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Snorkeling:
Venomous Marine Animals
US Navy Diving Manual


Identification of a fish following a sting is not always possible; however, symptoms and effects of venom do not vary greatly. Venomous fish are rarely aggressive and usually contact is made by accidentally stepping on or handling the fish. Dead fish spines remain toxic. Venom is generally heat-liable and may be decomposed by hot water. Local symptoms following a sting may first include severe pain later combined with numbness or even hypersensitivity around the wound. The wound site may become cyanotic with surrounding tissue becoming pale and swollen. General symptoms may include nausea, vomiting, sweating, mild fever, respiratory distress and collapse. The pain induced may seem disproportionately high to apparent severity of the injury. Medical personnel should be prepared for serious anaphylactic reactions from apparently minor stings or envenomation.

Avoid handling suspected venomous fish. Venomous fish are often found in holes or crevices or lying well camouflaged on rocky bottoms. Divers should be alert for their presence and should take care to avoid them.

HIGHLY TOXIC FISH
Stings by stonefish, zebrafish, and scorpionfish have been known to cause fatalities. While many similarities exist between these fish and the venomous fish of the previous section, a separate section has been included because of the greater toxicity of their venom and the availability of an antivenin. The antivenin is specific for the stonefish but may have some beneficial effects against the scorpionfish and zebrafish. Local symptoms are similar to other fish envenomation except that pain is more severe and may persist for many days. Generalized symptoms are often present and may include respiratory failure and cardiovascular collapse. These fish are widely distributed in temperate and tropical seas and in some arctic waters. They are shallow-water bottom dwellers. Stonefish and scorpionfish are flattened vertically, dark and mottled. Zebrafish are ornate and feathery in appearance with alternating patches of dark and light color.

STINGRAYS
The stingray is common in all tropical, subtropical, warm, and temperate regions. It usually favors sheltered water and will burrow into sand with only eyes and tail exposed. It has a bat-like shape and a long tail. Approximately 1,800 stingray attacks are reported annually in the U.S. Most attacks occur when waders inadvertently step on a ray, causing it to lash out defensively with its tail. The spine is located near the vase of the tail. Wounds are either of the laceration or puncture type and are extremely painful. The wound appears swollen and pale with a blue rim. Secondary wound infections are common. Systemic symptoms may be present and can include fainting, nausea, vomiting, sweating, respiratory difficulty, and cardiovascular collapse.

In shallow waters which favor stingray habitation, shuffle feet on the bottom and probe with a stick to alert the rays and chase them away.

COELENTERATES
Hazardous types of coelenterates include: Portuguese man-of-war, sea wasp or box jellyfish, sea nettle, sea blubber, sea anemone, and rosy anemone. Jellyfish vary widely in color or may be transparent. They appear to balloon-like floats with tentacles dangling down into the water. The most common stinging injury is the jellyfish sting. Jellyfish can come into direct contact with a diver in virtually any oceanic region, worldwide. When this happens, the diver is exposed to literally thousands of minute stinging organs in the tentacles called nematocysts. Most jellyfish stings result only in painful local skin irritation.

The sea wasp or box jellyfish and Portuguese man-of-war are the most dangerous types. The sea wasp or box jellyfish (found in the Indo-Pacific) can induce death within 10 minutes by cardiovascular collapse, respiratory failure, and muscular paralysis. Deaths from Portuguese man-of-war stings have also been reported. Even though intoxication from ingesting poisonous sea anemones is rare, sea anemones must not be eaten.

Do not handle jellyfish. Beached or apparently dead specimens may still be able to sting. Even towels or clothing contaminated with the stinging nematocysts may cause stinging months later.

In some specimens of jellyfish, tentacles may trail for great distances horizontally or vertically in the water and are not easily seen by the diver. Swimmers divers should avoid close proximity to jellyfish to avoid contacting their tentacles, especially when near the surface.

Wet suits, body shells, or protective clothing should be worn when diving in waters where jellyfish are abundant. Petroleum jelly applied to exposed skin helps to prevent stinging, but caution should be used since petroleum jelly can deteriorate rubber products.

CORAL
Coral, a porous rock-like formation, is found in tropical and subtropical waters. Coral is extremely sharp and the most delicate coral is often the most dangerous because of their razor sharp edges. Coral cuts, while usually fairly superficial, take a long time to heal and can cause temporary disability. The smallest cut, if left untreated, can develop into a skin ulcer. Secondary infections often occur and may be recognized by the presence of a red and tender area surrounding the wound. All coral cuts should receive medical attention. Some varieties of coral can actually sting a diver since coral is a coelenterate like jellyfish. Some of the soft coral of the genus Palythoa have been found recently to contain the deadliest poison known to man. This poison is found within the body of the organism and not in the stinging nematocysts. The slime of this coral may cause a serious skin reaction or even be fatal if exposed to an open wound. No antidote is known.

Extreme care should be used when working near coral. Often coral is located in a reef formation subjected to heavy surface water action, surface current, and bottom current. Surge also develops in reef areas. For this reason, it is easy for the unknowing diver to be swept or tumbled across coral with serious consequences. Be prepared.

THE OCTOPUS
The octopus inhabits tropical and temperate oceans. Species vary depending on region. It has a large sac surrounded by 8-10 tentacles. The head sac is large with well-developed eyes and horny jaws on the mouth. Movement is made by jet action produced by expelling water from the mantle cavity through the siphon. The octopus will hide in caves, crevices and shells. It possesses a well-developed venom apparatus in its salivary glands and stings by biting. Most species of octopus found in the U.S. are harmless. The blue-ringed octopus common in Australian and Indo-Pacific waters may inflict fatal bites. The venom of the blue-ringed octopus is a neuromuscular blocker called tetrodotoxin and is also found in Puffer fish. Envenomation from the bite of a blue-ringed octopus may lead to muscular paralysis, vomiting, respiratory difficulty, visual disturbances, and cardiovascular collapse. Octopus bites consist of two small punctures. A burning or tingling sensation results and may soon spread. Swelling, redness, and inflammation are common. Bleeding may be severe and the clotting ability of the blood is often retarded by the action of an anticoagulant in the venom.

Extreme care should be used when reaching into caves and crevices. Regardless of size, an octopus should be handled carefully with gloves. One should not spear an octopus, especially the large ones found off the coast of the Northwestern United States, because of the risk of being entangled by its tentacles. If killing an octopus becomes necessary, stabbing it between the eyes is recommended.




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