Antivenom administration should be performed by medical providers capable of providing advanced life support and trained to a minimum level of paramedic (or DoD equivalent) and higher (i.e., 68W3P, SOCM, 18D, PJ, IDC, IDMT, RN, PA, MD or DO, etc).
All qualified medical providers who may be responsible for treatment of a snakebite casualty OCONUS, with ground CASEVAC times exceeding 60 minutes to facilities equipped with appropriate regional antivenoms in sufficient quantities, should carry the equivalent of 2 high doses or 4 low doses of the appropriate regional antivenoms to enable timely definitive treatment with antivenoms at the point of injury.