Current evidence does not support the use of fasciotomy or dermotomy following North American Crotalinae envenomation with elevated intracompartmental pressures. [1]
A new case report of a 17-month old bitten by a copperhead snake reinforces that early and adequate administration of crotaline Fab antivenin is the treatment of choice. [2]
Many experts recommend against measuring compartement pressures altogether; we know it will be elevated.
References
Cumpston KL. Is there a role for fasciotomy in Crotalinae envenomation in North America? Clin Toxicol 2011;49(5):351-65. [PMID 21740134]
Mazer-Amirshahi M, et al. Elevated compartment pressures from copperhead envenomation succesfully treated with antivenin. J Emerg Med 2014;46(1):34-7. [PMID 23871482]
