Snake bites

The signs of—and treatment for—snake bites.

The vast majority of snake bites are not venomous. They may hurt, but they are not going to kill you.

No snake actually wants to bite you. You are way too big to eat. They bite only to defend themselves if provoked, surprised, or disturbed—so avoid doing that.

Venomous snakes in the U.S.

There are only four common venomous snakes in North America, and only three in our area and the regions we usually hike (the Mid-Atlantic and Northeast U.S.).

Eastern rattlesnake (timber rattlesnake)

Everyone on the Black Forest Trail summer hike is intimately familiar with these. They can grow about 3–4 feet long on average and have the longest fangs and most powerful venom of any North American rattlesnake.

Luckily, they have a built-in rattle warning system, so you usually hear them before you see them—and they rattle and feint a long time before they actually bite, so they are among the easiest to avoid or back away from.

Our Eastern rattlers are generally thicker and darker than the classic Western rattler you see in movies. They vary a lot, but often have a wedge-shaped head and yellowish or gray scales interrupted by bands of darker scales that undulate thick and thin (some look like rounded, butterfly-like blobs). Those darker bands are often “outlined” by lighter scales. The ones in Pennsylvania often have black tails. And yes: there is a rattle at the end of the tail.

Copperhead

These worry me the most: mottled browns, tans, blacks, and reddish-browns blend in with fallen leaves on purpose, because that is where these ambush predators wait for mice and small rodents.

I once almost stepped on one, coiled in leaves in the middle of a trail on a Scout trip—not deep in the woods, but at the trailhead along Tohickon Creek by the parking lot in Point Pleasant, Bucks County, where we often go for water crossings and rock climbing day trips.

The copperhead’s venom is among the weakest of our local pit vipers, and they may strike with little or no venom first if disturbed.

Water moccasin / cottonmouth

Two names for the same snake: one hints at habitat (around water), the other at its threat display. When threatened it may vibrate the tip of its tail, rear up, open its mouth to show a bright white lining, and hiss. That is your signal to give it space.

Like the copperhead, it is a pit viper. It ranges across much of the southeastern U.S., from Virginia to Florida and from southern Illinois and Indiana to Texas. (I had a memorable encounter while river tubing in the Great Smoky Mountains of Tennessee.)

Cottonmouths are large—often about 2.5 to over 6 feet—and thick-bodied, and they swim well. Color is variable: many look mostly dark or black-on-black when wet or in shade; others are lighter sandy tans and browns.

Coral snake

Most common in the American Southeast (the Carolinas through Florida and Louisiana), Texas, and Arizona. Related species in Texas, Arkansas, and Arizona look similar enough that the same caution applies when we travel there.

A New World coral snake has a distinct banded pattern: wide red, thin yellow, wide black, thin yellow, repeating. The yellow may read as yellow-orange.

Harmless mimics can look similar, but they do not show red bands touching yellow bands. (For example, kingsnakes and scarlet snakes follow different band orders.) You still do not want any snake to bite you, so give all of them a wide berth.

How to avoid snake bite

  • Do not annoy a snake. A large share of bites happen to people who intentionally mess with the snake. Admire from a distance, use zoom for photos, make noise or detour with a wide berth.
  • Most snakes would rather leave than bite. Give them room to do so.
  • Wear high-cut hiking boots; sturdy material helps protect your ankles.
  • Stay on the trail. Snakes sun on trails too, but you can see them more easily than in tall grass or ferns.
  • Make noise while hiking. Boots create vibrations snakes notice. In heavy snake country, a staff or walking stick and an occasional thump on the ground ahead of you helps.
  • Watch your feet, especially near logs and big rocks. Step on logs and rocks, not over them, when you can; probe hidden spots with a stick first so anything there strikes the stick, not your ankle.
  • Watch your hands when climbing. Snakes may sun on ledges and boulders; test holds before you weight them.
  • Do not flip big rocks; snakes rest underneath, and Leave No Trace discourages moving rocks except for things like an established fire ring.
  • Snakes are often more active at dawn, dusk, and night—but rattlers can show up at noon, too.
  • Snakes brumate in cold weather; winter hiking has that going for it.
  • After a packs-off break, look before you lift a pack off the ground. Rattlesnakes have been found curled against warm gear.

Signs of snake bite

  • You usually know you were bitten: sudden contact and pain at the site.
  • Twin puncture wounds suggest a fanged snake. If swelling, discoloration, or pain out of proportion to a small puncture develops, treat it as potentially venomous and stay as calm as you can.

How to treat snake bites

Do not

  • Do not try to suck out venom. It does not remove venom already moving in tissue and blood, and it contaminates the wound.
  • Do not apply a tourniquet. It does not stop venom that is already circulating and can cause severe limb injury.
  • Do not apply ice or a cold pack to “slow venom.” It can harm tissue and does not replace antivenom.
  • Do not rely on commercial “snake bite kits” that encourage cutting, sucking, or other outdated steps.
  • Do not use caffeine or alcohol; they can add stress and poor judgment.

Do

  • Remain calm. A slower heart rate generally means slower spread of venom.
  • Move away from the snake far enough that it cannot strike again (about 20–30 feet is plenty).
  • If you suspect a venomous snake, call 911 (or the local emergency number). Antivenom and supportive care require professionals.
  • Remember colors and pattern, or take a photo from a safe distance. Do not try to catch the snake.
  • Remove rings, watches, and tight clothing on the affected limb; swelling can be dramatic, especially with some rattlesnake bites.
  • Keep the bitten extremity at or below heart level when practical; avoid lying flat if that raises the bite above your heart.
  • Mark the edge of swelling or bruising with a pen every 15 minutes so clinicians can judge progression. Note times of dizziness, odd tastes, nausea, or other symptoms.
  • If you are certain the snake was non-venomous, still clean the punctures, cover with a dry bandage, rest, and watch for swelling, spreading color, or worsening pain that would change the plan.
  • Do not flush the wound aggressively; gentle cleaning and a dry dressing are enough while you wait for help.
  • If you are far from cell service, evacuate the victim calmly if possible; if they must walk, go slowly while others carry the pack. Call 911 as soon as you have signal and follow dispatcher instructions.

Many venomous bites are “dry” (no venom injected) or inject only a small amount. That is not a reason to skip medical care if venom is possible, but it is a reason not to panic: staying calm and still is one of the best things you can do.