b'ChapterHow to RecogniseImmediate pain varying in intensity from mild irritation to severe sharp or burning pain. Visible welts (raised red markings) or a frosted ladder pattern on the skin (Common Jellyfish).Redness and localised swelling around the bite site.Later blistering or darkening of the sting pattern (Common Jellyfish).Tentacles may be stuck to the skin (Common Jellyfish).Abdominal pain and vomiting (allergic reaction to insect venom).Generalised muscle pain.Pain in the lymph nodes in groin or armpits may develop.Severe muscle cramps in the limbs, chest and abdomen (Common Jellyfish).How to ManageApply a cold compress (crushed ice wrapped up in a wet cloth) over and around the affectedarea as soon as possible. This will help relieve pain and reduce inflammation or swelling. Be careful not to burn the skin. Elevate the affected limb to help reduce swelling.Reassure and comfort the patient.Be alert for any signs of severe allergic reaction. If patient shows signs of severe allergic reaction,manage for Anaphylaxis(refer to page 184) . Closely monitor patient for response, airway, normal breathing while waiting for Ambulance.Seek medical help if strung on the face or tongue.Specific Management Bee StingScrape the sting out sideways with a fingernail or similar mechanism.(This will avoid squeezing the venom sac.)White Tail SpiderWash the area thoroughly with soap and water because the venom generallycontains a large amount of bacteria.160 Bites and Stings'