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Brown snake envenomation — ACEM Fellowship MCQ

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HardToxicologyBrown snake envenomationACEM Fellowship

A 33-year-old bushwalker presents to a NSW ED, triage category 2, after a snakebite. Pressure immobilisation is in place. He develops collapse, headache and vomiting. INR is unrecordable, fibrinogen is very low and platelets are falling. The snake was not captured. What is the most appropriate management?

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Correct answer: B — Give snake antivenom after toxicologist consultation

Collapse and venom-induced consumptive coagulopathy after snakebite require antivenom with toxicologist input and supportive care.

Reference: NSW ACI snake and spider bite; RCPA snake bite manual