Snakebite protocol includes which action?

• A. Mark proximal extent of swelling and tenderness
• B. Elevate limb above heart at all times
• C. Apply tourniquet above bite
• D. Remove jewelry distal to bite only after swelling

Answer: (A)

Documenting how far swelling and tenderness extend from the bite is the best action because it creates an objective, repeatable record of venom spread. This allows you to track progression over time and quickly identify if the envenomation is worsening, informing transport decisions and the need for advanced care or antivenom.

In practice, keep the bitten limb immobilized and at roughly heart level to slow venom movement, rather than elevating it above the heart. Do not use a tourniquet, as it can cause tissue damage and concentrate venom in a small area. Remove rings or bracelets promptly so swelling doesn’t constrict circulation, not only after swelling has begun.