Exotic Snake Envenomation

An emergency physician in an urban hospital in the eastern or midwestern United States is almost as likely to be confronted with a bite of an exotic venomous snake as with that of a species native to North America. A number of these snakes have no locally available antivenin, leaving the emergency physi cian trying to find available antivenin. The best resource is the local poison control center, using the Antivenom Index. Internet search for locating resources for management can start with site such as www.herpetology.com (8).

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