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Field treatment: don’t make things worse, get to the nearest hospital In the hospital: 1. ABCs 2. Wound assessment and pain control 3. Labs to assess for coagulopathy and rhabdomyolysis 4. Call poison control – should always talk to toxicologist 5. CroFAB vs observation only - Mild/dry bite: no CroFAB, just observation - Moderate/severe: one or more doses as needed based on wound progression CroFAB is only curative treatment currently but VERY expensive; Currently evaluating anti-TNFa agents TNFa pilot study: active now, enrolling nonpregnant healthy adults
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