Score on the Disabilities of the Arm, Shoulder, and Hand (DASH) outcome measure [15,16]. The range of possible scores is 0 – 100. Higher scores indicate more disability. Evaluation limited to subjects with upper extremity envenomation (n = 10). The day of envenomation is Day 0. Use of “look back” questioning to establish pre-injury baseline has not been previously validated for the DASH.