Difference between revisions of "Irukandji syndrome"

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===Background===<ref> Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 4 of 5. ACEP Now. https://www.acepnow.com/article/emergen-sea-medicine-overview-of-marine-envenomations/4/.</ref>
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'''Background'''<ref> Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 4 of 5. ACEP Now. https://www.acepnow.com/article/emergen-sea-medicine-overview-of-marine-envenomations/4/.</ref>
 
*Usually develops within 2 hours of envenomation & can last up to 2 days
 
*Usually develops within 2 hours of envenomation & can last up to 2 days
*Rare but potentially fatal complication can manifest in diverse ways:
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*Rare but potentially fatal complications can manifest in diverse ways:
 
**Myalgias  
 
**Myalgias  
 
**Back pain  
 
**Back pain  
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**Death
 
**Death
  
==Management== <ref> Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 4 of 5. ACEP Now. https://www.acepnow.com/article/emergen-sea-medicine-overview-of-marine-envenomations/4/.</ref>
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'''Management''' <ref> Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 4 of 5. ACEP Now. https://www.acepnow.com/article/emergen-sea-medicine-overview-of-marine-envenomations/4/.</ref>
 
*Manage pain with 4-5% acetic acid/vinegar & Hot water immersion (111-114F)
 
*Manage pain with 4-5% acetic acid/vinegar & Hot water immersion (111-114F)
 
*IV magnesium sulfate (0.2mmol/kg, max 10mmol in adults) given as a bolus over 5-15 minutes for pain refractory to opioids
 
*IV magnesium sulfate (0.2mmol/kg, max 10mmol in adults) given as a bolus over 5-15 minutes for pain refractory to opioids
*Hypertension should be treated with short acting titratable medications (eg., phentolamine, esmolol, nicardipine, nitroprusside) d/t potential for hypotension in the later stages of toxicity
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*Hypertension should be treated with short-acting titratable medications (eg., phentolamine, esmolol, nicardipine, nitroprusside) d/t potential for hypotension in the later stages of toxicity

Revision as of 22:06, 22 July 2021

Background[1]

  • Usually develops within 2 hours of envenomation & can last up to 2 days
  • Rare but potentially fatal complications can manifest in diverse ways:
    • Myalgias
    • Back pain
    • Chest pain
    • Abdominal pain
    • Nausea and vomiting
    • Diaphoresis
    • Hypertensive crisis
    • Cardiogenic pulmonary edema
    • Intracranial hemorrhage
    • Death

Management [2]

  • Manage pain with 4-5% acetic acid/vinegar & Hot water immersion (111-114F)
  • IV magnesium sulfate (0.2mmol/kg, max 10mmol in adults) given as a bolus over 5-15 minutes for pain refractory to opioids
  • Hypertension should be treated with short-acting titratable medications (eg., phentolamine, esmolol, nicardipine, nitroprusside) d/t potential for hypotension in the later stages of toxicity
  • Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 4 of 5. ACEP Now. https://www.acepnow.com/article/emergen-sea-medicine-overview-of-marine-envenomations/4/.
  • Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 4 of 5. ACEP Now. https://www.acepnow.com/article/emergen-sea-medicine-overview-of-marine-envenomations/4/.