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Millipede Envenomation Treatment & Management

  • Author: Robert L Norris, MD; Chief Editor: Scott H Plantz, MD, FAAEM  more...
Updated: May 09, 2014

Prehospital Care

See the list below:

  • Any millepede secretions on the patient's skin should be washed away with soap and water.
  • If the eyes are involved, they should be copiously washed with water as soon as possible.

Emergency Department Care

See the list below:

  • The exposed skin should be washed thoroughly with soap and water.
  • Eye exposure should prompt immediate instillation of local anesthetic drops, followed by copious irrigation with saline solution or water.[12]
  • Adequate tetanus immunization status should be ensured.
  • Topical steroid creams may be beneficial for local skin irritation.
Contributor Information and Disclosures

Robert L Norris, MD Professor, Department of Emergency Medicine, Stanford University Medical Center

Robert L Norris, MD is a member of the following medical societies: American College of Emergency Physicians, Society for Academic Emergency Medicine, International Society of Toxinology, American Medical Association, California Medical Association, Wilderness Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

John T VanDeVoort, PharmD Regional Director of Pharmacy, Sacred Heart and St Joseph's Hospitals

John T VanDeVoort, PharmD is a member of the following medical societies: American Society of Health-System Pharmacists

Disclosure: Nothing to disclose.

Richard H Sinert, DO Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Vice-Chair in Charge of Research, Department of Emergency Medicine, Kings County Hospital Center

Richard H Sinert, DO is a member of the following medical societies: American College of Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Scott H Plantz, MD, FAAEM Associate Clinical Professor of Emergency Medicine, Department of Emergency Medicine, University of Louisville School of Medicine

Scott H Plantz, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

Additional Contributors

James Li, MD Former Assistant Professor, Division of Emergency Medicine, Harvard Medical School; Board of Directors, Remote Medicine

Disclosure: Nothing to disclose.

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The desert millipede, Orthoporus ornatus. Photo by Robert Norris, MD.
The desert millipede, Orthoporus ornatus. Photo by Robert Norris, MD.
Millipede contact injury on day 3 following exposure.
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