Page 62 - JSOM Summer 2020

Antivenom Algorithm:
SOUTHCOM AOR NOTE:

Yellow background indicates that
a product meets both criteria below:
1) broad-spectrum regional coverage
2) freeze-dried / field-stable
Follow list of steps outlined in CPG:
Universal Approach to Snakebite
Assessment, Diagnosis, and Treatment

Patient Monitor for 24 hours
with S/Sx of NO and discharge
envenomation? according to Step #17

Syndrome?

NEUROTOXIC HEMOTOXIC CYTOTOXIC

Region?

CENTRAL SOUTH
AMERICA AMERICA
1st line = BIOCL-AVT
COVERS ALL HEMO / CYTO
Initial dosing is based on severity:

Mild - moderate hemo/cyto:
1st line = BIOCL-COR 1st line = INS-AAP initial dose = 10 vials,
CENTRAL AMERICAN SOUTH AMERICAN additional 5 vials as needed
CORAL SNAKE SPECIES CORAL SNAKE SPECIES
Severe hemo/cyto:
Initial dose = 10 vials, Initial dose = 10 vials, Initial dose = 15 vials,
additional 5 vials as needed additional 5 vials as needed
additional 5 vials as needed

60 | JSOM Volume 20, Edition 2 / Summer 2020