Bites & Stings; Poisons/Toxins; Near Drownings EMT 100
Poison = Toxin = Venom
Reaction depends on three things: Type of poison,toxin or venom Time lapse before onset of signs & symptoms Size of person in relation to amount of poison
Bites and Stings: Immediate = reaction which may include anaphylaxis Long term = infection
Bees, Wasps, Hornets, and Yellow Jackets
Signs & Symptoms Pain Redness Swelling Itching N & V Anaphylaxis Infection
Treatment If bee sting, remove stinger by scraping out with knife edge or credit card Don’t grab with tweezers! Clean Ice pack Ammonia solution, baking soda paste, meat tenderizer Treat anaphylaxis Watch for infection
Black Widow Spider
Signs/Symptoms Treatment Pain, redness, swelling N &V Fever chills Achy muscles & joints Abdominal cramps & diarrhea Rarely anaphylaxis Clean Ice pack Ammonia, Baking soda paste, meat tenderizer Watch for anaphylaxis (rare) Watch for infection
Brown Recluse (Violin) Spider
Brown Recluse Signs & Symptoms Very painful Red and swollen N & V Fever & chills Abdominal cramps & diarrhea Rarely anaphylaxis Necrosis (very common)
Brown Recluse Treatment Clean Do NOT Ice! Ammonia, Baking soda paste, meat tenderizer Watch for anaphylaxis Watch for necrosis & infection
Tarantula
Signs/Symptoms Treatment Pain Redness Swelling Itching Rarely anaphylaxis Clean Ice Watch for anaphylaxis Watch for infection
Ticks Ticks carry Rocky Mountain Spotted Fever and Lyme Disease
Tick Treatment Remove by pulling with tweezers parallel to skin surface Clean and Ice Ammonia, Baking soda paste, Meat tenderizer Watch for anaphylaxis (rare) Watch for infection
Rattlesnake
Signs & Symptoms Pain Swelling Bruising N & V Weakness
Treatment Keep victim calm Clean but NO ICE! Transport immediately if within an hour and a half of medical care If more than an hour and a half from care, may try to evacuate wound
Jellyfish Painful, red and swollen welts Anaphylaxis rare Vinegar is best! Watch for infection
Stingrays, Urchins, Anemones (barbs or spines) Pain, red, swelling, itching Best to flush with hot water ( F) Watch for infection Anaphylaxis rare
POISON IVY,OAK, & SUMAC
Signs & Symptoms Red and itchy May progress to “blisters” Possible anaphylaxis Infection May need calamine lotion and/or hot baths/showers Physician may need to prescribe steroids and/or antibiotics
Ingested Poisons
Treatment If unconscious: Activate EMS ABC’s If conscious: Call Poison Control Dilute? Syrup of Ipecac? Activated charcoal? EMS?
Inhaled Poison Carbon Monoxide Fresh air ABCs EMS
Near Drowning - Conscious
Near Drowning - Unconscious
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