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Venomous snakebite

Morsus serpentis venenatae · Uštknutí jedovatým hadem

What it is

In Europe the common adder's bite: swelling and sickness, rarely dangerous; worldwide, snakebite kills about 100 000 people a year.

Symptoms & signs

  • Two fang marks
  • pain and spreading swelling
  • nausea, vomiting, faintness
  • bleeding gums or urine (some species)
  • drooping eyelids and weakness (neurotoxic species)

🚩 Get help if…

  • call 112 / 911 now Any bite from a venomous snake — call and keep the limb still
  • call 112 / 911 now Swelling of the face or tongue, trouble breathing or collapse
  • call 112 / 911 now Bleeding gums, blood in urine or drooping eyelids
  • see a doctor soon Swelling spreading up the limb

Where it strikes

Medical treatment

  • Keep still, immobilise the limb, get to hospital
  • observation and blood tests for clotting
  • antivenom for severe swelling or shock
  • pain relief and tetanus check

Natural & lifestyle

  • Boots and long trousers in adder country
  • leave snakes alone
  • carry a phone

Emerging & experimental

  • Varespladib, an oral enzyme blocker
  • broad-spectrum recombinant antivenoms

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Cutting and sucking the wound — worsens tissue damage and infection not confirmed in trials
  • Tourniquet — can cost the limb; immobilise instead not confirmed in trials
  • Black stone (snake stone) — traditional; no effect anecdotal / traditional
  • Electric shock to the bite — tested in animals: no benefit anecdotal / traditional

ICD codes

  • ICD-10 T63.0
  • ICD-11 NE61 Harmful effects of or exposure to noxious substances, chiefly nonmedicinal as to source, not elsewhere classified