Doctor's Notes on Scorpionfish, Lionfish, and Stonefish Poisoning
Scorpionfish, lionfish, and stonefish are poisonous fish that live in tropical and temperate oceans and are commonly found in the Red Sea and Indian and Pacific oceans. All these fish have sharp, venomous, erectile spines on their dorsal, anal, and pelvic fins. Contact with these spines can cause the venom to enter a person’s bloodstream. These fish are not aggressive so poisonings are usually accidental or due to inappropriate handling of the fish.
Symptoms of scorpionfish, lionfish, and stonefish poisoning vary from person to person, and depend on the amount of toxin a person is exposed to. Symptoms of scorpionfish, lionfish, and stonefish poisoning include intense throbbing pain that peaks in 1 to 2 hours and lasts 12 hours. Pain may be severe and could cause hallucinations.
Other symptoms of poisoning include
Severe reactions include
- abdominal cramps,
- abnormal heart rhythms,
- slow heart rate,
- shortness of breath,
- low blood pressure,
- fainting, and
- Death may occur.
What Is the Treatment for Scorpionfish, Lionfish, and Stonefish Poisoning?
Stings causing scorpionfish, lionfish, and stonefish poisoning can vary in symptoms from mild to deadly. It is important to seek medical care right away. The pain may be quite severe and debilitating requiring medical intervention.
Things to do immediately after a sting from a scorpionfish, lionfish, or stonefish include:
- Remove the victim from the water
- Immerse the wound for 30 to 90 minutes in water as hot as the victim can tolerate because the poisons are heat-sensitive and deactivate in heat
- Use tweezers to remove any spines in the wound, using caution to not squeeze venom glands that may have broken off in the wound with the spine
- Scrub the wound with soap and water and flush the affected area with lots of fresh water
- Get to a medical facility as there is antivenom available for stonefish poisoning
- Local or regional anesthetics (blocks) may be useful in some patients for pain control
- Narcotic pain medications may be needed for pain control
- Patients in shock may need critical cardiac monitoring, medications for shock, and possibly admission to the hospital for further care
- Patients may need a tetanus booster
- Patients with large wounds may need antibiotic treatment
Trauma and First Aid : Training and Supplies QuizQuestion
Emotional trauma is best described as a psychological response to a deeply distressing or life-threatening experience.See Answer
Must Read Articles:
First AidFirst aid is an important skill to learn in case of emergencies. Learn how to prevent injuries, prevent falls, prevent fires, prevent poisoning, when to seek urgent care for injuries, and what to stock in a first aid kit in your home, office, car, boat, or RV.
Pufferfish PoisoningThe poison found in pufferfish, blowfish, balloon fish, toads, sunfish, porcupine fish, toadfish, globefish, and swellfish is a tetrodotoxin. Tetrodotoxin is one of the most toxic poisons found in nature. If a person suffers from pufferfish poisoning seek medical care immediately.
Rash (Causes, Types, and Cures)A rash is a visible skin outbreak. Examples of noninfectious rashes include eczema, psoriasis, contact dermatitis, seborrheic dermatitis, rosacea, hives, and allergic dermatitis. Types of infectious rashes include ringworm, impetigo, scabies, herpes, chickenpox, and shingles. Rashes may be caused by fungi, viruses, bacteria, and parasites. Treatment depends upon the type of rash.
Shellfish PoisoningShellfish poisoning occurs when toxic shellfish are eaten. There are four types of shellfish poisoning, which include amnesic shellfish poisoning (ASP), diarrheal shellfish poisoning (DSP), neurotoxic shellfish poisoning (NSP), and paralytic shellfish poisoning (PSP). Treatment of shellfish poisoning depends on the type, which can include oral charcoal or using a stomach pump to remove the food.
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.