_LOCAL FIRST AID:_ None effective or necessary
_LOCAL:_ Within 4 hours of the bite, locally excise bite site
_SYSTEMIC:_
1. Systemic corticosteroids is the treatment of choice and must be
administered immediately—methylprednisolone (Depo-Medrol) 80
mg IM, followed by prednisone 60 mg a day for 3 days and
gradually tapered over a 10-14-day course of therapy
2. Heparin therapy may reduce the disseminated intravascular
coagulation phenomenon
3. Analgesics for pain