Stingray injury: Difference between revisions

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*Supportive
*Supportive
*If visible remove spines and stinger
*If visible remove spines and stinger
*'''Immediately immerse wound in hot water (45°C for 30-90min)''' <ref>*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.</ref>
*'''Immediately immerse wound in hot water (45°C for 30-90min)''' <ref>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.</ref>
*Clean area
*Clean area
*Tetanus prophylaxis
*Tetanus prophylaxis
*Prophylactic antibiotics = controversial
*Prophylactic [[antibiotics]] = controversial
**[[Cipro]] for [[vibrio vulnificus]] coverage, if used


==Disposition==
==Disposition==

Revision as of 00:56, 12 March 2015

Background

Mechanism

  • Punctures skin to introduce venom
  • Generally local symptoms without systemic effects

Clinical Features

Symptoms

  • Vary with species
  • Generally local pain
  • Systemic symptoms can include vomiting, hypotension, muscle cramps, paralysis, cardiac arrest

Differential Diagnosis

Marine toxins, envenomations, and bites

Workup

  • Consider x-ray for retained foreign body (stinger)

Management

  • Supportive
  • If visible remove spines and stinger
  • Immediately immerse wound in hot water (45°C for 30-90min) [1]
  • Clean area
  • Tetanus prophylaxis
  • Prophylactic antibiotics = controversial

Disposition

  • Home

See Also

External Links

Sources

  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.