If stung by a scorpion, follow these steps for initial care and when to seek medical help:

Immediate Actions

• Clean the wound thoroughly with mild soap and water to reduce infection risk

• Apply a cool compress or cold pack (wrapped in a cloth) to the sting site for 10 to 20 minutes to reduce pain and swelling; avoid direct ice on skin

• Elevate the affected limb if stung on an arm or leg to help reduce swelling and discomfort

• Take over-the-counter pain relievers such as ibuprofen or acetaminophen to manage pain

• Use antihistamines or topical creams like hydrocortisone 1% or calamine lotion to ease itching and swelling if needed

What to Avoid

• Do not apply ice directly on the skin as it may worsen pain after removal

• Do not cut the wound or try to suck out venom

• Do not use sedatives or medicines to induce sleep or calm anxiety without medical advice

• Do not try to catch or trap the scorpion; if indoors, kill and dispose of it safely

When to Seek Medical Attention

• Call emergency services (911) or Poison Control (1-800-222-1222) if you experience:
  • Difficulty breathing or swallowing
  • Muscle jerking, spasms, or twitching
  • Excessive drooling
  • Swelling of face or throat
  • Chest pain or unconsciousness
  • Severe allergic reactions such as hives

• Children under 5 years old or those with severe symptoms should be evaluated promptly, as they are at higher risk for serious complications and may require antivenom treatment

• If symptoms worsen or spread beyond the sting area, or if the last tetanus shot was more than 10 years ago, consult a healthcare provider

Medical Treatments

• Most North American scorpion stings cause mild symptoms and require only supportive care

• Severe symptoms from venomous species like the bark scorpion may require hospital treatment with sedatives, medications to control blood pressure, and antivenom

• Antivenom is available in the U.S. and used for severe cases, especially in children

In summary, clean and cool the sting site, manage pain with OTC medications, monitor symptoms closely, and seek emergency care if serious symptoms develop or in young children