RT Book, Section A1 Dart, Richard C. A1 White, Julian A2 Tintinalli, Judith E. A2 Ma, O. John A2 Yealy, Donald M. A2 Meckler, Garth D. A2 Stapczynski, J. Stephan A2 Cline, David M. A2 Thomas, Stephen H. SR Print(0) ID 1166810872 T1 Snakebite T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260019933 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1166810872 RD 2024/04/24 AB Venomous snakes account for an annual estimated 1.5 million to 3 million bites and possibly greater than 100,000 deaths worldwide.1 The American Association of Poison Control Centers reports an annual average of 6000 bites, approximately 2000 of them by venomous snakes. Because of underreporting, the true number of snakebites in the United States is possibly as high as 45,000 per year, with 7000 to 8000 by venomous snakes.2 The major venomous snakes of the world can be divided into three groups: Viperidae (vipers and pit vipers), Elapidae (includes Hydrophiinae, or sea snakes; see Chapter 213, “Marine Trauma and Envenomation”), and the diverse group of non–front-fanged colubrid snakes (former family Colubridae, now split into several families).