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Snake Bites
Treatment and Prevention

By , About.com Guide

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They fascinate. They repel.

Some pose a danger. Others are harmless.

And whether they are seen as slimy creatures or colorful curiosities, snakes play important environmental roles in the fragile ecosystems of the nation's wildlife areas.

People who frequent these wilderness spots, as well as those who camp, hike, picnic, or live in snake-inhabited areas, should be aware of potential dangers posed by venomous snakes. Every state but Maine, Alaska and Hawaii is home to at least one of 20 domestic poisonous snake species. A bite from one of these, in which the snake may inject varying degrees of toxic venom, should always be considered a medical emergency, says the American Red Cross.

About 8,000 people a year receive venomous bites in the United States; nine to 15 victims die. Some experts say that because victims can't always positively identify a snake, they should seek prompt care for any bite, though they may think the snake is nonpoisonous. Even a bite from a so-called "harmless" snake can cause an infection or allergic reaction in some people.

Medical professionals sometimes disagree about the best way to manage poisonous snakebites. Some physicians hold off on immediate treatment, opting for observation of the patient to gauge a bite's seriousness. Procedures such as fasciotomy, a surgical treatment of tissue around the bite, have some supporters. But most often, doctors turn to the antidote to snake venom--antivenin--as a reliable treatment for serious snakebites.

Antivenin is derived from antibodies created in a horse's blood serum when the animal is injected with snake venom. In humans, antivenin is administered either through the veins or injected into muscle and works by neutralizing snake venom that has entered the body. Because antivenin is obtained from horses, snakebite victims sensitive to horse products must be carefully managed. The danger is that they could develop an adverse reaction or even a potentially fatal allergic condition called anaphylactic shock.

The Food and Drug Administration regulates antivenins as part of its oversight of biological products. The agency requires certain criteria to be met before these materials are sold, including standards for purification, packaging and potency. FDA also regulates antivenin labeling, ensuring that data on potential side effects and other pertinent information are available. The agency also periodically inspects antivenin production facilities to ensure compliance with regulations.

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