Envenomation in the US: Snakes, Lizards, Marine Life and Arthropods


About the Course
This course is designed for physicians to recognize and expertly manage a variety of envenomation, including snakebites, scorpion stings, spider bites, hymenoptera stings, venomous lizard bites and a variety of marine envenomation, including jellyfish stings.  Common myths will be dispelled and evidence-based treatment guidelines will be reviewed.

Learning Outcomes
Upon the completion of this course, the learner will be able to:

  • Identification of venomous creatures in the United States.
  • Differentiate venom, poison and toxugen in the context of venomous creatures in the United States.
  • Examine the epidemiology, pathophysiology, and clinical features of envenomation.
  • Discuss general approaches in assessment and diagnoses to differentiate envenomation from soft tissue infection.
  • Describe evidence-based care in managing common envenomations.    
  • Evaluate the indications for use and management of potential untoward effects of antivenom.
  • Discuss the danger of inappropriate management of envenomation.

About the Author/Presenter
Spencer Greene, MD, MS, FACEP, FACMT, FAACT, FAAEM, is a board-certified emergency physician, medical toxicologist, and addiction medicine specialist. He is a Clinical Professor at the University of Houston College of Medicine and serves as the Director of Toxicology at HCA Houston Healthcare-Kingwood, where he oversees one of the busiest snakebite services in the U.S. His research interests include envenomations, salicylate poisoning, antimuscarinic toxicity, anticonvulsant overdoses, and alcohol withdrawal. He has authored more than 50 book chapters and scholarly articles and is the recipient of multiple teaching and clinical awards. Dr. Greene has directed the Houston Venom Conference since 2013. He serves as the Co-Chair of the newly established American College of Medical Toxicology (ACMT) Toxinology section and directed the ACMT Natural Toxins Academy. Dr. Greene graduated from Washington University in St. Louis with a BA in psychology and biology. He earned an MS in immunology from C.W. Post, Long Island University. He graduated magna cum laude with an MD from Albany Medical College. He completed his emergency medicine residency at Vanderbilt University Medical Center and his medical toxicology fellowship at Banner Good Samaritan Medical Center.  

How to Receive Credit 

  • Read the entire course online or in print which requires a 2-hour commitment of time. 
  • After completion of the course, complete the final examination.  A passing grade of 70% is required. Test questions link content to learning outcomes as a method to enhance individualized learning and material retention. 
    Note to Nursing professionals: Depending on your state requirements, you will be asked to either affirm that you have completed the course, or you will be required to complete the Post-test included in the course.
  • Provide required personal information and payment information.
  • Complete the mandatory course evaluation.
  • Print your Certificate of Completion.

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, InforMed implemented mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control the content of this CME activity.

InforMed staff, input committee and all content validation reviewers involved with this activity have reported no relevant financial relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

2023. All rights reserved. These materials, except those in the public domain, may not be reproduced without permission from InforMed. This publication is designed to provide general information prepared by professionals in regard to the subject matter covered. It is provided with the understanding that InforMed, Inc is not engaged in rendering legal, medical or other professional services. Although prepared by professionals, this publication should not be utilized as a substitute for professional services in specific situations. If legal advice, medical advice or other expert assistance is required, the service of a professional should be sought.

Accreditations and Approvals
InforMed is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.