Stinging Jellyfish in Tropical Australia
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Marine Envenomations
Environmental Marine envenomations Ingrid Berling Geoffrey Isbister Background The majority of marine envenomings are minor and do Marine stings are common but most are minor and do not not require medical intervention. Jellyfish stings are a require medical intervention. Severe and systemic marine frequent reason for presentation to first aid and primary envenoming is uncommon, but includes box jellyfish stings, healthcare providers. A knowledge of the variety of stings Irukandji syndrome, major stingray trauma and blue-ringed and envenoming syndromes that occur in Australia, octopus envenoming. Almost all marine injuries are caused including those that are clinically significant, and available by jellyfish stings, and penetrating injuries from spiny fish, treatments, is necessary for practitioners, particularly those stingrays or sea urchins. working in coastal regions. Objective This article describes the presentation and management Marine envenoming can be considered in two broad categories: of marine envenomations and injuries that may occur in jellyfish stings and penetrating venomous marine injuries. Jellyfish Australia. stings range from the life-threatening major box jellyfish (Chironex Discussion fleckeri) to painful, but generally benign, bluebottle stings common First aid for jellyfish includes tentacle removal, application to most southeastern Australian beaches (Figure 1). Penetrating of vinegar for box jellyfish, and hot water immersion (45°C venomous marine injuries often occur when handling fish, but can for 20 min) for bluebottle jellyfish stings. Basic life support occur to anyone involved in water activities, fresh water or marine. is essential for severe marine envenomings that result in They are typically more painful than just the trauma of the wound, and cardiac collapse or paralysis. -
Are We Using the Correct First Aid for Jellyfish?
Editorial Are we using the correct first aid for jellyfish? Jamie E Seymour The answer is predicated on our knowing what the correct treatment is — and we don’t n this issue of the MJA, Isbister and colleagues report that hot water immersion was no more effective than ice packs for I fi Chironex treating the pain of stings by the box jelly sh ( fleckeri).1 This finding is surprising, as jellyfish venoms are heat- labile,2 but unsurprising, given that heat treatment for some patients did not begin until 4 hours after the patient was stung. Managing jellyfish stings is generally subject to confusion, and official advice needs revising to make it clear, consistent and effec- tive. The current Australian Resuscitation Council (ARC) guidelines for treating jellyfish envenoming3 encourage this confusion by suggesting that people stung while swimming in temperate waters (south of Bundaberg) should use heat immersion to reduce pain report.10 Despite many subsequent published studies finding this (based on a randomised controlled trial of treatment for bluebottle procedure ineffective, including one randomised controlled trial,11 stings4), but those envenomed in tropical waters (north of Bunda- it is still standard practice for many medical professionals. berg) should be treated with ice. The guidelines also advise that Magnesium may be helpful in some situations, but may not be as vinegar should be used to minimise envenoming only in tropical effective as first thought, perhaps because of differences in the areas — unless it is clear that the patient has been stung by a blue- venoms involved. bottle, in which case vinegar should never be used. -
Pupillary Response to Light in Three Species of Cubozoa (Box Jellyfish)
Plankton Benthos Res 15(2): 73–77, 2020 Plankton & Benthos Research © The Plankton Society of Japan Pupillary response to light in three species of Cubozoa (box jellyfish) JAMIE E. SEYMOUR* & EMILY P. O’HARA Australian Institute for Tropical Health and Medicine, James Cook University, 11 McGregor Road, Smithfield, Qld 4878, Australia Received 12 August 2019; Accepted 20 December 2019 Responsible Editor: Ryota Nakajima doi: 10.3800/pbr.15.73 Abstract: Pupillary response under varying conditions of bright light and darkness was compared in three species of Cubozoa with differing ecologies. Maximal and minimal pupil area in relation to total eye area was measured and the rate of change recorded. In Carukia barnesi, the rate of pupil constriction was faster and final constriction greater than in Chironex fleckeri, which itself showed faster and greater constriction than in Chiropsella bronzie. We suggest this allows for differing degrees of visual acuity between the species. We propose that these differences are correlated with variations in the environment which each of these species inhabit, with Ca. barnesi found fishing for larval fish in and around waters of structurally complex coral reefs, Ch. fleckeri regularly found acquiring fish in similarly complex mangrove habitats, while Ch. bronzie spends the majority of its time in the comparably less complex but more turbid environments of shallow sandy beaches where their food source of small shrimps is highly aggregated and less mobile. Key words: box jellyfish, cubozoan, pupillary mobility, vision invertebrates (Douglas et al. 2005, O’Connor et al. 2009), Introduction none exist directly comparing pupillary movement be- The primary function of pupil constriction and dilation tween species in relation to their habitat and lifestyle. -
Successful Use of Heat As First Aid for Tropical Australian Jellyfish Stings
Toxicon 122 (2016) 142e144 Contents lists available at ScienceDirect Toxicon journal homepage: www.elsevier.com/locate/toxicon Case report Successful use of heat as first aid for tropical Australian jellyfish stings * Mark Little a, b, , Richard Fitzpatrick d, Jamie Seymour c a FACEM MPH &TM DTM & H Department of Emergency Medicine, Cairns Hospital, Cairns, Australia b Queensland Tropical Health Alliance School of Public Health and Tropical Medicine, James Cook University, Australia c Queensland Tropical Health Alliance, School of Public Health and Tropical Medicine, Centre for Biodiscovery & Molecular Development of Therapeutics, Queensland Emergency Medical Research Foundation, Faculty of Medicine, Health & Molecular Sciences, James Cook University, Cairns Campus, Mcgregor Road, 4878, Cairns, Australia d Queensland Tropical Health Alliance, James Cook University, Cairns Campus, Mcgregor Road, 4878, Cairns, Australia article info abstract Article history: Currently the Australian Resuscitation Council (ARC) recommends dousing with vinegar followed by ice Received 24 June 2016 as first aid for jellyfish stings in tropical Australia, with limited evidence to support this recommendation Received in revised form (Li et al., 2013). We report our successful experience in using hot water immersion as first aid in treating 29 September 2016 two people stung by venomous tropical Australian jellyfish, one by Chironex fleckeri and one by Carukia Accepted 4 October 2016 barnesi. Available online 6 October 2016 © 2016 Elsevier Ltd. All rights reserved. Keywords: Jellyfish First aid Hot water Cubozoan Chironex fleckeri Carukia barnesi 1. Clinical record The jellyfish, wrapped around the victims arm, was captured and later identified as Carukia barnesi. A 35 yo M cinematographer was filming documentary on Iru- A 40yo M biologist was at Palm Cove collecting Box jellyfish kandji jellyfish at Palm Cove, Queensland. -
Awareness, Prevention and Treatment of World-Wide Marine Stings and Bites
Awareness, Prevention and Treatment of world-wide marine stings and bites Dr Peter Fenner Honorary Medical Officer, Surf Life Saving Australia International Life Saving Federation Medical/Rescue Conference Proceedings September 1997 Abstract The most common world-wide first aid treatment used by the average lifesaver/lifeguard is the treatment of marine envenomation, especially the treatment of jellyfish stings. It is important to use the correct first aid treatment for each type of envenomation. This study provides a simplified protocol for: - 1. Awareness of the geographical distribution and possibilities of envenomation enabling: - 2. Preventative strategies to reduce morbidity and mortality from marine envenomation 3. First aid treatment of marine envenomation by jellyfish or other marine animals This discussion is based on protocols developed for Surf Life Saving Australia and other first aid providers in Australia over the past ten years. Their success has been proven by a 30% reduction in the number of stings over the past 10 years (statistics from the author’s records). Information for this article has been taken from: - 1. Venomous and poisonous marine animals: a medical and biological handbook produced by Surf Life Saving Queensland 2. The global problem of cnidarian stinging. MD Thesis by the author for the University of London. Introduction The global problem of marine envenomation is not fully appreciated. Each year hundreds of deaths occur from poisoning (by ingestion or eating) or by envenomation (stinging by jellyfish, or biting by venomous marine animals). The morbidity is even greater with jellyfish stings world-wide being numbered in their millions. Each summer it is estimated that up to half a million stings occur on the east coast of the United States from the Portuguese man-o’-war (Physalia physalis). -
Population Structures and Levels of Connectivity for Scyphozoan and Cubozoan Jellyfish
diversity Review Population Structures and Levels of Connectivity for Scyphozoan and Cubozoan Jellyfish Michael J. Kingsford * , Jodie A. Schlaefer and Scott J. Morrissey Marine Biology and Aquaculture, College of Science and Engineering and ARC Centre of Excellence for Coral Reef Studies, James Cook University, Townsville, QLD 4811, Australia; [email protected] (J.A.S.); [email protected] (S.J.M.) * Correspondence: [email protected] Abstract: Understanding the hierarchy of populations from the scale of metapopulations to mesopop- ulations and member local populations is fundamental to understanding the population dynamics of any species. Jellyfish by definition are planktonic and it would be assumed that connectivity would be high among local populations, and that populations would minimally vary in both ecological and genetic clade-level differences over broad spatial scales (i.e., hundreds to thousands of km). Although data exists on the connectivity of scyphozoan jellyfish, there are few data on cubozoans. Cubozoans are capable swimmers and have more complex and sophisticated visual abilities than scyphozoans. We predict, therefore, that cubozoans have the potential to have finer spatial scale differences in population structure than their relatives, the scyphozoans. Here we review the data available on the population structures of scyphozoans and what is known about cubozoans. The evidence from realized connectivity and estimates of potential connectivity for scyphozoans indicates the following. Some jellyfish taxa have a large metapopulation and very large stocks (>1000 s of km), while others have clade-level differences on the scale of tens of km. Data on distributions, genetics of medusa and Citation: Kingsford, M.J.; Schlaefer, polyps, statolith shape, elemental chemistry of statoliths and biophysical modelling of connectivity J.A.; Morrissey, S.J. -
Marine Turtle Newsletter No. 117, 2007 - Page ISSN 0839-7708 Editors: Managing Editor
Issue Number 117 July 2007 Logo for the Twenty-Eighth Symposium on Sea Turtle Biology and Conservation (pp. 14-16). IN THIS ISSUE: Articles: Marine Turtles in Mozambique: Towards an Effective Conservation and Management Program..................A.Costa et al. Predation on the Zoanthid Palythoa caribaeorum by a Hawksbill Turtle in Southeastern Brazil.......S.N.Stampar et al. Rat Eradication as Part of a Hawksbill Conservation Program in Paraíba State, Brazil........................D.Zeppelini et al. Morphodynamics of an Olive Ridley Nesting Beach in the Baja Peninsula...V.M. Gómez-Muñoz & L. Godínez-Orta Notes: First Records of Olive Ridley Turtles in Seychelles...............................................................S. Remie & J.A. Mortimer Sexual Harassment By A Male Green Turtle..................................................................................................B.W. Bowen Incidental Capture of a Leatherback Along the Coast of Ceara, Brazil............................................E.H.S.M. Lima et al. Book Review IUCN-MTSG Quarterly Report Announcements News & Legal Briefs Recent Publications Marine Turtle Newsletter No. 117, 2007 - Page 1 ISSN 0839-7708 Editors: Managing Editor: Lisa M. Campbell Matthew H. Godfrey Michael S. Coyne Nicholas School of the Environment NC Sea Turtle Project A321 LSRC, Box 90328 and Earth Sciences, Duke University NC Wildlife Resources Commission Nicholas School of the Environment 135 Duke Marine Lab Road 1507 Ann St. and Earth Sciences, Duke University Beaufort, NC 28516 USA Beaufort, NC 28516 USA Durham, NC 27708-0328 USA E-mail: [email protected] E-mail: [email protected] E-mail: [email protected] Fax: +1 252-504-7648 Fax: +1 919 684-8741 Founding Editor: Nicholas Mrosovsky University of Toronto, Canada Editorial Board: Brendan J. Godley & Annette C. -
Chironex Fleckeri
CHIRONEX FLECKERI - THE NORTH AUSTRALIAN BOX-JELLYFISH CHIRODROPID BOX JELLYFISH WORLDWIDE Appearance Bell The bell is large and transparent and is very difficult to see in its natural habitat. Chironex bell size may grow to 30cm diameter in the largest specimens in Queensland. Large Chironex are common at the end of the season (March - May/June), but sometimes, for no apparent reason, large specimens may occasionally be found at the beginning of the season (September - November). Chironex generally appear earlier in the summer season closer to the equator than they do in the tropics. Specimens in Darwin, which usually appear each year in August, do not appear to grow larger than 14cm. bell diameter during the year, unlike their larger cousins in Queensland. The reason for this is not known. Chiropsalmus quadrigatus is similar to Chironex and occurs in a similar area. However, the trained observer can detect the differences. The bell is always smaller - maximum size about 15cm bell diameter, and the characteristic appearances of the pedalia (see Anatomy Chapter, and below) are different. Many similar species of jellyfish around the world have been given this species name in many areas of the world, making description and discussion very difficult. There is still much uncertainty about the species overlap with subtle differences occurring in the jellyfish anatomy as the geographic area changes. Tentacles Chironex fleckeri has up to 15 tentacles in each corner (60 in total). Other chirodropids may have between 7-16 tentacles when fully-grown. The tentacles are thick - like bootlaces. They are contracted when the jellyfish is swimming and may be just 5 -15cm. -
Etiology of Irukandji Syndrome with Particular Focus on the Venom Ecology and Life History of One Medically Significant Carybdeid Box Jellyfish Alatina Moseri
ResearchOnline@JCU This file is part of the following reference: Carrette, Teresa Jo (2014) Etiology of Irukandji Syndrome with particular focus on the venom ecology and life history of one medically significant carybdeid box jellyfish Alatina moseri. PhD thesis, James Cook University. Access to this file is available from: http://researchonline.jcu.edu.au/40748/ The author has certified to JCU that they have made a reasonable effort to gain permission and acknowledge the owner of any third party copyright material included in this document. If you believe that this is not the case, please contact [email protected] and quote http://researchonline.jcu.edu.au/40748/ Etiology of Irukandji Syndrome with particular focus on the venom ecology and life history of one medically significant carybdeid box jellyfish Alatina moseri Thesis submitted by Teresa Jo Carrette BSc MSc December 2014 For the degree of Doctor of Philosophy in Zoology and Tropical Ecology within the College of Marine and Environmental Sciences James Cook University Dedication: “The sea, once it casts its spell, holds one in its net of wonder forever.” Jacques Yves Cousteau To my family – and my ocean home ii Acknowledgements Firstly, I have to acknowledge my primary supervisor Associate Professor Jamie Seymour. We have spent the last 17 years in a variable state of fatigue, blind enthusiasm, inspiration, reluctance, pain-killer driven delusion, hope and misery. I have you to blame/thank for it all. Just when I think all hope is lost and am about to throw it all in you seem to step in with the words of wisdom that I need. -
Marine Stingers Factsheet
Marine Stingers Frequently Asked Questions What are Irukandji? Irukandji is a group of jellyfish which are known to cause symptoms of a potentially dangerous syndrome called Irukandji Syndrome. There are currently 14 known species of Irukandji, however only a few of these species have the potential to occur in the waters around the Whitsundays. Irukandji can occur coastally and around the reef and islands. What is Irukandji Syndrome? Irukandji Syndrome is a syndrome which can affect people who have been stung by an Irukandji jellyfish. While the Irukandji sting itself can be relatively mild, the symptoms of the Irukandji Syndrome, in very rare cases, can be life-threatening. Symptoms of Irukandji Syndrome can take 5 to 45 (typically 20-30) minutes to develop after being stung. Some symptoms include: • Lower backache, overall body pain and muscular cramps. The pain from this can be severe. • Nausea/vomiting • Chest pain and difficulty breathing • Pins and needles • Anxiety and a feeling of “impending doom” • Headache, usually severe • Increased respiratory rate • Piloerection (hair standing on end) • High blood pressure which can lead to stroke or heart failure • A sting is rarely evident – usually just a pale red mark with goose pimples or sweating. Are Irukandji only prevalent in Australia? No. Species of Irukandji occur in South East Asia, the Caribbean, Hawaii, South Africa and even the United Kingdom. Australia is leading the study of these creatures, which is probably the reason why the jellyfish may be wrongly associated with occurring only in Australia. What are Box Jellyfish? While globally the term ‘Box Jellyfish’ is the general term given to any jellyfish which has a bell (head) shaped like a box, in Australia, the name always refers to a particular species of jellyfish called Chironex fleckeri. -
AUSTRALIAN PRODUCT INFORMATION – BOX JELLYFISH ANTIVENOM Solution for Injection
BOX JELLYFISH ANTIVENOM (AUST R 74891) Product Information AUSTRALIAN PRODUCT INFORMATION – BOX JELLYFISH ANTIVENOM Solution for Injection 1 NAME OF THE MEDICINE Box jellyfish antivenom (ovine) as active ingredient. 2 QUALITATIVE AND QUANTITATIVE COMPOSITION BOX JELLYFISH ANTIVENOM is prepared from the plasma of sheep immunised with the venom of the box jellyfish (Chironex fleckeri). Each vial contains 20,000 units of antivenom. The product also contains phenol 2.2 mg, sodium chloride 8 mg, water for injections to 1 mL in an aqueous solution. Each vial contains ≤ 100 mg per mL of plasma protein of ovine origin. The product volume is potency dependant thus it varies from batch to batch. Please refer to the product volume printed on the carton. 3 PHARMACEUTICAL FORM BOX JELLYFISH ANTIVENOM is a solution for injection (20000U). It is a clear to opalescent, straw coloured, viscous solution in a clear glass vial. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS For the treatment of patients who exhibit manifestations of systemic envenoming or who have extensive local involvement causing extreme pain which does not respond to routine analgesic therapy. 4.2 DOSE AND METHOD OF ADMINISTRATION Not everyone who is stung by a box jellyfish needs antivenom. In cases of severe systemic envenoming, cardiopulmonary resuscitation and other appropriate first aid measures recommended by local guidelines must be instituted when necessary before giving antivenom. Antivenom should be administered as soon as possible after resuscitation has commenced. Ideally this will be in an intensive care facility. The contents of one vial (20,000 units) should be administered slowly by intravenous infusion after dilution with an intravenous solution such as Hartmann’s solution or 0.9% w/v Sodium Chloride. -
Cnidarian Phylogenetic Relationships As Revealed by Mitogenomics Ehsan Kayal1,2*, Béatrice Roure3, Hervé Philippe3, Allen G Collins4 and Dennis V Lavrov1
Kayal et al. BMC Evolutionary Biology 2013, 13:5 http://www.biomedcentral.com/1471-2148/13/5 RESEARCH ARTICLE Open Access Cnidarian phylogenetic relationships as revealed by mitogenomics Ehsan Kayal1,2*, Béatrice Roure3, Hervé Philippe3, Allen G Collins4 and Dennis V Lavrov1 Abstract Background: Cnidaria (corals, sea anemones, hydroids, jellyfish) is a phylum of relatively simple aquatic animals characterized by the presence of the cnidocyst: a cell containing a giant capsular organelle with an eversible tubule (cnida). Species within Cnidaria have life cycles that involve one or both of the two distinct body forms, a typically benthic polyp, which may or may not be colonial, and a typically pelagic mostly solitary medusa. The currently accepted taxonomic scheme subdivides Cnidaria into two main assemblages: Anthozoa (Hexacorallia + Octocorallia) – cnidarians with a reproductive polyp and the absence of a medusa stage – and Medusozoa (Cubozoa, Hydrozoa, Scyphozoa, Staurozoa) – cnidarians that usually possess a reproductive medusa stage. Hypothesized relationships among these taxa greatly impact interpretations of cnidarian character evolution. Results: We expanded the sampling of cnidarian mitochondrial genomes, particularly from Medusozoa, to reevaluate phylogenetic relationships within Cnidaria. Our phylogenetic analyses based on a mitochogenomic dataset support many prior hypotheses, including monophyly of Hexacorallia, Octocorallia, Medusozoa, Cubozoa, Staurozoa, Hydrozoa, Carybdeida, Chirodropida, and Hydroidolina, but reject the monophyly of Anthozoa, indicating that the Octocorallia + Medusozoa relationship is not the result of sampling bias, as proposed earlier. Further, our analyses contradict Scyphozoa [Discomedusae + Coronatae], Acraspeda [Cubozoa + Scyphozoa], as well as the hypothesis that Staurozoa is the sister group to all the other medusozoans. Conclusions: Cnidarian mitochondrial genomic data contain phylogenetic signal informative for understanding the evolutionary history of this phylum.