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Snake bite — RACP Paediatrics MCQ

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EasyEmergencySnake biteRACP Paediatrics

A 10-year-old is bitten on the lower leg by a brown snake while bushwalking in Victoria. The bite site shows two fang marks. The child is alert with no symptoms. First aid has not been applied. What is the most appropriate immediate first aid?

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Correct answer: B — Pressure immobilisation bandage

For Australian snake bites, pressure immobilisation bandage (PIB) is the recommended first aid. A broad elastic bandage should be applied firmly over the bite site and extended to cover the entire limb, followed by splinting to immobilise the limb. Do NOT wash the bite site (venom detection kit can be used). Transport to hospital for observation and possible antivenom.

Reference: Australian Therapeutic Guidelines – 2024 – Toxicology; RCH Melbourne – 2023 – Snake Bite CPG