Envenomations are the 23rd most common reason for calls to US poison control centers, with over 35,000 incidents reported annually. Snake bites account for over 20% of those calls, while marine envenomations are likely underreported at 3% to 4%.<sup>1Gummin D.D., Mowry J.B., Beuhler M.C., et al. 2021 Annual Report of the National Poison Data System Clin Toxicol 2022 ;  60 (12) : 1381-1643 [cross-ref]

Cliquez ici pour aller à la section Références</sup> While these types of envenomations may not be encountered on a daily basis for many physicians, the different types of envenomations warrant unique management strategies based on the offending creature and symptom presentation. This text serves as a review of the epidemiology, clinical presentations, and management of endemic North American species of snakes and marine vertebrate and invertebrate envenomations.