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Adder envenomation — DIPIMC MCQ

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HardEnvironmental MedicineAdder envenomationDIPIMCDipIMC

While in the countryside, a person is bitten on the hand by an adder. There is local swelling and pain spreading up the arm and mild systemic upset.

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Correct answer: E — Immobilise the limb, remove constricting items and transport for observation and possible antivenom.

An adder bite is managed by immobilising the affected limb, removing rings and tight items, giving analgesia and transferring for observation, with antivenom reserved for significant envenomation. Arterial tourniquets, incision and suction are outdated and harmful. Keeping the limb still and the patient calm slows the spread of venom.

Reference: TOXBASE