Doctor's Notes on Sea Snake Bite
Sea snakes are venomous animals found in tropical and warm waters of the Pacific and Indian Oceans. Sea snakes are usually not aggressive unless provoked or cornered. Bites often occur when fishermen are removing the snakes from fishing nets or if the snake is stepped on while wading in the water. Although they are highly venomous and their venom is very potent and toxic, only some bites result in significant symptoms or envenomation. The venom is injected by fangs but most sea snake species’ fangs are not long enough to penetrate through a wetsuit.
Initially, sea snake bites do not cause pain and there may only be a small pinprick where the bite occurred. There may be anywhere from 1 to 20 “fang” marks. When symptoms do occur they usually begin within 3 hours of the bite and may include
- muscle pain,
- inability to move the legs,
- joint aches,
- blurred vision,
- "thick tongue" with difficulty swallowing or speaking,
- excessive saliva production,
- vomiting, and
- droopy eye lids.
If there are no symptoms within 8 hours of being bitten then venom injection is unlikely.
What Is the Treatment for a Sea Snake Bite?
A bite from a sea snake can be a life-threatening medical emergency. There is no sure way of knowing if the venom (or enough venom) was introduced to the victim by the bite. Even the smallest bite might produce symptoms.
Victims of a sea snake bite should seek medical care immediately. The death rate for sea snake bites is 3%.
Immediate treatment for a sea snake bite includes:
- Clean the wound with soap and fresh water if available
- Apply a pressure bandage to the whole extremity involved in the bite
- Wrap an elastic bandage (such as an ACE wrap) from the fingers or toes up the limb, tight, but not tight enough to stop circulation to the finger or toe tips
- Keep the victim calm and do not move the extremity involved if possible
- Once at a medical facility, anti-venin medication is given intravenously (IV)
Trauma and First Aid : Training and Supplies Quiz

Emotional trauma is best described as a psychological response to a deeply distressing or life-threatening experience.
See AnswerMust Read Articles:
-
Blue-Ringed Octopus Bite
The blue-ringed octopus bite is a medical emergency. Blue-ringed octopus are not aggressive marine animals; however, when it bites it has a deadly venom. If you are bitten by a blue-ringed octopus it is a medical emergency. Symptoms include pain, bleeding, numbness, nausea, vomiting, changes in vision, and difficulty breathing. If medical care is not provided, the patient will likely go into respiratory failure, which leads to cardiac arrest and death. -
Bristleworm Sting
Bristleworm sting symptoms include: redness, a burning sensation, pain, swelling, and rash. Treatment of bristleworm sting include removal of the spines and possibly antibiotics to prevent infection. -
Catfish Sting
Catfish stings occur when a person accidentally steps on a catfish, or handles it after catching it. Stinging catfish have external spines near their fins that sting. Catfish sting treatment includes removing the spines with tweezers, wound irrigation, and antibiotics to avoid possible infection. -
Cone Snail Sting
Cone snail stings generally occur when an individual picks up a cone snail. Symptoms of a cone snail sting include: a burning sensation, a sharp stinging sensation, numbness, cyanosis, and possibly coma. Treatment of a cone snail sting includes pressure immobilization technique, immersion of the affected are in hot water, and prescription medication. -
Coral Cuts
Marine coral is an exoskeleton secreted by many types of marine polyps. Some coral formations are sharp and rigid and can cause an accidental injury when coming in contact with the coral. Symptoms of a coral cut include swollen, inflamed, red, and tender skin. Some coral cuts may become infected and will need medical care. -
Ear Squeeze
Ear squeeze can affect a person while scuba diving. The adverse effects of pressure changes cause ear squeeze. Symptoms of ear squeeze include ear pain, fullness in the ear, tinnitus, hearing loss, nausea, vomiting, vertigo, and a discharge from the nose, mouth, or ear. Medical care should be sought if a person suffers from ear squeeze. -
Fire Coral Cuts
Fire corals are not true corals. Fire corals are members of the Cnidaria phylum, and although fire coral looks like coral, it is more closely related to jellyfish and other stinging anemones. Symptoms of a fire coral sting or cut are an immediate burning sensation; stinging pain; a red rash; lymph node swelling; nausea; and vomiting. Most treatment of fire coral does need medical attention; however, if the cut or sting area develops pus, a blister, or red streaks appear around the injury, seek medical care immediately. -
Gastric Squeeze
Gastric squeeze is sometimes suffered by scuba divers when gas pressure builds up painfully in the gastrointestinal tract, causing belching and flatulence. Medical intervention is rarely required, but severe cases of gastric squeeze can cause a gut rupture. -
Marine Animal Bite
Many animals in the ocean can bite or cause scrapes and puncture wounds, and some are even venomous. The first step in treatment is to identify the animal, the time of injury and nature of the attack. Then, first aid should be applied as appropriate. -
Mask Squeeze
Mask squeeze is a feeling that occurs when scuba diving as a result of failing to equalize the pressure inside the diving mask. Mask squeeze symptoms include facial bruising and redness, facial pressure, nosebleed, red eyes or face, and changes in vision (rare). -
Middle Ear Infection
An infection of the ear can be the ear canal (otitis externa), the eardrum, or the middle mear (otitis media). Symptoms and signs of an ear infection include ear pain, hearing loss, ringing in the ear, nausea, vertigo, vomiting, discharge from the ear, or common cold. Treatment for an ear infection includes over-the-counter pain relievers and at times antibiotics. -
Scorpionfish Poisoning
Scorpionfish, lionfish, and stonefish are all poisonous marine animals that live in tropical and temperate oceans, especially the Red Sea and Indian and Pacific oceans. Each of these fish have poisonous erectile spines on their dorsal, anal, and pelvic fins. Encounters with these fish is generally accidental. The fine poisonous spines are covered in a mucous-containing poison that can cause mild to severe reactions. Symptoms of poisoning from these fish include: intense throbbing and pain, redness, bruising, edema, numbness, tingling, blisters, numbness, and tissue shedding at the sting site. Treatment includes: immersion in hot water, local pain blocks, tweezers to remove any spines, washing the wound site, and possibly, medical treatment and a tetanus booster. -
Scuba Diving and Snorkeling Tips
Safe scuba diving and snorkeling tips include protecting marine animals while enjoying the sport, equipment care, and emergency preparedness. -
Scuba Diving Emergency Contacts
Diving (SCUBA) emergency contacts worldwide. Find information and numbers for scuba diving emergencies accross the globe. -
Sea Cucumber Irritation
Sea cucumbers are marine creatures that have elongated, armless bodies. Sea cucumbers live in temperate, subtropical, and tropical waters. Contact with their excrement or eating undercooked sea cucumbers can cause a rash. -
Sea Sponge Irritation
Sea sponges grow on shells, stones, or other solid objects on the ocean floor. Accidental contact with the sea sponge is generally the cause of irritation. Symptoms of sea sponge irritation include: itchy, stinging, prickly sensation at the site of irritation; burning, pain, blisters, and joint swelling. Cases of extensive body exposure can lead to fever, chills, dizziness, nausea, and muscle cramps. Treatment is cleaning the affected area and OTC treatment. -
Sea Urchin Stings and Puncture Wounds
Sea urchins are non-aggressive marine animals and have spines and pedicellaria (venomous organs). Symptoms of puncture wounds include, redness, swelling around the area, fatigue, muscle aches, weakness, shock, or respiratory failure if the puncture wound is deep. Treatment of sea urchin puncture wounds are removal of th spines and pedicellaria. Antibiotics may be necessary if infection occurs. -
Seaweed Irritation
Seaweed irritation is caused by direct contact with Lyngbya majuscula seaweed when it becomes trapped under bathing suits and other areas where skin to skin contact occurs. Treatment of seaweed irritation includes over-the-counter remedies. Symptoms of seaweed irritation include itching, burning, redness, blisters, and swelling. Consult a doctor if any signs of infection or if any symptoms other than a local reaction (redness or itching) occurs on the skin. -
Severe Allergic Reaction (Anaphylactic Shock)
Anaphylactic shock is a severe allergic reaction that is life-threatening. The symptoms of anaphylactic shock are breathing problems, shock, or death. A severe allergic reaction may be caused by an insect sting or certain foods to which the body has been "sensitized" and has developed a powerful antigen for. Anaphylactic shock is an emergency and requires immediate medical treatment. -
Sinus Squeeze
Sinus squeeze commonly occurs when a scuba diver cannot equalize sinus pressure due to nasal congestion. Symptoms of sinus squeeze include pressore or pain in the forehead, around the teeth, cheeks, or eyes, nosebleeds, and pressure or pain that increases as depth increases -
Snakebite (Snake Bite)
There are about 400 of 3,000 snake species worldwide are venomous. Approximately 25 species of venomous snakes are found in North America. Two major families of snakes account for most of the venomous snakes dangerous to humans. The elapid family includes cobras, mambas, coral snakes, tiger snakes, and death adders. The viper family includes rattlesnakes, saw-scaled vipers, Russell's viper, and the puff adder. If a person is bitten by a snake they should go to an emergency department, regardless if they feel the snake is nonvenomous. -
Stingray Sting
Stingrays have flat bodies with long, slender tails that have serrated spines. Their serrated spines can cause lacerations (cuts) and puncture wounds. The spines also contain venom. Stingray stings are one of the most common dive and beach-related injuries, and most require immediate medical attention. -
Surgeonfish Cuts
Surgeonfish (doctorfish, tang) is a tropical reef fish that has spines near the tail that can inflict cuts or lacerations. Symptoms of a surgeonfish cut are pain and bleeding. -
Tooth Squeeze
Tooth squeeze is a painful condition that occurs during the ascent while scuba diving. As the scuba diver ascends to the surface, air that has become trapped in a cavity or dental filling expands causing pain. Treatment for tooth squeeze include over-the-counter pain medication such as ibuprofen or acetaminophen. Medical care should be sought should the pain not resolve.
REFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.