What is the recommended treatment for a patient with this hand injury following a sting by the marine creature shown?
- Acetic acid (vinegar)
- Antivenom
- Cold water
- Hot water
- Hydrogen peroxide
This post was expert peer reviewed on behalf of ACMT by Dr Bryan Judge, Dr Louise Kao, and Dr Andrew Stolbach
References:
- Rensch G, Murphy-Lavoie HM. Lionfish, Scorpionfish, and Stonefish Toxicity. 2019 Mar 25. StatPearls. Treasure Island (FL): StatPearls Publishing; 2019 Jan. PMID: 29489204.
- Kizer KW, McKinney HE, Auerbach PS. Scorpaenidae envenomation. A five-year poison center experience. JAMA 1985; 253; 807-10. PMID 3968819
- K Balhara, A Stolbach; Marine Envenomations. Emergency Medicine Clinics of North America. 2014 Feb;32(1):223-43. PMID: 24275176.
- L Cearnal: Red lionfish and ciguatoxin: menace spreading through western hemisphere. Ann Emerg Med. 60 (1):21A-22A 2012. PMID: 22908370.
- Atkinson PRT, Boyle A, Hartin D, McAuley D: Is hot water immersion an effective treatment for marine envenomation? Emerg Med J 23: 503, 2006. PMID: 16794088.
- Isbister GK. Marine envenomation and poisoning. In: Dart, RC (Ed), Medical Toxicology, 3rd edition. Philadelphia, PA. Lippincott Williams & Wilkins. 2004. P.1621-1632.