While trying to reinstall an elderly neighbor’s gutter, Khalil inadvertently disturbed a wasp’s nest. Several wasps poured out and began to sting Khalil before he could get off the ladder to safety. When the EMR arrives to assess Khalil, she first asks if Khalil has ever had an allergic reaction to a wasp or bee sting. Khalil says that he has not, but he hasn’t experienced this many stings, either. The EMR wants to remove Khalil’s shirt to examine the areas that were stung. What is likely the FIRST thing the EMR will be looking for as she examines Khalil’s wounds?

She will be checking to see if there is a red rash beginning to spread from them.

She will look for any evidence of black, necrotic skin beginning to form.

She will look for any embedded stingers and use a stiff card to remove them.

She will be looking to see if Khalil has developed any small blisters.

1 answer

The first thing the EMR will likely be looking for as she examines Khalil's wounds is any embedded stingers and use a stiff card to remove them. This is crucial because if stingers are left in the skin, they can continue to release venom, potentially increasing the severity of the reaction. Removal of stingers is a priority in the management of insect stings.