Common Envenomations: Snakes, Lizards, Marine Life and Arthropods


About the Course

The purpose of this course is to teach healthcare professionals to recognize and expertly and efficiently manage a variety of envenomations. This course reviews the epidemiology, pathophysiology, clinical features, and management of various envenomations, including snakebites, scorpion stings, spider bites, hymenoptera stings, venomous lizard bites, and a variety of marine envenomations, including jellyfish stings. Common myths will be dispelled, and learners will be provided with evidence-based treatment guidelines. 

Learning Outcomes 

Upon completion of the course, the learner will be able to:  

  • Identify venomous creatures in the U.S. to include snakes, lizards, spiders, scorpions, arthropods, and marine life. 
  • Differentiate venom, poison, and toxugen in the context of venomous creatures in the U.S. 
  • Examine the epidemiology, pathophysiology, and clinical features of envenomations by common venomous creatures. 
  • Discuss general approaches in assessment and diagnosis to differentiate envenomations from soft tissue infections. 
  • Describe the evidence-based care approach to managing common envenomations in the U.S. 
  • Evaluate the indications for use and management of potential untoward effects of antivenom. 
  • Discuss the danger of inappropriate management of envenomations. 

About the Author

Spencer Greene, MD, MS, FACEP, FACMT, FAACT, FAAEM, is the director of toxicology and an attending emergency physician at HCA Houston Healthcare–Kingwood. He is a clinical professor at the University of Houston College of Medicine. Dr. Greene has directed the Houston Venom Conference since 2013. He also served as the course director for the American College of Medical Toxicology Natural Toxins Academy. He has authored more than 50 book chapters and scholarly articles and is the recipient of multiple teaching and clinical awards. 

How to Receive Credit

  • Read the entire course online or in print which requires a 3-hour commitment of time.  
  • At the end of the course, answer the Yes/No Affirmation question to indicate that you have completed the educational activity. 
  • Specific to Florida: A mandatory Final Examination with a passing score of 75% or higher is required. Exam questions link content to the course Learning Outcomes as a method to enhance individualized learning and material retention. 
  • Provide required personal and payment information. 
  • Complete the mandatory course evaluation.
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