Table 3.

Knowledge acquired during the meeting for validation of the snakebite envenoming care practice guideline according to the participants.

Knowledge Acquired	Participants’ Quotes
First aid	“[There was a] patient with a snakebite to the leg, but he already came with a tourniquet… we carried out the transfer to the hospital, but now we know. What I learned… avoid using a tourniquet…” (P4, nurse, Careiro da Várzea) “This conduct of using a tourniquet or not, whether it’s right or not… was a great help” (P7, nurse, Careiro da Várzea)
Diagnosis of the type of SBE	“To find out more about the type of snake, to differentiate… and what type it could be and what type of snakes there are in our Amazon… Bothrops, which is practically the one with the highest percentage” (P4, nurse, Careiro da Várzea) “I think that the difference between Bothrops and Lachesis. That was very clear to me…” (P5, nurse, Careiro da Várzea) “Knowing how to differentiate between snakes, in order to give the correct antivenom” (P6, doctor, Boa Vista do Ramos)
Prevention and treatment of early adverse reactions	“Pre-medication, which nowadays no longer uses injectable promethazine. You know? That’s what helped me.” (P4, nurse, Careiro da Várzea) “The patient had a reaction… and we stopped the antivenom. When we know that the patient has stabilized, he has to continue with the antivenom again until complete… but the antivenom had already been discarded” (P21, nurse, Ipixuna) “And, if there is a reaction, we can stop giving the antivenom and do it again. And, if [the patient] is having an allergic reaction, what can you use, what can you do with the antivenom, if it continues or if it stops, so we learn what we can do with an adrenaline shot, if you have an anaphylactic reaction, urticaria and continue with the antivenom again” (P25, doctor, Bos Vista do Ramos)
Wound care	“Antibiotics, as I’m a doctor in a rural area… I would probably give the antibiotics at the beginning, now I know I shouldn’t.” (P2, doctor, Careiro da Várzea) “I’ll have a different view that I didn’t have before, evaluate the injury of this one. Does he have edema? Do he look flushed? Is he hot? Is there bleeding? Things that could have gone unnoticed before.” (P24, nurse, Boa Vista do Ramos)
Patient follow-up	“See if the patient has evolved, if they need to be reclassified, if they need to receive more antivenom again. This is also something I will use in my professional life” (P21, nurse, Ipixuna)
Case reporting	“The knowledge we acquired here was very great, when I saw the snakes and I couldn’t identify them, so I had difficulty filling out the notification form, because it asks for the amount of antivenom… so this here opened up our minds a lot…” (P16, nurse, Careiro da Várzea)