The patient was treated for ARDS and made a slow recovery, spending 10 days in ICU. This was despite antivenom which was given in the emergency department 1 hour after the bite.

Tiger snake envenomation can cause ¹:

• consumptive coagulopathy (VICC, venom-induced consumptive coagulopathy) which is the most common effect
• myotoxicity
• neurotoxicity

ARDS in this case is probably multifactorial due to all these effects (at least this is what was hypothesized by the ICU physicians and toxicologists).