In suspected coral snake envenomation, what is the most important initial management?

• A. Administer antivenom
• B. Maintain airway with assisted ventilation
• C. Apply ice to the bite area
• D. Immobilize the limb

Answer: (C)

The first priority is to secure the patient’s airway and breathing. Coral snake venom is primarily neurotoxic and can lead to respiratory muscle weakness and failure, so be prepared to provide assisted ventilation if there are any signs of respiratory distress or impending paralysis. While immobilizing the bitten limb helps slow venom spread, ensuring adequate ventilation and oxygenation takes precedence. Do not use ice, cut the bite, or apply a tourniquet—these do not help and can cause harm. After airway and breathing are stabilized, immobilize the limb and transport promptly for definitive care and antivenom.