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Beverley Beekeepers' Association

The local Beekeeping Association for East Yorkshire

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Anaphylactic shock (Bee sting shock) - What to do

General Guidelines
If a person is stung and shows some distress it is important to follow a few basic guidelines. Bee sting anaphylactic shock is rare and you may never see it; but if you know what to do you can react quickly and calmly to help.
a) Move the person well away from the hives
b) Scrape out the sting/s as quickly as possible in order to stop any further injection of venom.
c) Get the person to sit down and encourage them to remain calm.
d) If there are signs of difficult breathing or light headedness or general reaction to the sting
i) Ask the person if this is normal and if they have any medication provided by their GP (i.e. antihistamine tablets). If so, let the person medicate himself.
ii) Ring for an ambulance or send someone to ring for an ambulance (it is always sensible to have a mobile phone with you when visiting an apiary). If you are alone with the person put the patient in the positioning described below and then phone for an ambulance.
iii) Give the address of the house or apiary clearly and the grid reference if known.
iv) Say "it’s a bee sting reaction." This will help to prepare the ambulance team.

Care of the person whilst awaiting an ambulance
Conscious person
Loosen tight clothing at the waist and neck. Sit them on the ground, leaning against a wall, tree, or the side of a car.
Make the person as comfortable as possible to help breathing. The person may be short of breath, feeling sick or feeling faint and may be very frightened. Stay with the person, talk quietly, and encourage them to breathe in and out regularly and deeply.
Unconscious person
If the person becomes unconscious, loosen tight clothing and place them in the recovery position on their side.
- Tilt the head well back for a good airway
- Check that they are breathing by placing your cheek near nose / mouth and watching chest rise.
- Check for circulation by looking at colour of face (pink), temperature of face (warm, dry or sweating), and reaction of pupils to light.
- If there is another person, send them to flag down the ambulance. Do not try to give the patient any food or drink.
If the person's heart stops or the breathing stops, resuscitation should be provided by a trained person. Remember anaphylactic shock is very rare, but if it does happen, this quick and calm procedure is essential.

Practical suggestions
Post these instructions in your apiary shed in a prominent place. Include the address, post code of the apiary, grid reference and telephone number, if there is one. Also provide directions to the nearest phone.
Write out this information about the apiary site on a card and put it in a 'plastic pocket' beside the instruction sheet. The telephoner can grab this card and take it to the nearest phone to inform the ambulance service.
If possible, take a mobile phone to the apiary whenever working with bees so that help can be called in case of an emergency.