In the emergency department, which sequence correctly treats a snake bite?

• A. 1, 2, 3, 5, 4
• B. 2, 1, 3, 4, 5
• C. 1, 3, 2, 4, 5
• D. 1, 2, 4, 3, 5

Answer: (A)

The key idea is to stabilize the patient quickly, limit how fast venom can spread, and treat envenomation promptly while avoiding harmful interventions. Start by ensuring the airway and breathing are secure and that circulation is stable, with IV access established for fluids and meds. As swelling can develop rapidly, remove rings, watches, or other tight items on the affected limb to prevent constriction.

Immobilize the bitten limb with a rigid splint to minimize movement and slow venom dispersal through the lymphatic system. After stabilization and initialization of monitoring, assess for signs of envenomation; if there are systemic symptoms or progressive local effects, administer antivenom promptly and monitor closely for reactions during the infusion.

Provide tetanus prophylaxis and address pain as appropriate. Avoid interventions that don’t help and can cause harm, such as cutting the wound, suction, ice, or tourniquets. Keep the patient under observation to catch any delayed signs and adjust care as needed.