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==epidemiology==
*all continents have venomous snakes
*''Lamprophiidae''
*''"Colubridae"''
*1/4 of snakes are venomous
==venom==
**traditional but dangerous and not effective therapies mimic effective
*neurotoxic
*systemic coagulation inhibition ==first aid==#reassure#immobilise whole body, esp. bitten limb#remove tight rings etc.#apply pressure pad/bandage on bitten sites#consider to give anticholinestarase ===never do===*vacuum extractor*too tight bandage*incisions ==physical exam==*exclude shock/hypovolemia**postural hypotension*exclude neurotoxicity**bilateral ptosis, let patient look upward*exclude coagulopathy/bleeding**20 min whole blood clotting test - always use glass container
==snake bites in Japan==
