Stingray injury: Difference between revisions

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*XR for evaluation of foreign bodies
*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 [[doxycycline]] or [[ciprofloxacin]] to cover ''[[Vibrio vulnificus]]''


==Disposition==
==Disposition==

Revision as of 02:22, 31 July 2021

Background

Common stingray (Dasyatis pastinaca)
A stingray's stinger (ruler in cm)
  • Stinger punctures skin to introduce heat-labile venom
  • Generally causes local symptoms without systemic effects
  • Often occurs when swimmers accidentally step on stingray in shallow water. Can be avoided by shuffling feet along bottom.

Clinical Features

Treatment of stingray injury with hot water.

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.