Page 232 - ATP-P 11th Ed

Arthropod (Spider)
1. Black Widow (Red hour glass on back)
a. SIGNS AND SYMPTOMS
i. Pinching bite followed by local swelling
and burning
ii. Large muscle group spasms/tremors
iii. Abdominal pain and/or rigidity within 60min
iv. Nausea and vomiting
SECTION 2 vi. Hypertension
v. Diaphoresis
vii. Tachycardia
b. MANAGEMENT
i. Treat per Pain Management Protocol (narcotic analgesia).
ii. Diazepam (Valium ) 2–10mg PO q6–8hr or 5–10mg IV/IM for relief of
®
muscle spasm
iii. Diphenhydramine (Benadryl ) 25–50mg q6hr prn PO/IV
®
2. Brown Recluse (notice violin shape on back)

a. SIGNS AND SYMPTOMS
i. Local pain and ulceration at site within 2–8
hours with surrounding erythema
ii. Hemorrhagic vesicle progressing to slowly
enlarging eschar
iii. Fever, chills, nausea, joint pain
b. MANAGEMENT
i. Elevate bite site.

222 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 223