Do:
Remove all jewelry
Mark the leading edge of erythema/edema
Do not:
Attempt to suck out the venom
Place the affected part in cold water
Use a tourniquet or wrap
Antivenom is first line treatment for compartment syndrome; fasciotomy is last resort if elevated pressures persist.
Remove all jewelry
Mark the leading edge of erythema/edema
Attempt to suck out the venom
Place the affected part in cold water
Use a tourniquet or wrap
Antivenom is first line treatment for compartment syndrome; fasciotomy is last resort if elevated pressures persist.
IVF and pressors if needed for hypotension
Blood components rarely needed
Treatment mainly depends upon the presence of an envenomation
Indications:
Progression of local injury - pain, swelling, ecchymosis
Coagulopathy - elevated PT/PTT/INR, low fibrinogen, thrombocytopenia
Systemic effects - hypotension, altered mental status, nausea and vomiting, paresthesias
Always provide supportive care and treat local effects of any wounds
Irrigation of the wound is necessary regardless of the type of<unk> Debridement and removal of devitalized tissue may be necessary for severe bites
Evidence does not support use of empiric antibiotics to prevent secondary infection 
Compartment syndrome has been documented with crotaline envenomation, but current literature does not support use of fasciotomy.  Treatment should focus on antivenom.
Progression of local injury - pain, swelling, ecchymosis
Coagulopathy - elevated PT/PTT/INR, low fibrinogen, thrombocytopenia
Systemic effects - hypotension, altered mental status, nausea and vomiting, paresthesias<unk>  specific treatments depend upon Coral<unk>  or Pit viper envenomations
Snake bites
Hymenoptera stings 
Spider bites
Mammalian bites
Lizard bites
Closed fist infection 
Shark bite
Dog bite