injuries poisoning
Insect Stings
Treatment of Insect Stings
Parenteralepinephrineand antihistamines for systemic allergic reactions Removal of any apid stingers Analgesics and antihistamines for local reactions Stingers, if present, should be removed as quickly as possible. Suggested methods include scraping with a thin dull edge (eg, edge of a credit card, dull side of a scalpel, thin table knife). Pain, burning, and itching can be reduced by placing an ice cube wrapped in a cloth over the sting as soon as possible and giving oral H1 blockers, nonsteroidal anti-inflammatory drugs (NSAIDs), or both. Other possibly effective local measures include topical lotions,lidocainepatches, eutectic mixture of local anesthetic cream, intradermal injection of 1%lidocaine(with or without 1:100,000epinephrine), and mid-potency corticosteroid creams or ointments (eg,triamcinolone0.1%). Most folk remedies (eg, application of meat tenderizer) are of limited effectiveness. Moderate allergic reactions are treated with IV antihistamines; Treatment is treated with parenteral People with known hypersensitivity to stings should carry a kit containing a prefilled syringe ofepinephrine. They should use it as soon as possible after a sting and seek medical care immediately. People who have a history of anaphylaxis or a known allergy to insect bites should wear identification such as an alert bracelet. 