Antivenin Program  ·  Est. May 2016

In a snakebite, distance is the poison.

In rural North Texas the nearest emergency room can be forty minutes of ranch road away — and it may not have a single vial on the shelf. We make sure it does. Nine rural Texoma hospitals, six vials of antivenin, always in stock.

9Rural hospitals
6Vials each, always
~100Bite victims helped
21+Lives saved
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Bitten?

The first ten minutes.

Most of what people "know" about snakebite first aid is wrong, and several of the old remedies actively make it worse. This is what to do.

Do

  • Stay calm, and keep the victim calm.
  • Check that you are clear of the snake.
  • Call for help — cell phone or whistle.
  • Remove constricting clothing and jewelry near the bite.
  • Immobilize the bitten area and hold it in a neutral position.
  • Clean the area with soap and water while waiting for help.

Do not

  • Do not apply ice or any cooling agent.
  • Do not apply a tourniquet.
  • Do not cut the bite or try to draw the venom out.
  • Do not take aspirin, ibuprofen or Aleve — they raise the risk of bleeding.
  • Do not go back for the snake.

Warning signs to monitor

Puncture marksIntense burning painSwelling Rapid pulseDifficulty breathingLow blood pressure WeaknessDisturbed visionNausea VomitingSeizuresAltered consciousness
Field guide · Crotalus atrox

Western Diamondback Rattlesnake

The species responsible for more bites than any other in Texas. Knowing how it looks, where it rests and how far it can reach is the cheapest prevention there is.

A Western Diamondback rattlesnake seen from above, its head noticeably broader and more triangular than its body
Triangular head
Close view of a rattlesnake's face showing the dark mask-like band running back across the eyes
Masked eye band
The back of a Western Diamondback showing the row of dark diamond-shaped blotches that give the species its name
Diamond blotches
A rattlesnake's black and white banded tail ending in the rattle
Banded tail & rattle
Macro view of a rattlesnake's eye showing the vertical slit pupil
Vertical pupil
Identification
Head
Triangular and noticeably wider than the body, with a dark mask-like band across the eyes.
Pattern
Dark diamond-shaped blotches down the back; black-and-white banded tail.
Tail
Blunt, with one or more rattles. Newborns have only a small horny button — they cannot rattle.
Adult length
3–4 ft typical; occasionally 6–7 ft.
Newborn length
~10 in — small enough to be missed entirely in grass.
Behavior & risk
Strike range
Up to two-thirds of its own body length, from a coiled or uncoiled position.
Activity
Usually hunts at night by ambush. Cold-blooded — seeks shade in heat, dens communally in winter.
Habitat
Cactus, mesquite, rocky terrain and thick brush — and increasingly backyards, gardens and patios. Drought pushes them toward water.
Mobility
Can swim, and can climb small trees.
Venom
Hemotoxic. Disrupts clotting and causes massive uncontrolled bleeding into the tissues.
Young
4–25 carried internally and born live, August–October. Independent and venomous from birth.
Encounter protocol

If you hear a rattle: S · L · B

Step 01

Stop

Freeze where you are. Do not jump, run or swing at it — sudden movement is what turns a warning into a strike.

Step 02

Locate

Find the snake with your eyes before you move your feet. A rattle carries; the snake may not be where you think.

Step 03

Back away

Take five giant steps backward, slowly. That clears its strike range with room to spare.

Before you go out
Ankle-high boots Thick pants — never shorts Travel with a buddy Carry a walking stick Step on logs, not over Cell phone or whistle Hands out of unseen gaps
Why we exist

For a girl named Peyton.

Peyton Alexandra Hood as a toddler, smiling outdoors in a pink patterned swimsuit
Peyton Alexandra Hood
2008 – 2010
Our mission

To educate the public on the reality and danger of venomous snakes, and to provide resources that support related medical advancement.

The people who carry it
Founder
Tammy Reece
Exec. Director
Alyssa Cannedy
Antivenin Dir.
Cinda Cannedy

Everything on this page — every vial, every shelf, every classroom talk given for free on a Tuesday morning — begins with one small girl and one ordinary summer afternoon in Texas.

Peyton Alexandra Hood was born on the first of September, 2008. She was not quite two years old the last time her family saw her running, and by every account of the people who loved her she was exactly the child you are picturing: busy, funny, impossible to keep up with. The kind of small person who makes a room louder simply by arriving in it.

On the tenth of August, 2010, she was playing outside at her family's cabin by the lake. There was nothing unusual about the day. Somewhere in the grass near her was a Western Diamondback rattlesnake that had itself been born only days or weeks earlier — about ten inches long, with a smooth little button where an adult's rattle would be. It had no rattle yet. It could not have warned her, and it did not.

Nobody heard anything. Nobody did anything wrong. She was bitten on the ankle, and the clock started.

She was flown to Cook Children's Hospital in Fort Worth, because that was the nearest place equipped to treat a child that small, that quickly. Peyton died five hours after the bite. There is no arrangement of words that makes that all right, and this page is not going to try.

What happened next is the reason there is anything here at all. In the months afterward her aunt, Tammy Reece, did what grieving people sometimes do when there is nothing left to be done: she read. Everything she could find about rattlesnakes — how they live, why they strike, what the venom does inside a body and how doctors fight it. And somewhere deep in all of that reading she found something she had not gone looking for. The very thing that had taken Peyton was being studied, patiently and hopefully, for what it might one day give back to human medicine.

Grief, it turned out, had somewhere to go.

Peyton's Project was founded as a 501(c)(3) in March of 2014. In the beginning it was education — free talks, in classrooms and church halls and equipment yards, to anyone who would have them. Then came the harder question, the one nobody in Texoma had a good answer for: what happens when someone is bitten, forty minutes from the nearest small-town emergency room, and that hospital cannot afford to keep thousands of dollars of antivenin sitting on a shelf against a night that may never come?

In May of 2016 the Antivenin Program placed its first vials. Today nine rural hospitals across the region hold a full loading dose at all times, and the families who walk through those doors will almost certainly never know whose name is behind it. That is fine. That was always the point.

We cannot make those five hours any shorter for Peyton. We can make them shorter for somebody else's child, in a small hospital, on a night nobody saw coming.

That is the whole of it. Every vial on every shelf is there in her name.

Education

The cheapest antivenin is the bite that never happens.

Every program is free and built for the room it is given in — description, behavior and activity of rattlesnakes, then precautions and proper first aid. We tailor it by age and by industry, because a second-grade classroom and a road crew need very different versions of the same material. Each program runs 45 minutes to an hour.

Students & teachers Camp counselors Scout & camp groups TxDOT road crews Nurses & EMS Ranchers & landowners Utility & field workers
Research partner

National Natural Toxins Research Center

Peyton's Project supports venom research at Texas A&M University–Kingsville, where rattlesnake venom is studied for what it may one day give back to human medicine.

Focus
Venom collection, characterization and biomedical application
Role
Funding and public advocacy
The network

Nine shelves.
Never empty.

Stocked · 6 vials State of Texas

Every marker sits on the Red River country of North Texas — the Texoma region, where Peyton was bitten. Since May 2016 the Antivenin Program has kept a full loading dose within reach of each one.

Fig. 1 — Antivenin Program coverage
Why rural hospitals go without

The medicine exists.
The shelf space doesn't.

Antivenin is one of the most expensive drugs a small hospital can be asked to carry. It expires. It ties up capital. And in a county of four thousand people it may sit unused for a year — until the night it is the only thing standing between a child and a five-hour flight.

Per vial
$3,200
Approximate list price of one vial of CroFab®, the antivenin we stock.
× Loading dose
6
Minimum vials to begin treating one serious envenomation.
× Hospitals
9
Rural Texoma facilities in the program.
= Standing stock
$172,800
The shelf we keep filled, so no one has to choose.

We stock CroFab® (crotalidae polyvalent immune fab, ovine) from SERB Pharmaceuticals — FDA-approved for all North American pit viper envenomations in adult and pediatric patients, with a loading dose of four to six vials.

Since 2016

What a full shelf adds up to.

~100
Snakebite victims treated with antivenin we placed.
21+
Lives saved that we can directly account for.
7,000
Americans bitten by a venomous snake each year.
0
Dollars charged to the hospitals we supply.
Give

Put a vial on a shelf tonight.

Every dollar goes toward antivenin standing ready in a rural emergency room, and toward the education that keeps people out of one. Peyton's Project is a registered 501(c)(3) nonprofit — donations are tax-deductible.

$75
Funds a free safety program for a classroom, camp or work crew.
Most needed
$400
About an eighth of a vial. Eight donors put a full vial on a shelf.
$3,200
Sponsors a complete vial of antivenin in a rural hospital, in Peyton's name.

Annual Spurs & Pearls fundraiser · 11th year · Wichita Falls

Antivenin Program$400 = about an eighth of a vial
Donate