Background: Australian snakes are among the most venomous in the world. Although usually obvious, the occurrence of snakebite is occasionally unrecognised by the patient and/or physician, resulting in delayed or inadequate treatment, or even in death.
Objective: This article describes the historical, clinical and pathologic features associated with envenomation by various Australian venomous snakes, and discusses the investigation and management (including first aid) of suspected snakebite.
Discussion: A high index of suspicion should be maintained, particularly in rural areas and in patients unable to give a history. Investigations including creatine kinase, clotting profile and venom detection kit should be performed in cases of suspected snakebite. The choice of appropriate antivenom and its indications are discussed.