I'm pretty sure paramedics can administer AV, especially in a circumstance where immediate infusion of the medicine (like this one) is neccesary.

In cases where a private keepers stocks their own AV, paramedics can (and are legally bound to do so) help you administer your own AV before you even get to the hospital.

Mixing up AV and infusing it into a patient is not something beyond the realm of capabilities for a paramedic to perform...as long as they know to watch for allergic reaction (which they are obviously trained to recognize and treat as well), there is no real risk to administering antivenin on site without a doctor present.

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