Section 8. The Acutely Ill Infant and Child >
Part 3. Injuries and Untoward Events >
Chapter 122. Poisonous Bites and StingsDee Hodge, III and Carl R. Baum
Topics Discussed: acute illness; bites and stings.
Sections: Aquatic Stings, Phylum Coelenterata (Cnidaria), Phylum Echinodermata, Phylum Chordata, Terrestrial Bites and Stings, Phylum Chordata, References.
Excerpt:"Although a large proportion of the morbidity and mortality from
bites and stings occurs in the pediatric age group, there are surprisingly
few studies dealing with their diagnosis and treatment in children.
As with other injuries, the immediate care of a child suspected
of having suffered from an animal bite or sting should start with
a rapid evaluation of vital signs, followed by a more detailed assessment
of the local signs, including the size and appearance of fang or
sting marks, pain, swelling, and color of surrounding skin. Any
further investigation of the source of the injury should not result in
overlooking the administration of tetanus prophylaxis when appropriate,
or in delaying symptomatic treatment of pain and itching. Frequently,
a period of observation is necessary to define the seriousness of
the injury, particularly when it is not clear whether the causing
animal is venomous...."
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