TY - CHAP M1 - Book, Section TI - Chapter 122. Poisonous Bites and Stings A1 - Hodge, III, Dee A1 - Baum, Carl R. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - 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. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/13 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6722326 ER -