Management of Marine Envenomations • North American Cnidaria - Hot water, Supportive care • Irukandji jellyfish - 4%-6% acetic acid, ice, Supportive care, Consider magnesium, vasodilating medications and sympatholytics • Box jellyfish - 4%-6% acetic acid, ice, Antivenom for severe cases • Sea urchin, crown-of-thorns sea star - Hot water, spine removal, Prophylactic antibiotics • Cone snail - Pressure immobilization, Hot water, supportive care, Prophylactic antibiotics • Blue-ringed octopus - Pressure immobilization, Supportive care, 6-hour observation, • Prophylactic antibiotics EB Medicine @EBmedicine #Marine #Envenomations #Management #treatment #toxicology
