In the unfortunate event that a child is bitten at school by a venomous snake, teachers and administrators should be prepared. We encourage schools to develop a plan of action and immediately initiate the plan if necessary.

As soon as a bite from a snake is suspected or confirmed, a teacher or administrator should:

1. Call 911 and request that an ambulance be dispatched to the school.

2. Call the Poison Control Center's National Hotline at 1-800-222-1222, which will direct the call to the Poison Control Center nearest to you. The highly trained staff will give guidance on what steps need to be taken prior to the arrival of the ambulance. Provide the Poison Control Center with the name and phone number of the emergency room (ER) where the victim is being taken and request that the center have a toxicologist contact the ER. The Poison Control Center's toxicologists are trained on treatment of venomous snakebites and will consult with the ER doctor to ensure the victim receives the best care possible.

3. Contact the parents or other designated emergency contact person.

On-site care for the victim includes several basic rules that should be followed:

DO!

• Call 911 immediately!

• Get the victim away from the snake.

• Immobilize the bite area if on an extremity and keep it lower than the victim's heart.

• Remove rings, bracelets, watches, or restrictive clothing on the extremity with the bite. Wash the area of the bite with soap and water.

• Keep the victim warm and as comfortable as possible, and offer reassurance.

• Keep a record of the time of the bite, the victim's symptoms, and any first aid measures. Be sure to give this information to emergency medical personnel. This will help the doctor and Poison Control Center toxicologist determine the severity of the bite and appropriate treatment.

• Be aware of any allergies (drug, food, animal) or existing medical conditions the victim may have.

• A positive identification of the snake is NOT necessary. Do not delay seeking immediate medical attention or risk further injury to the victim or others in an attempt to identify the snake.

DO NOT!

• Do not wait to seek medical attention until symptoms develop.

• Do not try to catch the snake! This will put yourself (and others) at risk.

• Do not apply a tourniquet to a bitten extremity. This can completely cut off blood flow and result in loss of the affected limb.

• Do not apply ice or attempt to cool the bite area.

• Do not make incisions at the bite marks and/or apply suction. This can cause further injury.

• Do not apply heat or electric shock.

• Do not give any stimulants or alcohol to the victim.