INITIAL PRIORITIES

1. Focus on ABCs (Airway, Breathing, Circulation) and antivenom.

a. Check ABCs first and fix any immediate life threats (e.g., trouble breathing or shock).

b. If the patient has sudden collapse (shock, swelling, confusion, or bleeding within 30 minutes), follow the Sudden Collapse Syndrome Treatment Protocol.

c. Establish IV or IO access in a non-bitten limb for antivenom or fluids.

d. Treat emergent secondary issues that may be present (such as anaphylaxis or hypovolemic shock) according to standard clinical protocols.

e. Establish IV or IO access in a non-bitten limb before proceeding.

2. DO NOT apply constricting bandages or tourniquets as these may worsen local tissue injury and increase the risk of permanent disability.64–66