“…Although some authors have attempted to find ways to maximize antivenom exposure to venom components at the bite site in the hopes of limiting necrosis, none, to our knowledge, have met with significant success to date. Bania et al 22 studied intra-arterial administration of ACP in a porcine model of rattlesnake venom poisoning and found a ''modest'' reduction in soft tissue swelling, but they did not measure or evaluate necrosis. McCollough and Gennaro 23 used radiolabeled antivenom in a dog model that compared intravenous (IV), intramuscular (IM), and subcutaneous (SQ) administration and found that more antivenom got to the venom injection site by the IV route (84.9% compared to 1.43% and 5.6%, respectively).…”