When Critters Bite and Sting: Management of Envenomations

Environmental emergencies involving envenomations pose unique challenges for air medical and critical care transport providers. Bites and stings from various species—including hymenoptera (bees, wasps, and ants), venomous spiders, scorpions, snakes, and aquatic creatures—can lead to a wide range of clinical presentations, from mild localized reactions to life-threatening systemic toxicity. Given the rarity of some envenomations, many emergency providers have limited hands-on experience in their management, making rapid recognition and intervention essential.
This presentation will provide a comprehensive review of common and uncommon envenomations, emphasizing their pathophysiology, clinical manifestations, and potential complications such as anaphylaxis, neurotoxicity, coagulopathies, and organ failure. Special considerations for medical transport—such as airway management, hemodynamic stabilization, and antivenin administration will be discussed. Participants will also review the latest evidence-based treatment guidelines and best practices to enhance patient outcomes in transport settings. Case studies will illustrate key management principles, equipping attendees with the knowledge and confidence to handle envenomations effectively in transport settings.