Environmental Exposures; September 2022 Question – In Collaboration with EMCoach

Topic: Environmental Exposures
Section: Animal Bites, Envenomation, and Exposure
Acuity: Critical
Age group: Adult

A museum snake handler was bitten on the hand while transferring snakes to a display container. He is unsure which snake bit him. Upon arrival to the emergency department, his vital signs are HR 97, BP 126/87, RR 35, SpO2 97% on room air, T 37.0°C. His exam is significant for rapid shallow breathing and the HEENT exam below. Lung sounds are normal. Extremity strength is normal throughout.

Answer Explanations (Click to Expand)

See the video below for a video explanation of this month’s question:

Here is a table on Arachnid and Snake Envenomations


Sheikh, S, Leffers, P. Emergency Department Management of North American Snake Envenomations. EB Medicine. September 1, 2018. Accessed June 15, 2022. https://www.ebmedicine.net/topics/toxicology-environmental/snake-bite-antivenom (full free access for residents)

Dart, RC, White, J. Chapter 212. Snakebite. In: Tintinalli JE, Stapczynski JS, Ma OJ, et al. <em>Tintinalli’s Emergency Medicine: A Comprehensive Study Guide</em>. 8th ed. New York: McGraw Hill Professional; 2016.

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