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Marine Envenomation Updated 12/2010

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BASICS

  • Description
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Pre-hospital
  • Initial Stabilization
  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations
The following is an excerpt....
BASICS
Description

Marine envenomation refers to poisoning caused by sting or bite from a vertebrate or invertebrate marine species.

Etiology
  • Sponges:
    • Contain sharp spicules with irritants that cause pruritic dermatitis
  • Coelenterates (Cnidaria jellyfish):
    • Contain stinging cells known as nematocysts on their tentacles
    • Fluid-filled cysts eject sharp, hollow thread-tube on contact.
    • Thread-tube penetrates skin and envenomates the victim.
    • Box jellyfish can kill within 60 sec.
  • Starfish:
    • Sharp, rigid spines are coated with slimy venom.
  • Sea urchins:
    • Hollow, sharp spines filled with various toxins
  • Sea cucumbers:
    • Hollow tentacles secrete holothurin, a liquid toxin.
  • Cone shells:
    • Venom injected through dartlike, detachable tooth
    • Active peptides interfere with neuromuscular transmission.
    • Presents with puncture wounds similar to wasp stings
  • Stingrays:
    • Most common cause ...

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