Scorpions

Definition:
Poisoning due to a sting of a scorpion.

Poisonous Ingredient:
  • scorpion venom
Where Found:
  • scorpions
  • related species
Most varieties of North American scorpions are nonpoisonous. The poisonous ones in the U.S. live mainly in the southwestern deserts.
Symptoms:
mild case:
  • body as a whole
    • mild tingling or burning at site of sting
severe case:
Home Treatment:
Most stings from North American scorpions do not require treatment. Children 6 years and younger are more susceptible to the toxic effects of the poisonous varieties.

Place ice (wrapped in a washcloth or other suitable covering) on the site of the sting for 10 minutes and then off for 10 minutes. Repeat this process. Immobilize the affected limb. If patient has circulatory problems, decrease the time to prevent possible damage to the skin.

Keep the patient still.
Before Calling Emergency:
Determine the following information:
  • the patient's age, weight, and condition
  • identification of the insect if possible
  • the time stung
Poison Control, or a local emergency number:
They will instruct you if it is necessary to take the patient to the hospital. See Poison Control centers for telephone numbers and addresses.

If possible, bring the insect to the emergency room for identification.
What to expect at the emergency room:
Some or all of the following procedures may be performed:
  • Give an antiserum.
  • Open and maintain the airway if needed.
  • Treat the symptoms.
Expectations (prognosis):
Death rarely occurs in patients older than 6 years. If symptoms rapidly become worse within the first 2 to 4 hours after the sting, a poor outcome is indicated. Symptoms usually last 24 to 48 hours. Some deaths have occurred as late as 4 days after the sting.

Review Date: 1/18/2002
Reviewed By: Victoria Kennedy, RN, A.D.A.M. editorial.
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