APPENDIX G: SOUTHCOM TREATMENT GUIDELINES

Safe and effective antivenoms are available for all hemo/cytotoxic pit viper envenomations and for neurotoxic coral snake envenomations in this AOR. Treatment does not require identification of the species responsible but does require identification of the syndrome. Snakebite treatment at the point of injury is recommended for SOUTHCOM. This section provides specifics about antivenoms use in this region.

Adverse Reaction Management

- If a mild or moderate reaction occurs, slow the infusion, and treat symptomatically with antihistamines, steroids, and/or antiemetics as needed.
- If a severe reaction such as anaphylaxis occurs, stop the infusion, and treat according to the anaphylaxis protocol listed elsewhere in the CPG. Reassess the patient once the reaction has been controlled and resume the infusion at a slower rate if any of the specific criteria for antivenom treatment listed elsewhere in the CPG have not completely resolved.

SOUTHCOM First Line Antivenoms

CONTACT

For emergency consultations, or additional information about snake bite management or this CPG, call the ADVISOR telemedicine hotline 833-ADVSRLN (833-238-7756) / DSN: 312-429-9089 and select toxicology from the phone

SOUTHCOM – Antivenom Selection Flowchart

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SOUTHCOM – Short Form Antivenom Guide

SOUTHCOM – Long Form Antivenom

First Line Northern Central America

Second Line Southern Central America/South America

First Line Southern Central America/South America

Second Line Northern Central America

Second Line South America

First Line Central America

Second line South America

First Line South America

Second Line Central America