Envenoming is one of major health threat especially in developing countries.Basic principles in management of the patient are prompt and accurate identification;addressing immediate life-threatening condition,assess airway,breathing and circulation and support as indicated with emphasis on prioritizing management of impaired cardiac and or respiratory function.Identification of injury should able to address the possibility of envenoming and whether anti-venom is available.First aid management is crucial in preventing venom spread and the next step in hospital emergency room.Anti-venom available for selective envenoming and region should be introduced in significant signs present.Preventive measures from envenoming should be incorporated in travel medicine consultation.
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