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A 10 year boy was out hiking with his family, several feet ahead of everyone else. He heard a rattle, felt a sharp pain in his leg, and may have seen a snake slither away into the underbrush. He is brought to the ED 40 minutes after the event. On exam, his vitals are normal, and he has a bite mark with 2 punctures on his right calf. There is no surrounding swelling or discoloration, and the compartments are soft. He complains of pain, but no paresthesias.