title: [Viper bite treatment in Spain].
abstract: Viper snake bite is, by far, the most common ophidian accident in Spain. It is responsible for between 100 and 150 hospitalizations per year in this country, although it is difficult to determine the frequency of emergency admissions due to this cause. The cornerstone to their approach rests on the correct evaluation of the possible effects derived from envenomation and the use of anti-venoms. In spite of all the controversies surrounding the use of anti-venoms, they have become a powerful therapeutic weapon ever since the serum has been highly purified and the great decrease of related anaphylactic reactions. The aim of this article is to update the emergency room procedures when viper bites are suspected, and to clarify the main therapeutic recommendations.
authors.affiliation: Servicio de Cirugía Plástica, Hospital Universitario de Burgos, Burgos, España. Electronic address: mestefania@saludcastillayleon.es.
authors.forename: M
authors.initials: M
authors.lastname: Estefanía Díez
authors.affiliation: Servicio de Cirugía Plástica, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: D
authors.initials: D
authors.lastname: Alonso Peña
authors.affiliation: Servicio de Cirugía Plástica, Hospital Universitario de Burgos, Burgos, España.
authors.forename: P
authors.initials: P
authors.lastname: García Cano
authors.affiliation: Servicio de Cirugía Plástica, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: A
authors.initials: A
authors.lastname: López Gamo
mesh_terms: D000818:Animals; D000997:Antivenins / Q000627:therapeutic use*; D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D012720:Severity of Illness Index; D012909:Snake Bites / Q000175:diagnosis / Q000628:therapy*; D013030:Spain; D014757:Viper Venoms; D017819:Viperidae
chemical_list: D000997:Antivenins; D014757:Viper Venoms
keywords: Anti-venom; Antiveneno; Mordedura; Ofidio; Ophidian; Snake bite; Viper; Víbora