RT Book, Section A1 Pizon, Anthony F. A1 Ruha, Anne-Michelle A2 Nelson, Lewis S. A2 Howland, Mary Ann A2 Lewin, Neal A. A2 Smith, Silas W. A2 Goldfrank, Lewis R. A2 Hoffman, Robert S. SR Print(0) ID 1163003733 T1 Antivenom for North American Venomous Snakes (Crotaline and Elapid) T2 Goldfrank's Toxicologic Emergencies, 11e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259859618 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1163003733 RD 2024/04/17 AB In addition to supportive care, antivenom provides definitive management of North American venomous snakebites. In the past, numerous treatments were advocated to prevent systemic absorption or to neutralize venom. These therapies included tourniquets, incision and suction, venom extractors, electrotherapy, and cryotherapy. All of these treatment modalities are either ineffective, delay time to definitive care, or harmful. The focus of treatment for the snakebite victim is a careful assessment, supportive care, evaluating for signs of envenomation, and ultimately, determining the need for antivenom.