![]() ![]() If pain is refractory to the above treatment then IV morphine or equivalent opiates maybe required.Analgesia Simple analgesia such as paracetamol and ibuprofen.Hot water Place affected area in a shower or a bowl of hot water – approx 45 degrees, should be hot but not scalding or uncomfortable for 20 minutes.Rarely patients can develop hypotension, bradycardia, collapse, pulmonary oedema and cyanosis.Systemic features can include nausea, vomiting, dizziness and dyspnoea.Also inspect the area for a retained spine Local swelling and bruising maybe seen.Geographical distribution includes the northern shore of Australia, North of Geraldton on the West and North of Brisbane on the East. Their near perfect camouflage and the venomous spines make them a hazard for swimmers, snorkelers and divers in shallow water. ![]() There is some suggestion that stonfishes exude a white, milky substance over their bodies which encourages plant growth. Often algae and hydroids grow on its back. It is extremely difficult to see because it usually buries most of its body under sand or rubble and only their widely separated eyes show. Their dorsal spines contain venom, which is injected when external pressure is applied. Stonefish are extremely well camouflaged reef fish found in the waters of northern Australia. The stonefish is the worlds most venomous fish. They often bury themselves in the substrate. Devilfishes occur on sand and mud bottoms close to reefs and in seagrass meadows. This looks as if the devilfish was walking over the ground. Devilfishes (also called sea goblins, bearded ghouls and demon stingers) have very special pectoral fin rays that can be moved independently from the rest of the fin.Lionfish or Turkeyfish ( Dendrochirus and Pterois).Stonefish ( Synanceia verrucosa and Synanceia horrida) – the worlds most venomous fish.In a matter of less than 10 seconds only the dorsal portion of the head remains exposed, some sand is thrown on top to further enhancing concealment. The stonefishes for example usually bury themselves in sand or rubble using a shoveling motion of their pectoral fins. If danger continues they flee, usually very fast but only for a short distance and then quickly settle back and freeze. Scorpionfishes are not aggressive, but if threatened they will erect their dorsal spines. ![]()
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