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Snakes: ED Evaluation

The initial evaluation in the emergency department for any North American envenomation discussed in this article should be no different than any other patient who presents for evaluation and management. After airway, breathing, and circulation have been evaluated and stabilized, a detailed history should be obtained for the following information: previous comorbidities (i.e., bleeding dyscrasias), medications (i.e., warfarin), immunization status, allergies, type of animal which caused the envenomation, time and location of the bite, the progression of symptoms since envenomation, and the types of pre-hospital therapies performed. Tetanus status should be updated, if appropriate. The affected limb should be elevated and the area surrounding the bite and sting should be marked for progression of symptoms.6,7,20,29-34

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Last Modified: 08/17/2017
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