Dear Editor,Sir, we would like to discuss on the report on “Predictors of mortality in poisonous snake bite.[1]” Chaudhari et al., reported that “mortality in patients with snake bite can be predicted by simple variables like presence of bleeding tendencies, respiratory failure, and shock.[1]” In fact, there is a similar report on this topic from India by David et al.[2] In the study by David et al., another interesting factor that is not mentioned by Chaudhari et al., is the “pre-hospital delay.[2]” In fact, as an acute disease, the early diagnosis and prompt treatment is the key principle for management of poisonous snake bite. Finally, it should be noted that the skill of medical care provider in management of poisonous snake bite is another possible factor to be addressed. According to a report from Thailand, a country with high incidence of poisonous snake bite, “training programs on appropriate management of snakebites for the medical and paramedical[3]” was necessary to reduce the mortality.