POST BITE PROTOCOLs

This is the format that I use in my post bite emergency grab book. Feel free to copy and customize to your needs. Ray Hunter


POST SNAKEBITE PROTOCOL DATA


Table of Contents:


• Post Bite Report
• Patient Identification & Medical Information
• Sources of Antivenom
• Emergency Notifications
• Past Labs & Medical Records
• Copy of Venomous Permit
• Antivenom Package Inserts
• Living Will
• Misc. Info & Contacts











POST SNAKEBITE REPORT
For:

NAME:__________________________ D.O.B.:________
ADDRESS:______________________________________
S.S.#:____________________ PHONE#:_____________
NEXT OF KIN:__________________________________
ADDRESS:______________________________________
PHONE:________________________________________
TREATING PHYSICIAN:________________________

------------------------------------------------------------------------

Date of Bite:____________ Time of Bite:_____________
Location of Bite:_________________________________

Type of Snake:___________________________________
Size of Snake:______________ Secured?:____________

-----------------------------------------------------------------------
ACTION TAKEN:
Time: / Action Taken
______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________

Medical & General Info for:
____________________

***Privileged Information***

Full Name:______________________________
D.O.B.:_________________________________
S.S.#:___________________________________
Address:________________________________
________________________________
Phone #:________________________________
Place Of Employment:___________________
________________________________________

Next of Kin:______________________________
Address:______________________________
_______________________________
Phone #:_____________________________
_______________________________

ALLERGIES:____________________________
Current Meds.:__________________________
___________________________
History of Illnesses:______________________
_______________________________________
________________________________________
Treating Physician:_______________________
Phone #:_______________________________
Other Info:______________________________



ANTIVENOM SOURCES



1) Miami Dade Antivenom Bank: 305-596-8576 Contact: Al Cruz
Miami, FL
2) Ray Hunter, Hunter Serpentology: 772-215-7625 Contact: Ray
Palm City, FL
3) Miami Serpentarium Labs: 941-639-8888 Contact: Bill Haast
Punta Gorda, FL
4) Reptile World Serpentarium: 407-892-6905 Contact: George VanHorn. St. Cloud, FL
5) Antivenom Index: 405-271-5454 Oklahoma City




SNAKEBITE TREATMENT EXPERTS

1) Bernard Kurecki, M.D. : 772-336-9600 off, 772-336-5094 hm
Port St. Lucie, FL (RAY’S DOCTOR FOR SNAKEBITES)
2) Findley Russell, M.D. : 602-626-4047 Arizona
3) Bill Haast (Miami Serpentarium) 941-639-8888
4) Poison Control: 800-282-3171
5) Arizona Poison Control: 602-626-6016 Univ. of Arizona
6) Antivenom Index: 405-271-5454 Oklahoma City










EMERGENCY NOTIFICATIONS

NAME: RELATIONSHIP: PHONE #’s
_______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________

OTHER ITEMS TO INCLUDE:


*Antivenom Index from AZA
• Copy of most recent lab work
• Copy of Photo ID
• Antivenom Package Inserts
• Venomous Permits
• Living Will
•