Page 233 - ATP-P 11th Ed

ii. Avoid strenuous activity.
iii. Treat per Pain Management Protocol (narcotic analgesia).
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iv. Diphenhydramine (Benadryl ) 25–50mg q6hr prn PO/IV
v. Use an antibiotic appropriate for MRSA if cellulitis exists.
Scorpion Envenomations Protocol
Signs and Symptoms
1. Local pain, swelling, and erythema
2. Nausea and vomiting SECTION 2
3. Paresthesias
4. Tongue fasciculations
5. Sympathetic (tachycardia, hypertension, hyperthermia) or parasympathetic (hypoten-
sion, bradycardia, hypersalivation, incontinence) overdrive at develop
6. Seizures
7. Agitation
8. Blurry vision/Rotary eye movements
Management
1. Treat per Pain Management Protocol.
2. Treat per Nausea and Vomiting Protocol.
3. Apply ice packs to bite site.
4. Provide supportive care as necessary.
5. Diphenhydramine (Benadryl ) 25–50mg q6hr prn PO/IV
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Disposition
1. Urgent evacuation for development of abdominal rigidity.
2. Urgent evacuation for development of systemic signs.
3. Urgent evacuation for anaphylaxis.
4. Routine evacuation for tissue necrosis of brown recluse bite.
5. Evacuation typically not required for localized insect stings and scorpion bites.

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