunkeAT BAIFf pune 20th nov
2002Aphasia in a farmer after viper biteGuest speakerLancet 23 nov.02; 360;9346 :1703

The national Symposium on venom and toxins 15th and 16th November

2003Uses of errors Mistakes are the lessons of the pastLancet 4th Jan 03
2002Authentic hero ‘s of  IndiaThe week 29th Dec 02 page 78
2003A sold out soul can not impersonate to be a purchaser.JAPI 2003;51:92-93
2003World’s forgotten childrenLancet  5th April 03
2003Who’s  interest the world trade market serve?Lancet 12th April 03
2003Profile of scorpion sting in children and its management at rural settingIndian pediatrics
2003Child survival in India – debateLancet ;362 Web
2003Sponsored conferencesissue in medical ethicsXI:4:134
2003Clinical profile of severe scorpion envenomation in children  at rural settingIndian Pediatrics ;40:1072-80.
2004Snake venoms and antivenins :critical supply issues (Editorial)JAPI;52:11-13
2004Towards evidence to secure reproductive rights(letter)Lancet ;363:991
2004envenoming by krait(bungarus caereulus and  cobra(Nana naja) envenoming and their management at Rural setttin in IndiaJournal wilderness  and environmental medicine 15;4:257-66
2004Political neglect in India’s healthLancet. :364:248 17 July 04
2004Bilateral ptosis following wasp stingJAPI;52:842.
2005Management of scorpion sting in rural setting: what is role of scorpion antivenom?J. animal  toxins and venom tropical med. January JATViYD 05
2005Organophosphorus poisoning in agricultural India- status in 2005Editorial JAPI ;53:422-24
2005Research fraudLancet ;36:1076
2005Scorpion sting: Current ManagementPhysician Digest Vol 15 No 4 ; 43-58
2006Scorpion sting –current managementPediatrics on call
2006Endemic fluorosis-a description of severely affected  population in an isolated village in western MaharashtraTropical Doctor;36:221-23
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2007Utility of scorpion antivenin Vs prazosin in the management of severe  mesobuthus tumulus (Indian red scorpion) envenoming at rural settingJAPI ;55:14-21.
2007Snake bite poisoningMedicine update Vol 17 :349-358
2007High dose of pralidoxime for organophosphorus poisoningLancet ;369:1425
2007Can scorpion be useful?Lancet 370:1664
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2008Snake  bite, cocktails , and a girls with a stomach acheLancet;371:696
2008 Woke up paralysed-no injury , no strokeLancet ;371:870
2008Scorpion sting: study of clinical manifestations and treatment regimenCurrent science ;95:9:1337-41
2009Antivenom for  children with  neurotoxicity  from  scorpion stingNEJM ;361:631-32
2009Management of snake bite and scorpion stingQuarterly Medical review ;60:4 Oct-Dec page 1-48
2010Snake bite  in South  Asia :A ReviewPLOS Negledted Tropical diseses  :4:e603-11
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2010Chronic renal failure associated with heavy metal contamination of drinking water: a clinical report from small village in Maharashtra.Clinical toxicology 2010;48:768-768
2011Efficacy 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                                      JAPIBMJ  ( in press)

Likely to be publish on web site BMJ on 15th Jan 2011

2012Hemothorax in snake bite                                          pediatricsIndian Paediatrics 2012
2012Problem at small nursing home in rural IndiaIssue in medical ethics
 2013Tobacco and health at rural India –High lights 2012Lancet 5th Jan 2013
2013Snake bite poisoning Journal of the Science of  healing

outcomes :5:18-20

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