Local injury (pain, progressive swelling, compartment syndrome, lymphangitic spread with pain in the axillae for upper extremity bites or pain in the inguinal region for lower extremity)
Track progressive edema of the bitten extremity Q2H until progression stops
Mark on the patient a point in the mid-foot, mid-calf, and mid-thigh (lower extremity bite) vs mid-hand, mid-forearm, and mid-humerus (upper extremity bites) to ensure consistency between measurements.
Hematologic abnormality (thrombocytopenia, prolonged PT, hypofibrinogenemia) - DIC-like syndrome
Systemic effects (hypotension resulting from third spacing)
Track progressive edema of the bitten extremity Q2H until progression stops
Mark on the patient a point in the mid-foot, mid-calf, and mid-thigh (lower extremity bite) vs mid-hand, mid-forearm, and mid-humerus (upper extremity bites) to ensure consistency between measurements.
CBC
Coags
Fibrinogen
Chemistry
Crotaline envenomation
Necrotizing fasciitis
Stonefish envenomation
Cellulitis
Lionfish envenomation
Allergic Reaction
Fire coral envenomation
Hymenoptera stings 