Crown-of-Thorns starfish envenomation - Revision history

Rossdonaldson1: /* Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-11-25T14:44:07Z

Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

← Older revision		Revision as of 14:44, 25 November 2021
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	[[File:CrownofThornsStarfish Fiji 2005-10-12.jpg\|thumb\|Crown-of-thorns starfish in Fiji.]]		[[File:CrownofThornsStarfish Fiji 2005-10-12.jpg\|thumb\|Crown-of-thorns starfish in Fiji.]]
	[[File:Acanthaster ellisii.jpg\|thumb\|Short-spined form from Gulf of California.]]		[[File:Acanthaster ellisii.jpg\|thumb\|Short-spined form from Gulf of California.]]
			[[File:COTS aboral surface.jpg\|thumb\|Spines at closeup view.]]
	*A central disk with radiating arms		*A central disk with radiating arms
	**More than 15 arms		**More than 15 arms

Rossdonaldson1: /* Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-11-25T14:42:23Z

Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

← Older revision		Revision as of 14:42, 25 November 2021
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	==Background <ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==		==Background <ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==
	[[File:CrownofThornsStarfish Fiji 2005-10-12.jpg\|thumb\|Crown-of-thorns starfish in Fiji.]]		[[File:CrownofThornsStarfish Fiji 2005-10-12.jpg\|thumb\|Crown-of-thorns starfish in Fiji.]]
			[[File:Acanthaster ellisii.jpg\|thumb\|Short-spined form from Gulf of California.]]
	*A central disk with radiating arms		*A central disk with radiating arms
	**More than 15 arms		**More than 15 arms

Rossdonaldson1: /* Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-11-25T14:40:31Z

Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

← Older revision		Revision as of 14:40, 25 November 2021
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	==Background <ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==		==Background <ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==
			[[File:CrownofThornsStarfish Fiji 2005-10-12.jpg\|thumb\|Crown-of-thorns starfish in Fiji.]]
	*A central disk with radiating arms		*A central disk with radiating arms
	**More than 15 arms		**More than 15 arms

Rossdonaldson1: Rossdonaldson1 moved page Crown-of-Thorns Starfish to Crown-of-Thorns starfish envenomation

2021-11-25T14:38:27Z

Rossdonaldson1 moved page Crown-of-Thorns Starfish to Crown-of-Thorns starfish envenomation

← Older revision	Revision as of 14:38, 25 November 2021
(No difference)

Rossdonaldson1 at 14:37, 25 November 2021

2021-11-25T14:37:54Z

← Older revision		Revision as of 14:37, 25 November 2021
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	==See Also==		==See Also==
	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]

			==References==

			[[Category:Environmental]]
			[[Category:Dermatology]]

Rossdonaldson1: /* Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-11-25T14:36:48Z

Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

← Older revision		Revision as of 14:36, 25 November 2021
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	*Densely covered with spines		*Densely covered with spines
	*Adults are often dull brown to green colored		*Adults are often dull brown to green colored
	**some may have ~~vright~~ colors to warn predators		**some may have bright colors to warn predators
	*Range from 9-14 inches in diameter		*Range from 9-14 inches in diameter

Jonrako: /* ManagementHauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-08-17T04:46:02Z

ManagementHauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

← Older revision		Revision as of 04:46, 17 August 2021
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	==Management<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==		==Management<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==
			*Emersion in non-scalding water up to 45°C & Local lidocaine for pain control
			*Remove spines/foreign bodies
			**If spines are intraarticular or near neurovascular structures they need to be carefully removed in the OR
			*Thorough irrigation
			*Update [[tetanus vaccination]] if needed
			*Prophylactic [[antibiotics]] for deep puncture wounds

	==Disposition==		==Disposition==

Jonrako: /* Clinical FeaturesHauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-08-17T04:44:41Z

Clinical FeaturesHauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

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	==Clinical Features<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==		==Clinical Features<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==
			*In severe cases can cause paralysis, hemolysis, & hepatotoxicity
			*Paresthesia
			*Nausea & vomiting
			*Secondary infection

	==Differential Diagnosis==		==Differential Diagnosis==

Jonrako: /* MechanismHauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-08-17T04:42:28Z

MechanismHauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

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	===Mechanism<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>===		===Mechanism<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>===
			*Spines pierce the skin and cause severe pain
			**Lasting <3 hours
			*Spines are coated with a slime that is extremely toxic

	==Clinical Features<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==		==Clinical Features<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==

Jonrako: /* Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9. */

2021-08-17T04:15:09Z

Background Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.

← Older revision		Revision as of 04:15, 17 August 2021
Line 1:		Line 1:
	==Background <ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==		==Background <ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>==
			*A central disk with radiating arms
			**More than 15 arms
			*Densely covered with spines
			*Adults are often dull brown to green colored
			**some may have vright colors to warn predators
			*Range from 9-14 inches in diameter

	===Mechanism<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>===		===Mechanism<ref>Hauglid, Christopher, DO, et al. “EMERGEN-SEA MEDICINE: An Overview of Sea Urchins, Coral, Starfish, and More.” ACEP Now, vol. 40, no. 7, 2021, pp. 8–9.</ref>===