Insect Bite/Sting First Aid: Infection Prevention and Venom Removal

1. Wash: Soap + cool water; gentle cleanse.
2. Cold compress: Ice pack (cloth barrier) 10 min on/off → reduces swelling/pain/itch.
3. Remove stinger: Scrape laterally (credit card) or tweezers—don't squeeze venom sac.
4. Baking soda paste: Neutralizes acidic venom; relieves itch.
5. Calamine lotion: Soothes, dries weeping.
6. Hydrocortisone 1% cream: Reduces inflammation/itch.
7. Oral antihistamine: Diphenhydramine or cetirizine for systemic reaction.
8. Monitor for infection: Increasing redness, warmth, pus, fever → seek care.
9. Don't scratch: Prevents secondary infection.
10. Emergency signs: Difficulty breathing, throat swelling, dizziness, widespread hives → call 911 (anaphylaxis).