This podcast, our first, focuses on the care of patients who have been bitten by snakes, primarily North American Crotalids.  The discussion revolves around a case of envenomation we ran recently during a Grand Rounds simulation.  In the podcast, we focus on clinical assessment of the bites including determining the severity of local and systemic symptoms, the initial care and management of envenomations, and some of the complications associated with administration of antivenin.