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<< Diagnosis And Management Of North American Snake And Scorpion Envenomations

Key Points

1. Venomous snakes (domestic and imported) and scorpions can produce devastating injuries and must be recognized promptly and treated appropriately to prevent morbidity and death.

2. Identification of the snake that inflicted the bite is important but not essential for appropriate management

3. Crotalid envenomations are graded based on the most severe sign or symptom, and CroFab™ should be administered for all moderate and severe envenomations.

4. Once a coral snake bite is confirmed, antivenom should be given immediately, even if no symptoms
are present.

5. Zoos maintain a stock of antivenoms for many exotic, venomous snakes and may be a source for
treating envenomations from those snakes.

6. Your local poison control center has access to multiple sources for identifying venomous snakes
and obtaining specific antivenom. Call them.

7. Children and elderly are at the highest risk of severe morbidity and death from scorpion stings
and require close observation.

8. Equipment and medications for management of anaphylaxis should be in place during the administration of any antivenom.

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Last Modified: 05/26/2017
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