02214nas a2200445   4500000000100000008004100001260001600042653001400058653001500072653001700087653001500104653002000119653002800139100001500167700001300182700001600195700001400211700001500225700002700240700001400267700001500281700001200296700001300308700001300321700001200334700001000346700001300356700001500369700001200384700001600396700001400412700001700426700001500443245009100458856026000549300000900809490000700818520092900825022001401754       2025                            d  bElsevier BV10asnakebite10aAntivenins10aSnake venoms10aOne Health10aRegional health10aCapillary leak syndrome1 aAbraham SV1 aMathew D1 aSreekumar A1 aGeorge AV1 aChanchal V1 aKuzhikkathu Kandiyil P1 aRajeev PC1 aValuvil UB1 aKumar J1 aMohan KB1 aThomas J1 aAyyan M1 aDas S1 aSirur FM1 aMadhavan I1 aRafi AM1 aMukundan PK1 aSunagar K1 aKrishnan S V1 aPalatty BU00aClinical challenges, controversies, and regional strategies in snakebite care in India  uhttps://pdf.sciencedirectassets.com/779826/1-s2.0-S2772368225X00056/1-s2.0-S2772368225000691/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEO3%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJGMEQCIAl45yA9tzEaoZfQ2fquengPadTNvV%2F5iZPAOHZ3ohz3AiBpGwZzMm9b7s  a1-140 v373 a<p>Snakebite envenomation remains a significant public health issue, particularly in southeast Asia, where diverse venomous snake species and resource-limited healthcare settings complicate effective management. This Health Policy employed thematic analysis of a panel discussion involving multidisciplinary experts with over 300 years of combined experience. Four key themes were identified: (i) the evolution of snakebite treatment paradigms, (ii) clinical and procedural challenges, (iii) debates over controversial practices, and (iv) the role of policy and research in improving outcomes. The findings emphasise the need for region-specific antivenoms, enhanced peripheral healthcare capabilities, and evidence-based treatment protocols. This work provides actionable insights to inform health policy, guide targeted training initiatives, and prioritise research on neglected areas in the management of snakebite.</p>
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