الفهرس 
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Abstract
Scorpion sting syndrome (SSS) is a life threatening emergency in children and older individuals, especially, who are suffering from respiratory and/or cardiovascular diseases. Scorpion envenomation is an occupational hazards for farmers, farm labors, villagers, migrating population and hunters. Cardiovascular toxic effects and acute pulmonary oedema are the most important life threatening complications of scorpion stings. .Cardiogenic shock and pulmonary oedema are responsible for a vast majority of deaths. Cardiac involvement generally occurs as impaired left ventricle systolic function. This impairment contributes to development of pulmonary oedema. Epidemiologic studies estimate the annual number of scorpion stings cases exceeds 1.23 million, of which over 32250 may be fatal. Although millions of scorpion stings occur annually, most cases are minor, with localized pain and minimal systemic involvement. However, severe envenomation is a major public health problem in certain parts of the world such as Central and South America, North Africa, the Middle East, and South AsiaThe diagnosis of SSS depends on taking full history from the patient and accurate clinical examination in combination with imaging studies as CXR, ECG and Echo. CBC, serum electrolytes, KFTs, CK, Treponin levels, RBS and blood gases determination all are helpful tools for diagnosis and follow up the condition. Definitive treatment should take place within a critical care area of the hospital, such as intensive care unit or emergency department, where complications arising from envenomation or reactions to polyanitvenom can be best managed. Prazosin is pharmacological and physiological antidote to scorpion venom actions; it is selective α1- adrenergic blockers (alpha receptors stimulation plays a major role in the evolution of myocardial dysfunction and acute pulmonary edema in scorpion sting). It is recommended for the treatment of scorpion envenoming. The aim of this retrospective clinical audit study is to assess how much the adopted protocol of management of cardiovascular complications caused by scorpion stings is implemented in A.U.C.H. The target populations of this retrospective study were children diagnosed as having scorpion sting and were admitted at AUCH during the period from December 2016 to December 2017. The study included 70 patients with SSS. 37 cases were male and 33 cases were female. 44 cases were ≤5years, 14 cases from 6-10years and 10 cases>10years old. Data of the study showed that AUCH partially followed the reference slandered of the study. Data about the name and sex were recorded in 100% of cases, but the age was recorded in 97.1% of cases. Data about history of Scorpion sting was recorded in 100% of cases, while history of nausea, vomiting, dry mouth, burning sensation, pain, itching, swelling and sweating were recorded in 50%, 100%, 70%, 94.3%, 92.3%, 81.4%,85.7 %, 82.9% 0f cases respectively. Data about history of somnolence/lethargy/drowsiness, convulsion, gastrointestinal hemorrhage, urinaryretention, hypothermia, lacrimation, salivation, abdominal distention, headache, local muscular cramps, agitation/excitement/restlessness, and dyspnea were recorded in about 77.1%, 57.1 %, 18.6 %, 81.4%, 62.9 %, 80%, 80%, 20%, 85.7%, 21.4%, 71.4 %, 78.6% of cases respectively. Data about history of nausea, vomiting, dry mouth, burning sensation, pain, itching, swelling and sweating were recorded and they were present in 57.1%, 61.4%, 40.8%, 53%, 58.5%, 59.6%, 41.7%, 81% of the asked cases respectively, also,history of somnolence/lethargy/drowsiness, convulsion, gastrointestinal hemorrhage, urinary retention, hypothermia, lacrimation, salivation, abdominal distention,headache,localmuscularcramps, gitation/excitement/restlessness, and dyspnea was present in 63%, 0.0%, 23%, 47.4%, 52.3%, 66%, 53.6%, 35.7%, 45%, 33.3%, 74%, 60% of the asked cases respectively.