In the BLS protocol for envenomation injuries (snakebite), if antivenin is available on site, what should you do?

• A. Transport with the patient to hospital
• B. Administer antivenin on-site
• C. Apply a tourniquet and wait
• D. Do nothing until symptoms worsen

Answer: (A)

When a snakebite is suspected, the priority is rapid transport to a facility where antivenin can be given and the patient can be closely monitored. Antivenin administration is a specialized treatment that requires medical oversight and the ability to manage potential severe allergic reactions, which is beyond the field scope for BLS responders. In the meantime, focus on minimizing venom spread and complications: immobilize the affected limb, keep the patient calm, remove restrictive jewelry or clothing, and monitor airway, breathing, and circulation. Do not apply a tourniquet, do not cut or suck the wound, and do not delay transport waiting for symptoms to worsen. Once at the hospital, clinicians can determine the appropriate care and administer antivenin if indicated.