Stingray injury: Difference between revisions

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*Supportive care
*Supportive care
*Remove spines and stinger, if visible
*Remove spines and stinger, if visible
*XR for evaluation of foreign bodies
*[[Tetanus prophylaxis]]
*[[Tetanus prophylaxis]]
*Prophylactic [[antibiotics]] are controversial - if used, give [[Ciprofloxacin]] to cover ''[[Vibrio vulnificus]]''
*Prophylactic [[antibiotics]] are controversial - if used, give [[Ciprofloxacin]] to cover ''[[Vibrio vulnificus]]''

Revision as of 18:37, 2 May 2019

Background

  • Stinger punctures skin to introduce heat-labile venom
  • Generally causes local symptoms without systemic effects
Common stingray (Dasyatis pastinaca)
A stingray's stinger (ruler in cm)

Clinical Features

  • Symptoms can vary by species
  • Associated with puncture or jagged laceration
  • Local pain, irritation, erythema
  • Systemic symptoms can include vomiting, muscle cramps, hypotension, paralysis, cardiac arrest

Differential Diagnosis

Marine toxins, envenomations, and bites

Evaluation

  • Clinical diagnosis
  • Consider x-ray to evaluate for retained foreign body (stinger)

Management

Disposition

  • Discharge

See Also

External Links

References

  1. Atkinson PRT. Is hot water immersion an effective treatment for marine envenomation? Emergency Medicine Journal. 2006;23(7):503–508. doi:10.1136/emj.2005.028456.