Title: Know your Slytherins<br/>Author: Andrea Tenner<br/><a href='http://umem.org/profiles/faculty/1069/'>[Click to email author]</a><hr/><p>
98% of venomous snake bites in the US are due to pit vipers. Occasionally a snake bite is from an exotic venomous snake being kept as a pet. In 2005, 142 exotic poisonous snakes were reported to poison control. It can be very challenging to find antivenom for these exotic animals.</p>
<p>
Antivenom is usually specific to a family or subfamily, so the snake must be identified. Most exotic snake owners will know the common name and possibly the scientific name of the animal.</p>
<p>
The WHO database of venomous snakes can help with identification of the species and will list antivenom available globally.</p>
<p>
Poison centers are essential to help locate the antivenom and assist with treatment.</p>
<p>
<strong><em>Relevance to the EM Physician:</em></strong></p>
<p>
When a patient presents with an exotic snake envenomation, the WHO website below can be helpful to identify the species and possible antivenom. </p>
<p>
http://apps.who.int/bloodproducts/snakeantivenoms/database/</p>
<p>
</p>
<p>
<strong>University of Maryland Section of Global Emergency Health</strong></p>
<p>
<strong>Author: Jenny Reifel Saltzberg</strong></p>
<fieldset><legend>References</legend>
<p>
C Lubich and EP Krenzelok. Exotic snakes are not always found in exotic places: how poison centres can assist emergency departments.” Emerg Med J. 2007 November; 24(11): 796–797.</p>
<p>
Melisa W. Lai, et al. 2005 Annual Report of the American Association of Poison Control Centers’ National Poisoning and Exposure Database. Clinical Toxicology, 44:803–932, 2006</p>
<p>
http://www.who.int/neglected_diseases/diseases/snakebites/en/index.html</p>
</fieldset>