• G M Hawdon and K D Winkel.
• Australian Venom Research Unit, Cabrini Private Hospital.
• Aust Fam Physician. 1997 Dec 1; 26 (12): 1386-91, 1393-4.

BackgroundAustralian snakes are among the most venomous in the world. Although usually obvious, the occurrence of snakebite is occasionally unrecognised by the patient and/or physician, resulting in delayed or inadequate treatment, or even in death.ObjectiveThis article describes the historical, clinical and pathologic features associated with envenomation by various Australian venomous snakes, and discusses the investigation and management (including first aid) of suspected snakebite.DiscussionA high index of suspicion should be maintained, particularly in rural areas and in patients unable to give a history. Investigations including creatine kinase, clotting profile and venom detection kit should be performed in cases of suspected snakebite. The choice of appropriate antivenom and its indications are discussed.

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