Tiger Snake Envenomation

First Aid for tiger snake envenomation is pressure-immobilization

The snakes in the group defined here are grouped together because of similarity in clinical aspects of the envenomations they may cause. Several genera are represented, and among the species included are:

  • Mainland Tiger Snake
  • Black Tiger Snake
  • Rough-Scaled Snake
  • Copperheads
  • Pale-Headed Snake
  • Broad-Headed Snake
  • Stephen's Banded Snake
  • Small-Eyed Snake

Signs and Symptoms

Tiger snake venom has a wide range of effects on humans. It contains pre-synaptic and post-synaptic neurotoxins, myotoxins and procoagulants. Significant envenomation by any species of this group may result in:

  1. Neurological impairment
  2. Paralysis
  3. Incoaguable blood
  4. Rhabdomyolysis
  5. Renal failure secondary to myolysis

Treatment

First aid for tiger snake envenomation consists of a pressure bandage and immobilisation. In cases where a pressure bandage has been applied correctly, it can be left in situ indefinitely while the patient is feeling no discomfort as a result. If it becomes appropriate to remove a pressure bandage, it is necessary to have antivenom and haemostatic support ready. In severe cases, a patient may require ventilatory support.

Antivenom is indicated for any clinical manifestations of neurotoxicity, myolysis or severe coagulopathy.

Antivenom

Tiger snake antivenom can be used effectively for envenomation by any of the species listed above.

Tiger snake antivenom supplied by CSL Ltd is equine in origin.