SNAKEBITE ENVENOMATION

Urgent Reference

If you are currently OCONUS with a snakebite patient, contact the DoD ADVISOR Hotline (+1-833-238-7756), and refer to the NEURO Algorithm, HEMO/CYTO Algorithm, or ASYMPTOMATIC Algorithm to start treatment. For adverse reactions, see REACTION Algorithm and CPG sections on pretreatment and treatment of reactions.

Pre-Mission Planning: Always familiarize yourself with the specific antivenoms needed for your area of operation prior to deployment. For specific regional antivenom and dose recommendations, start with the Regional Antivenom Selection Flowcharts, then the Antivenom Dosing by Product table in Appendix H.

Summary of Changes

Major revision for enhanced usability including:

1. New ACLS-style STAT treatment algorithms with streamlined bedside decision-making.
2. Expanded and updated antivenom profiles, dosing guidance, and BB-IND usage instructions in addition to FDA considerations.
3. New printable rapid-reference tools to enhance usability in austere environments including Antivenom Dosing by Product and Pre-Mission AV selection flowcharts.
4. Reorganized guidelines by CCMD for faster pre-mission planning and point-of-care use, including a suggested packing checklist.
5. INDOPACOM expanded + enhanced coverage with new dedicated regional pathways for Taiwan, Japan, Korean Peninsula, China / East Asia, and elsewhere.