$Unique_ID{PAR00282} $Pretitle{} $Title{Emergency First Aid: BITES AND STINGS: Bee Stings} $Subtitle{} $Author{ Editors of Consumer Guide Siegfried, Donna M} $Subject{BITES STINGS Bee Sting allergic reaction allergy reactions stinger stingers skin redness inflammation inflamed swell swells swelling pain burning itch itching swollen lips tongue ears uneasiness agitation red face hives prickling ear throbbing ringing sneeze sneezing cough coughing breathing difficulty nausea nauseated vomit vomits vomiting dizzy dizziness bladder bowel control loss convulsion convulsions pulse cold clammy pale skin unresponsive unresponsiveness MOUTH-TO-MOUTH RESUSCITATION anaphylaxis kit epinephrine} $Log{ With Signs of Allergic Reaction: Step 5*0028201.tif With Signs of Allergic Reaction: Step 9*0028202.tif Without Signs of Allergic Reaction: Step 2*0028203.tif} The New Parents' Question & Answer Book BITES AND STINGS: Bee Stings CAUSE A bee sting generally causes local pain and irritation. In a susceptible child, however, a bee sting that penetrates the skin can lead to a serious allergic reaction within minutes. SIGNS AND SYMPTOMS - stinger protruding from the skin - redness, inflammation - localized swelling and pain - burning and itching sensations A Severely Allergic Child May Also Experience: - swollen lips, tongue, or ears - uneasiness or agitation - red face - hives - prickling and itching sensations in the skin - throbbing or ringing in the ears - sneezing, coughing, or breathing difficulty - nausea or vomiting - dizziness - loss of bladder and bowel control - convulsions - weak, rapid pulse (more than 100 beats per minute) - cold, clammy, pale skin - unresponsiveness WITHOUT IMMEDIATE MEDICAL TREATMENT FOR ALLERGIC REACTION, CHILD MAY DIE. EMERGENCY TREATMENT If Signs of Allergic Reaction Develop: 1. SEEK MEDICAL ASSISTANCE AT THE FIRST SIGN OF ALLERGIC REACTION. Call 911 or operator. Until Ambulance Arrives: 2. Check child's breathing. If breathing stops, see MOUTH-TO-MOUTH RESUSCITATION (previous section). 3. If anaphylaxis kit containing epinephrine is available, follow directions for use. 4. Have child lie down; if shortness of breath occurs, have child sit up. 5. Keep child's airway open by tilting child's head back: a) Kneel by child's side and place one of your hands on child's forehead. Gently tilt child's head back. b) Place fingers of your other hand on bony part of child's chin--not on throat. c) Gently lift child's chin straight up without closing child's mouth. 6. Carefully remove stinger from skin by flicking it with thumb and forefinger. DO NOT squeeze stinger. 7. Wash area gently with soap and water. 8. Observe for shock. See SHOCK (later section). 9. Cover child lightly with blanket. If No Signs of Allergic Reaction Appear: 1. Carefully remove stinger from skin by flicking it with thumb and forefinger. DO NOT squeeze stinger. 2. Wash area gently with soap and water. 3. Apply ice pack wrapped in clean cloth to area of sting to relieve pain and swelling. 4. Place stung area lower than level of heart to slow spread of venom.