More deaths have occurred in Arizona from scorpion sting than from the bites and stings of all other creatures combined. It is apparent that scorpions are dangerous, that all persons should be informed regarding them, and that details of first-aid treatment should be common knowledge.

In some parts of the South, scorpions are called “stinging lizards.” This is unfortunate because it has caused many people to think of lizards as poisonous and capable of stinging.

Not all scorpions are deadly. Danger from the two deadly species (one shown above) which look so much alike that only an expert can tell them apart, is greatest to children under 4 years of age. Unless prompt action is taken small children might succumb to the poison from a single sting from an individual of either of the deadly species. Older children may die from the effect of several stings, and adults, especially those in poor health, may suffer serious injuries.

Of the more than 20 species of scorpions recorded in Arizona where detailed studies have been made, the two deadly forms have been found only across the southern portion of the State and in the bottom of Grand Canyon. As far as is now known, no other deadly species occur in the Southwest, except in Mexico where there are several.

It is important, then, that all persons should recognize the deadly species. Study the photograph. Note that the deadly species (left) is about 2 inches in length, is straw colored, and that its entire body, especially the joints of the legs, pincers, and “tail,” are long and slender. It has a streamlined appearance. This is in contrast with the stubby or chunky appearance of the many non-deadly species.

Scorpions sting, they do not bite. The pincers at the head end of the body are for the purpose of holding the prey, which consists primarily of soft-bodied insects, while the scorpion tears it to pieces with its jaws.

The sting is located at the extremity of the “tail” and consists of a very sharp, curved tip attached to a bulbous organ containing the poison-secreting glands and poison reservoir. The sting is driven into the flesh of the victim by means of a quick, spring-like flick of the “tail.” Muscular pressure forces the poison into the wound through two tiny openings very near the sting tip. Thus the poison is injected beneath the skin, making treatment difficult, as the impervious skin renders surface application ineffective.

Whereas the poison of non-deadly species of scorpions is local in effect, causing swelling and discoloration of the tissues in immediate proximity to the point of puncture, that of the deadly species is general over the entire body of the victim. There is intense pain at the site of the sting but very little inflammation or swelling.

According to Kent and Stahnke[1], “the victim soon becomes restless. This increases to a degree that, in cases of small children, the patient is entirely unable to cooperate with attendants. It turns, frets, and does not remain quiet for an instant. The abdominal muscles may become rigid, and there may be contractions of the arms and legs. Drooling of saliva begins, and the heart rate increases. The temperature may reach 103 or 104 degrees. Cyanosis (skin turning blue) gradually appears, and respiration becomes increasingly difficult, causing a reaction not unlike that observed in a severe case of bronchial asthma. Involuntary urination and defecation may occur. In fatal cases the above symptoms may become so marked that apparently the child dies from exhaustion.

“In cases that recover, the acute symptoms subside in 12 hours or less. In the adult, symptoms as enumerated may be encountered, but as a rule they are less severe. Numbness is usually experienced at the site of the sting. If one of the appendages is stung, the member may become temporarily useless. Two cases of temporary blindness have been experienced. Some patients complain of malaise (discomfort) for many days following the sting. One patient developed a tachycardia (rapid heart) lasting two weeks.”

Treatment of scorpion stings

Dr. Stahnke recommends the following treatment for a person stung by one of the deadly scorpions:

“First, apply a tight tourniquet near the point of puncture and between it and the heart.... As soon as possible, place an ice pack on the site of the sting. Have a pack of finely crushed ice wrapped in as thin a cloth as possible. Cover and surround the area for about 10 to 12 inches. After the ice pack has been in place for approximately 5 minutes, remove the tourniquet.

“If a person is stung on the hand, foot, or other region that can be submerged completely, place the portion, as soon as possible, in an ice-and-water mixture made of small lumps of ice (about half the size of ice cubes) in a proportion of half ice and half water. Treatment should not be continued longer than 2 hours.

“NEVER put salt in the water. After the first 15 minutes, the hand or foot must be removed for relief for 1 minute every 10 minutes in the iced water.”

Dr. Stahnke continues: “If the patient is less than 3 years old, if the patient has been stung several times, or if the patient has been stung on the back of the neck, anywhere along the backbone, or on an area of deep flesh like the buttock, thigh, or trunk of the body, or especially on the genital organs, medical assistance should be obtained at once.”

Dr. F. A. Shannon advises that no person with disease involving the circulation of the extremities should use iced water. Morphine is a necessary tool in controlling pain, and barbiturates are useful for control of convulsions.

Several hospitals in southern Arizona keep a supply of scorpion antivenin and, in any case, the patient should be taken to a hospital as quickly as possible. In all cases the first-aid treatment should be applied and maintained until the patient is under the care of a physician.