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Last bite guide line

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Do you mean guidelines for a last bite exposure (for example, dog/cat bite and rabies prevention), or something else? Please specify the context.

No I mean guide line for snake and scorpion bees or any insects

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WHO snakebite envenoming first aid recommendations pressure immobilization scorpion sting bee sting anaphylaxis

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snakebite envenoming AND first aid

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Reading Web Page

https://www.redcross.org/take-a-class/resources/guidelines

First-aid guide: snakebite, scorpion sting, and bee/wasp/insect stings

Call emergency services immediately if there is:

  • Trouble breathing, wheeze, throat or tongue swelling, fainting, confusion, blue lips, collapse, or repeated vomiting
  • A suspected venomous snakebite
  • A scorpion sting in a young child, or any scorpion sting with whole-body symptoms
  • Many bee/wasp stings, especially in a child or older adult
  • A sting/bite in the eye, mouth, or throat

1. Snakebite

  1. Move away from the snake. Do not try to catch, kill, or handle it.
  2. Keep the person calm, still, and lying or sitting down.
  3. Remove rings, watches, tight shoes, or clothing from the bitten limb before swelling starts.
  4. Keep the bitten arm or leg still with a splint if possible. Get to a hospital urgently.
  5. If safe, take a photo from a distance for identification. Do not delay transport.
Do not:
  • Apply a tourniquet
  • Cut the wound or suck venom out
  • Apply ice, electric shock, herbs, chemicals, or tight bandages
  • Give alcohol or make the person walk/run
Pressure-immobilization bandaging has different recommendations depending on the snake species and country. It should only be used if a trained local health authority specifically recommends it, because it can worsen tissue injury with some snake venoms. Prompt hospital treatment and antivenom when indicated are what matter most. CDC travel guidance and Red Cross snakebite guidance advise immobilization and avoiding harmful traditional measures.

2. Scorpion sting

  1. Wash gently with soap and water.
  2. Apply a cold pack wrapped in cloth for 10 minutes on, then 10 minutes off.
  3. Rest the limb and use usual over-the-counter pain medicine if it is safe for that person.
  4. Seek urgent care for severe pain, numbness spreading away from the site, muscle twitching/spasms, abnormal eye movements, drooling, vomiting, sweating, agitation, dizziness, or breathing difficulty.
Children are more likely to become seriously ill from dangerous scorpion species. CDC guidance notes that severe cases may require hospital monitoring and antivenom where available.

3. Bee, wasp, hornet, or ant sting

  1. If a bee stinger is visible, remove it promptly by scraping it sideways with a card or fingernail. Do not spend time trying to remove it perfectly.
  2. Wash with soap and water.
  3. Apply a wrapped cold pack.
  4. For local itching/pain, an oral antihistamine, simple pain medicine, or a mild topical steroid may help if normally safe for the person.
For anaphylaxis:
  • Use the person’s prescribed epinephrine/adrenaline auto-injector immediately.
  • Call emergency services even if they feel better after the injection.
  • Lay them flat with legs raised if tolerated. If breathing is difficult, let them sit up.
  • If they become unresponsive and are not breathing normally, begin CPR if trained.
People with previous severe reactions to insect stings should carry epinephrine and seek medical care immediately after using it. Red Cross insect-sting guidance supports prompt stinger removal, cleaning, cold packs, and immediate epinephrine for anaphylaxis.

Prevention

  • Wear shoes outdoors, especially at night.
  • Shake out shoes, clothes, towels, and bedding in scorpion or snake areas.
  • Avoid putting hands into holes, rocks, woodpiles, or long grass without checking.
  • Keep food and sweet drinks covered outdoors to reduce wasp/bee exposure.
If this has just happened, tell me the animal, when and where it happened, the person’s age, and their current symptoms.
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