SNAKE BITE - ASSESSMENT

See Snake Bite Management

RESUSCITATION

Major complications to address

CLINICAL FEATURES OF SNAKE BITE

  Early Later
Neuromuscular Diplopia
Ptosis
Ophthalmoplegia
Facial paralysis
Dysarthria
Rhabdomyolysis Myalgia Muscle weakness
Myoglobinuria
Raised creatinine kinase
Raised potassium
Coagulopathy Abnormal coagulation profile Bleeding
Bruising
Blood does not clot in tube
Nephrotoxicity Abnormal renal function Oliguria
Local cytotoxicity Pain/Swelling Necrosis

Establish first aid measures

Obtain laboratory screen

* also known as Fibrin Degradation products (FDP), Cross-Linked Degradation products (XDP)

Attempt to identify culprit species

(Do not rely on a layperson's identification of snake species)

DO NOT REMOVE FIRST AID UNLESS INITIAL LAB RESULTS ARE NORMAL