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Do not use tweezers squeezing the stinger will inject more venom

doi:10.1016/j.jep.2005.05.017

Running out mid-protocol means starting the titration process over, which wastes time and money

If the sPESI is greater than or equal to 1 and there are any symptoms of hemodynamic instability, including systolic blood pressure less than 90 mmHg, mean arterial pressure less than 65 mmHg, a drop in systolic blood pressure of 40 mmHg that persists for greater than 15 minutes, or evidence of end organ hypoperfusion, the in-hospital mortality risk is considered high