Patient selection: crotaline snakebite
When to consult an expert - one or more of the following:
(1) shock
(2) serious, active bleeding
(3) facial or airway swelling
(4) envenomation that is difficult to control (3 or more doses of antivenom for initial control)
(5) recurrent or delayed-onset venom effects
(6) allergic reaction to antivenom
(7) compartment syndrome or rhabdomyolysis
(8) bite to the head and neck
(9) complicated wound issues
(10) venom-induced angioedema