by Ralph R, Faiz MA, Sharma SK, Ribeiro I, Chappuis F. BMJ 2022; ; 376:e057926 doi:10.1136/bmj-2020-057926
Summary: Bites from venomous snakes can result in bleeding, paralysis, long term disability, and death. In this clinical update, the authors present an approach to the evaluation and management of snakebites for primary care providers in resource-limited settings in endemic regions. They summarize current knowledge about who is at risk, how envenoming occurs, clinical effects, and how patients present. They go on to advise on first aid, assessment, and management of snakebite, and finish which a consideration of long-term sequelae and list areas for future research.