Emergency? Call 911.
Our emergency rooms are open 24/7, holidays included.
Health Library
Published September 17, 2026 · 5 min read
If somebody has trouble breathing, swelling of the face, lips or throat, or feels faint after a sting, call 911. That is an allergic emergency and it does not depend on how many stings there were. Otherwise call Poison Control on 1-800-222-1222.
“Killer bees” is a claim about behaviour, not about poison — and the Arizona Poison and Drug Information Center is unusually clear about it:
“Africanized bees or ‘killer bees’ have now invaded many parts of the United States, including Arizona. Although their sting is treated the same as other bee stings, these bees are very aggressive and much more likely to attack when threatened.”
Read the middle clause carefully: the sting is treated the same. Drop for drop the venom is not the story. What is different — and it is genuinely different — is that they are far more likely to come after you, and in far greater numbers.
So the hazard is arithmetic, not chemistry. One sting from an Africanized bee is one bee sting. The danger is that it is very rarely one.
This is the most useful distinction on the page.
The allergic emergency does not care how many stings there were. One sting is enough. It happens in minutes, it involves breathing, swelling, throat or faintness, and it is a 911 call regardless of how trivial the sting looks. Our allergic reaction guidance covers what to watch for and what to do.
The volume emergency is about the total dose. Arizona Poison Control puts it in proportion: “It may take hundreds of bee stings to inflict a fatal toxic dose of venom in a healthy adult.”
Hundreds. Which tells you two things at once. A handful of stings is not a toxic-dose event for a healthy adult — and a swarm encounter genuinely can reach the range where it is, which is exactly why the aggression matters.
Neither of those facts makes the other one safe to ignore. Most people who come to harm from bees do so through the first mechanism, not the second.
There is a long-running folk debate about stinger removal — scrape it with a card, never pinch it, use tape, use a fingernail. Arizona Poison Control resolves it in one sentence:
“The bee’s stinger should be removed within seconds of the sting by any possible means.”
By any possible means, within seconds. The instruction prioritises speed explicitly and declines to prescribe a technique. If you are standing there deciding whether your method is the approved one, the seconds you are spending are the thing that actually matters.
A bee’s stinger is barbed and stays in the skin, which is why this is a bee-sting instruction and not a wasp-sting one.
Call Poison Control on 1-800-222-1222. Their own instruction is to call “if unusual or rapidly progressing symptoms occur”, and “rapidly progressing” is the phrase to hold on to — the direction of travel matters more than the starting point.
Clean the area, and cool it. Standard for any sting.
Count what you can. If there were many stings, an approximate number is genuinely useful information for whoever sees the person, and nobody can reconstruct it later.
And watch the person, not just the stings, for the first half hour or so. The allergic emergency arrives fast, and it can arrive in somebody who has been stung before without incident.
Get away, and get inside. A building or a closed vehicle ends the encounter; standing still and swatting does not.
We are not going to publish a set of escape techniques dressed up as sourced advice — Arizona Poison Control’s page is about treating stings rather than outrunning bees, and the honest version of that instruction is short: leave the area quickly and put a wall or a door between you and them.
Call 911 for somebody who has been stung many times, for anybody having trouble breathing, for a child who has been swarmed, and for anybody who collapses.
Our emergency rooms are open every hour of every day and are walk-in. Go to the nearest one, and if another emergency department is closer to you, that one is the right answer.
Come to an emergency room for many stings, for a sting in the mouth or throat, for stings to a small child, for an allergic reaction of any size that is settling but was frightening, or for symptoms that are getting worse rather than better.
If you are unsure, come in — this list is not exhaustive and you are not expected to count stings and calculate a dose.
How do I know if they were Africanized? Mostly you do not, and it does not change the treatment — Poison Control says the sting is treated the same. What changes your behaviour is the number of bees, not their ancestry.
I got stung twice and I feel fine. Get the stingers out fast, clean and cool the sites, and watch yourself for half an hour. Call 1-800-222-1222 if anything unusual starts or anything is getting worse.
I have been stung before and was fine. Am I safe? A previous uneventful sting is not a guarantee about the next one. The allergic emergency can appear in somebody with a history of ordinary stings, which is why the watching matters.
My child was swarmed but is walking and talking. Call 911. A child’s much smaller body reaches a meaningful dose at a much lower count, and “walking and talking” is the right time to be on the phone rather than the reason not to be.
Is a wasp or hornet sting the same? The stinger instruction is specific to bees, because a bee’s is barbed and stays behind. The allergic emergency is identical and is the part that matters most.
Should I use a credit card to scrape it out? If one is in your hand, yes. If it is in your wallet in the car, use your fingers. Poison Control says within seconds by any possible means, and the means is not the point.
Get the stinger out within seconds by any means, then call Poison Control on 1-800-222-1222 — and call 911 for trouble breathing, swelling, faintness, or anybody stung many times. Both of our emergency rooms are open 24 hours a day, every day of the year — walk in, no appointment and no referral. Find your nearest emergency room →
Related reading: allergic reactions and when to go · scorpion stings in Arizona
This article is general information, not a diagnosis. It gives no doses. If you are unsure, come in — this list is not exhaustive and you are not expected to assess an envenomation yourself. If it might be an emergency, treat it as one and call 911.
If it might be an emergency, treat it as one. Both of our emergency rooms are open 24 hours a day, every day of the year — walk in, no appointment and no referral.
Find your nearest emergency room →About your bill, before you worry about it
Ability to pay is not a barrier to assessment and access to care in our emergency rooms — by law. An emergency visit bills at emergency rates, which are not clinic rates, and we would rather tell you that now than have you find out afterwards.
If anything you receive after a visit is unclear, call the facility you were seen at before you pay it. They hold the record of your visit, and they would rather explain a statement than have you pay something you do not owe.