The good thing now is that Cro-Fab covers all the Pit-Vipers in North America, so if we think it is a venomous snake, then we start it... if we are doubtful, we do blood work and watch vitals ever 2-3 hours and do a 24 hour hospital observation. Sometimes we see "Dry Bites" going through a cowboys boot, or thick jeans...
Zep I would call the small hospital and ask them if they stock the Cro-fab. most small ED's in texas have it. The second question would be if the local doc feels comfortable caring for such a wound. I transfer patients to larger hospitals about 1/2 the time on these bites because you can develop some surgical issues, and I dont have a surgeon at my hospital.
If i was only 25 more minutes to a larger hospital, i might go for that. The advantage of the small hospital is that we are crazy fast compared to the large ones.
Hope that helps
DRP
