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Clinical Management

The management of the envenomed patient is always best informed by the clinical picture presented, and elsewhere is provided a guide to special considerations to make during the assessment. There are, however, some considerations which also need to be made in the management of envenomation.

Clinical Assessment

The information contained in this section is intended to help guide the health professional in the assessment of the patient who presents with history, signs or symptoms suggesting envenomation. Since information provided here cannot be considered a substitute for first-hand clinical experience, and because cases may differ from the norm, it should be kept in mind that this is intended as a guide only.

Box Jellyfish

First aid for box jellyfish stings consists of vinegar, removal of tentaclular material and analgesia.

Bluebottle

First aid for bluebottle stings consists of analgesia. Immersion of the site in hot water may ameliorate pain.

No fatalities from this animal have been confirmed in Australia. The venom contains lethal and haemolytic components and has been shown to produce nerve conduction disturbances, flaccid paralysis and smooth muscle contraction in experimental animals.

Blue-Ringed Octopus

 First aid for blue-ringed octopus bite is pressure-immobilisation.

The blue-ringed octopus’s salivary glands contain tetrodotoxin, which causes motor paralysis due to neuronal sodium channel blockade.

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