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Objective: We
sought to review the management of scorpion stings in tertiary and secondary
care emergency departments in Oman and determine physician’s knowledge of
management protocols.
Methods: We
conducted a retrospective study of all scorpion stings cases seen in Sultan
Qaboos University Hospital (SQUH) emergency department (ED) from March 2016 to
July 2017. Additionally, we conducted a survey of ED physicians regarding their
management of scorpion stings in three different EDs including SQUH.
Results: The total
number of scorpion stings seen at SQUH during the study period was 128.
Localized pain was seen in 97.7% (n=125), swelling in 14.8% (n=19) and local
redness in 7.0% (n=9) of patients. Around 13.0% (n=17) of patients were found
to have systemic symptoms with tachycardia being the most common. Bedside
clotting test was done for 11.7% (n=15) of patients. The most commonly used
treatment was local anesthesia (54.7%, n=70). No patient received scorpion anti-venom.
In the 89 surveyed physicians the main management method used was analgesia
(88.8%, n=71) followed by local anesthesia (81.1%, n=65). Most physicians
(80.0%, n=64) believed that local anesthesia was the most effective management.
However, 32.5% (n=26) ordered a whole blood bedside clotting test, 69.2% (n=18)
of which were junior doctors.
Conclusion: Most
scorpion sting cases managed in SQUH had local symptoms. Tachycardia was the
most common systemic manifestation. Bedside clotting test was not commonly
ordered and mainly requested by junior doctors. Local anesthesia infiltration
is the recommended management.
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