Envenomation/Zoonotic Injury

Question 1

How many hymenoptera (bee) stings are required to kill a non-allergic adult?

Answer 1

Approximately 500 stings.

Treatment of less includes antihistamines, stinger removal, and cool compresses.

Question 2

A patient comes into you complaining of a spider bite. They have a large area of erythema with a central necrosis and a clear abscess below it. What is the likely diagnosis of this patient?

Answer 2

MRSA or Staph infection.

This may or may not have been bit by a spider at all.

Question 3

With any spider bite, what prophylactic treatment should be completed in association with their other treatment?

Answer 3

Tetanus ppx.

Question 4

What spider is able to throw urticating hairs toward your eyes causing keratoconjunctivitis?

Answer 4

Tarantulas.

Question 5

What is the best way to prevent a brown bear attack?

Answer 5

Do not look in the eyes
No sudden movements
Do not act aggressively
Stand your ground but be submissive
Get in the fetal position, protect your neck
Protect your face if on your back.

Question 6

How should you respond to black bear attack?

Answer 6

Fight, yell, scream, kick. This bear has lost its fear of humans and sees you as a meal.

Question 7

What should be done for a patient with a pit viper snake bite?

Answer 7

NO Oral Suction, Bleeding/cutting, tourniquet placement.
Get the patient to a higher echelon of care. In the interim the wound should be marked and cleaned, remove constrictive clothing/jewelry, take VS.

Question 8

What is the rule for coral snakes vs. King snakes

Answer 8

Red on Black, venom lack (meaning black/red/black stripes are king/milk snakes).
Red on Yellow, kill a fellow (meaning yellow/red/yellow stripes are coral snakes).

Question 9

How long should you watch a patient with a venomous snake bite in the field to see if they are part of the 1/5 that have a dry bite.

Answer 9

DO NOT WAIT.

Send to higher echelon of care. Let them figure it out.