[Proposal for wound pinching of viper bites]

Wound pinching is suggested as a first aid measure for viper bites, the intention being to prevent absorption of the cutaneous component of the poison. This procedure is most indicated in bites in regions of the body where it is not possible to apply a tourniquet (trunk, abdomen, neck, face). It can also be useful in wounds to the extremities as a complement to the tourniquet. Finally, in all wounds, it offers the best conditions for cutting, scarification of the wound and perifocal infiltrative treatment with anti-ophidic serum.