title: [Adder bites].
abstract: Correct treatment of adder bites can reduce morbidity. We aim at creating an evidence-based guideline on pre- and in-hospital treatment of bites by the European adder (Vipera berus). Pre-hospital treatment consists of reassurance, immobilisation, elevation and paracetamol for pain. Icepacks, oral suction and tourniquets should be avoided. In-hospital treatment includes tetanus prophylaxis, paracetamol or opioids, antiemetics and the monovalent ovine immunoglobulin Fab fragment ViperaTAb. We strongly advise emergency departments to carry up-to-date guidelines regarding bites from the European adder.
authors.affiliation: Falstersgade 5, 3. th., 8000 Aarhus C. jesper.weile@gmail.com.
authors.forename: Jesper
authors.initials: J
authors.lastname: Weile
authors.forename: Dorte
authors.initials: D
authors.lastname: Due-Rasmussen
authors.forename: Ulf Grue
authors.initials: UG
authors.lastname: Hørlyk
mesh_terms: D000818:Animals; D006801:Humans; D017410:Practice Guidelines as Topic; D012909:Snake Bites / Q000145:classification / Q000150:complications / Q000473:pathology / Q000628:therapy; D014757:Viper Venoms / Q000506:poisoning*; D017819:Viperidae
chemical_list: D014757:Viper Venoms