TY - JOUR T1 - Snakebites in Africa and Europe: a military perspective and update for contemporary operations JF - Journal of the Royal Army Medical Corps JO - J R Army Med Corps SP - 370 LP - 379 DO - 10.1136/jramc-2017-000883 VL - 164 IS - 5 AU - Daniel Wilkins AU - D S Burns AU - D Wilson AU - D A Warrell AU - L E M Lamb Y1 - 2018/09/01 UR - http://militaryhealth.bmj.com/content/164/5/370.abstract N2 - Snakebite envenoming is rare among military patients, with few cases reported in recent years. Increasingly, however, military operations are taking place in remote parts of Africa, which are inhabited by numerous species of venomous snake, and in Europe, where dangerous species exist but are less common. Bites from a venomous snake may prove fatal, and therefore military medics must be adequately prepared to manage them. This paper reviews the most medically significant species of venomous snake present in Africa and Europe, before suggesting an evidence-based approach to snakebite prevention and management, including possible changes to the UK’s Clinical Guidelines for Operations. ER -