01094nas a2200181   4500000000100000008004100001653001300042653001300055653001700068653003900085653001400124653001400138100001600152700001800168245005300186520065900239022001400898       2018                            d10aCrotalid10aElapidae10aenvenomation10aNeglected tropical diseases (NTDs)10aPit viper10asnakebite1 aEdgerton MT1 aKoepplinger M00aManagement of snakebites in the upper extremity.3 a<p>Encounters with venomous snakes can lead to substantial morbidity or mortality if managed inappropriately. Medical management is the mainstay of treatment, but surgery may be necessary in rare cases. The hand surgeon should be well versed in the types of venomous snakes, the mechanism of action of venom, and the management of these injuries, given the frequency of hand envenomation. The indications for surgery are not well established and rely on clinical judgment and practitioner's experience. An understanding of previously reported outcomes and an algorithmic approach to treatment will help improve patient care and avoid complications.</p>
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