RT Journal Article SR Electronic T1 Paediatric snakebite envenoming: recognition and management of cases JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 14 OP 19 DO 10.1136/archdischild-2020-319428 VO 106 IS 1 A1 Jacqueline Le Geyt A1 Sophie Pach A1 José María Gutiérrez A1 Abdulrazaq Garba Habib A1 Kalana Prasad Maduwage A1 Timothy Craig Hardcastle A1 Roger Hernández Diaz A1 María Luisa Avila-Aguero A1 Kyaw Thu Ya A1 David Williams A1 Jay Halbert YR 2021 UL http://adc.bmj.com/content/106/1/14.abstract AB Snakebite in children can often be severe or potentially fatal, owing to the lower volume of distribution relative to the amount of venom injected, and there is potential for long-term sequelae. In the second of a two paper series, we describe the pathophysiology of snakebite envenoming including the local and systemic effects. We also describe the diagnosis and management of snakebite envenoming including prehospital first aid and definitive medical and surgical care.