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Previous Volume 347:347-356 August 1, 2002 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Approximately 15 percent of the 3000 species of snakes found worldwide are considered to be dangerous to humans (Table 1).¹ The last comprehensive survey of snake-venom poisoning, completed in the late 1950s, documented an average of 45,000 snakebites annually in the United States, 8000 of them by venomous snakes.² During the past three years, the American Association of Poison Control Centers has reported an annual average of 6000 snakebites in the United States, 2000 of them by venomous snakes.^3,4,5 Since reporting is not mandatory, many snakebites go unreported. Some victims do not seek treatment, and some treating physicians . . . [Full Text of this Article]

Venomous Snakes in the United States

Venomous or Nonvenomous?

Systemic Symptoms and Signs

Pharmacology of Venoms

Treatment

Treatment in the Field

Treatment in the Emergency Department

Antivenoms

Safety

Clinical Use

Follow-Up Care

Complications of Envenomation and Treatment

Assistance in Managing Bites of Venomous Snakes

Source Information

From the Division of Emergency Medicine (B.S.G., R.A.B.) and the Office of the Dean (R.A.B.), University of Maryland School of Medicine, Baltimore; and the Rocky Mountain Poison Center, Denver (R.C.D.).

Address reprint requests to Dr. Barish at the University of Maryland School of Medicine, 655 W. Baltimore St., Rm. 14-011, Baltimore, MD 21201-1539, or at rbarish@som.umaryland.edu.

Related Letters:

Bites of Venomous Snakes
Warrell D. A., Gold B. S., Dart R. C., Barish R. A.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:1804-1805, Nov 28, 2002. Correspondence

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