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Cyberschool Creators: Kevin Baumlin, MD & Michael Bessette, MD
Module Author: Edward Mintz, MD
Web Authors: Carol Lewis & Marcy Wang
| You are working in the pediatric emergency room when a mother races in holding her four-year old son screaming, "Get them away! Get them away!" The mother reports that her son was climbing in Central Park and apparently disturbed a bee hive, and that he subsequently sustained multiple bee stings. The mother was stung several times as well. The child is motionless and appears to be gasping for air. The mother, too, is wheezing. You notice that the child has been stung multiple times in the face and neck and that at least 10 stingers remain embedded. |
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1. |
What emergent management is indicated for the child? What are the physiological responses to multiple bee stings? |
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2. |
Assuming the child weighs 20 kg, approximately how many stings would likely be fatal? |
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3. |
Should the stingers be removed? If so, how? |
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4. |
How should the mother be treated? |
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5. |
If the mother has an anaphylactic reaction (shock, hypotension, coma), is treated and survives, what should be done with regard to her future care? |
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6. |
What are the contents of honey bee venom? |
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