FINALLY there is a comprehensive reference for management of pit viper snakebite that is specifically designed for all levels of caregivers, focusing especially on E.R. and I.C.U. staff. Loaded with essential information and instruments that assure exemplary, comprehensive care that mitigates risk for your patient and hospital, Pit Viper Snakebite Assessment and Treatment – Applying the Standard, represents the gold standard of North American pit viper snakebite management.

Written by retired emergency nurse and snakebite expert Jon E. Soskis, this important medical textbook has been reviewed and edited by Rick Dart, M.D., Ph.D., a Deputy Editor for Annals of Emergency Medicine, and immediate Past-President of the American Association of Poison Control Centers.

For those who still have the original book from 1993, Snakebite Assessment and Treatment in the Eastern United States, on your resource shelf, please remove it since the information contained therein pertains to administering the no longer used and less pure product, Antivenin (Crotalidae) Polyvalent, Wyeth. The new book is a more comprehensive work that teaches the art as well as the science of pit viper snakebite management, while also addressing the newer and better antivenom, Crotalidae Polyvalent Immune Fab (Ovine), or CroFab®.

Also reviewed by: Jeffrey N. Bernstein, M.D., Ed Hall, M.D., and Diane R. Dockery, RN.

Order your copy now!

You will have:

A three item set of user-friendly, life-saving information covering everyone’s needs from the field to admitting and follow-up physicians, including:

  • The primary text
  • The handbook entitled, “The E.R. and I.C.U. Handbook of Pit Viper Snakebite Management - Applying the Standard”
  • An e-book equivalent of the primary text

All of which provide:

  • Comprehensive knowledge of the management of pit viper snakebite, including a special section entitled, “Treatment of an Untoward Reaction”, co-authored with Rand Malone, M.D., allergist and professor at the Florida State University College of Medicine
  • Explicit assessment and treatment protocols recommended by experts in the field of toxicology
  • Risk mitigating documentation instruments that when used properly assure adherence to the standard

You will know:

  • Importantly, you will have knowledge of what to do to treat a “severe” envenomation, something that is not discussed in the drug literature because the clinical trials only included “mild and moderate” envenomation. You will also know why it’s dangerous to categorize envenomation by those modifiers.
  • About the snakes and the nature of the bite
  • How venom affects us, including the stealthy and dangerous effects on the coagulation cascade
  • About the antivenom and its limitations
  • The relationship between the half-life of the venom and that of the antivenom
  • How to safely assess for envenomation
  • The latest method of mixing the antivenom
  • When and how to administer antivenom
  • What lab studies are required, including before and after antivenom administration and during follow-up office visits
  • About the meaning of the required lab studies
  • How the coagulation cascade works
  • The dosage for severe envenomation
  • When to administer and when not to administer blood products
  • About local and coagulopathy recurrence and when to re-treat with antivenom
  • What to do and not do for shock from envenomation
  • When to seek help
  • What to teach your patient as they are under your care and as they are discharged
  • How you can go wrong
The Book
“Early identification of downward trends is key to treatment.”