Treatment at a facility that is capable of treating an envenomation includes keeping the patient calm and trying to lower his heart rate while marking the swelling and recording the time on the patients arm to see how fast the swelling is occurring, an Iv should be established so that the medications can be administered. The administration of Crotalidae Polyvalent Immune Fab (Ovine) is the medication that should be administered, the medication has to be reconstituted, and the initial does is 4-6 vials for adult and pediatric patient’s with the start of the medication being infused over 60 minutes, proceeding slowly over the first 10 minutes at a 25 to 50ml/hr with careful observation for any allergic reaction. If the patient does not have