Stinger Removal
Immediate removal is the most important principle; the method of removal is irrelevant
Local wound care and tetanus prophylaxis
Oral Antihistamines provide symptom relief for pruritus
Immediate removal is the most important principle; the method of removal is irrelevant
Ice packs diminish swelling and delays absorption of venom
NSAIDs and antihistamines for comfort
Infection is uncommon, but may present as ongoing swelling or cellulitis
Treat similar to anaphylaxis
Hymenoptera stings
Hymenoptera stings 
Sea wasp sting
Mammalian bites
Lizard bites
Closed fist infection 
Caustic cocktail
Dog bite