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<< Bites and Stings – Snakes, Spiders, and Scorpions in the United States

Key Points

  • Coral snake envenomations present with delayed neurotoxicity
  • Rattlesnakes are the most venomous of the three groups of crotaline snakes
  • CroFab® may require repeat doses due to recurrence phenomenon
  • CroFab® can still cause hypersensitivity reactions
  • Prehospital care of crotaline snakebites should be confined to immobilization of the affected limb and neutral positioning
  • Fasciotomy is rarely indicated for crotaline snakebite
  • Adequate analgesia and anxiolysis are important aspects of care for envenomations
  • Antibiotics are not indicated prophylactically for snakebites
  • The risks and benefits of antivenom therapy must be carefully considered prior to treatment
  • Consult your local poison center early for advice in the course of treatment

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Last Modified: 06/27/2017
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