The 2026 WMS pit viper envenomation guideline update emphasizes earlier antivenom use for symptomatic bites; includes F(ab′)₂ antivenom along with Fab antivenom guidance; simplifies initial control/recurrence; discourages outdated field interventions and routine surgery; and provides updated disposition/follow-up recommendations for US and Canadian crotalinae bites.
The update reinforces the need for poison center/medical toxicology consultation and highlights special populations, including pregnancy, pediatrics, and critically ill patients.
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