Outcomes and assessments
envenoming, AV adverse reactions
SECONDARY
The pre- and post-tests of pre-structured multiple-choice questionnaires (MCQ) were evaluated to check the knowledge gained at the beginning and end of the teaching session, respectively.The primary outcomes were the post-interventional improvement of documentation in the hospital records (BHT), the number of appropriate transfers, and overall patient management graded by an expert clinician who was blinded to the study randomization.Overall patient management was comprised of the accuracy of identification of offending snakes, evidence of envenoming, indication for antivenom (AV) therapy, regimen and dose of AV therapy, and management of AV adverse reactions. The secondary outcomes of mortality at different levels and the audit of morbidity in transferred cases were evaluated at referral hospitals.