Snake Envenomation

Vladislav Nezval, MD, Hana Harazim, MD, PhD, Jiří Holek, Barbora Zubíková

Snake envenomation is a marginal topic in developed countries but you can still come across such a cases. On the other hand, in developing countries i this a common injury, which is cause of tens of thousands of deaths per year. It is a question of inadequate infrastructure and limited access to healthcare. A considerable number of patients are exotic snake keepers. This algorithm will take you through two scenarios of snake envenomation and it will help you become familiar with widely spread myths related to treating affected patients


Jiří Valenta, MD Chief Physician of Toxinology Center at Department of Anaesthesiology, Resuscitation and Intensive Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague

In the algorithms Snake envenomation – Vipera berus, black mamba - the development of intoxication is described, including the stabilization and basics of treatment of those afflicted. The procedures for selected cases correspond to the currently valid recommendations and used organizational and treatment rules in the Czech Republic. The basic point of recommendation in case of intoxication by snake venom, but also by other animal toxins, is contact and consultation of the medical facility with the Toxicology Information Service of the KNP or directly with the KARIM Toxinology Centre of the 1st Faculty of Medicine of the Charles University in Prague for information on the possible development of the condition and appropriate treatment.

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ZÁVADA, J., P. LEDEN, J. VALENTA, Z. STACH, O. KOPECKÝ . Black Mamba Dendroaspis Polylepis Bite: A Case Report. Prague Medical Report. Praha, 2011, 112(4), 298-304.

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VALENTA, Jiří. Jedovatí hadi: Intoxikace, terapie. 1. Praha: GALEN, 2008. ISBN 978-80-7262-473-7.

LANGHOFF HØNGE, Bo, Sami KHATIB HEDEGAARD and Henrik NIELSEN. Hospital contacts after bite by the European adder (Vipera berus). Danish Medical Journal [online]. 2015, March 2015, 3(62), 1-6 [cit. 2022-04-01]. Available from:

inserted: 19. 7. 2022 | last modified on: 23. 7. 2022