WORK TO BE DONE

Time line

• March-May 2013- Preparation

• June 2013-November 2014- Data collection

• December 2014-February 2015- Analysis and report preparation

Preparatory phase

Clinical centres

1. Identify local coordinator (study co-investigator)2. Identify person for data collection (nurse/junior

doctor/science graduate/paramedic)3. Identify place for storage of snakes in hospital4. Initiate publicity for study in local community5. Training of person involved in data collection6. Dummy run for data collection and sample

collection7. Discussion with hospital staff

CMC

1. Setting up data collection software and programme

2. Training of clinical centre coordinators and staff involved in data collection (through video conferencing)- clinical assessment, dead snake storage, data entry and transfer

3. Pilot testing of forms, data entry and transfer4. Supply of snake collection and sample

collection containers

Groups

• Venom detection groupProcedure for sample collection, storage, transferProposal for project to analyse these samples• HerpetologyMethod of dead snake collection and storageMethod of photography of dead snakesTime line of visits to hospital for snake identificationDetails in proforma regarding dead snake specimensMembers of herpetology groupProposal for herpetology study

Data management group

Setting up software and data acquisition methods

Procedure for data entry, data transfer and data management

Data collection phase

1. Document all cases prospectively according to study protocol.

2. Collect and photograph dead snakes brought to hospital.3. Collect and store single sample: swabs from bite site,

serum and urine (if venom detection can be performed)4. Send all clinical data monthly electronically or by post5. Monthly phone call by project officer in CMC to clinical

coordinators in collaborating hospitals6. 3 monthly phone/video conference with all clinical centres