Lion Fish

[In2bate]

Does anyone have a protocol for treatment of Lion Fish envenomation?

[scubanurse]

http://emedicine.medscape.com/article/770764-treatment

http://www.breef.org/Portals/0/COB-MESI%20-%20FIRSTAID%20RESPONSE%20TO%20LIONFISH%20ENVENOMATION.pdf

http://www.alertdiver.com/?articleNo=491

Also note that DAN (Divers Alert Network) is a valuable resource in the event you come across this type of injury in the field. If you provide EMS care in an area where lion fish are bountiful, I strongly urge you to contact them. They have specialized doctors who can assist you in any dive related injury including the stonefish/lion fish envenomation.

Their contact number is: +1-919-684-9111 and website: http://www.diversalertnetwork.org/medical/emergencies.asp

Most you can do is get them to advanced medical care ASAP... curious where are you that you have encountered this??? Having been a diver in some pretty remote areas of the world, I have only encountered a small handful of envenomations like this, the most recent being in Taha'a with a stone fish when a tourist stepped on one.

[Just Plain Ruff]

The majority of lion fish envenomation are from Salt water aquarium enthusiasts. Really really cool fish but quite agressive and if you put your hand in the water and not pay attention you can get stung.

NOT a fun thing. We had a aquarium enthusiast who got hit by not only one but two lionfish. He was a hurting unit.

We ended up flying him from scene to the level 1 trauma center and he didn't fare too well but I don't think he died. Didnt' get too much follow up but I did see him wandering around the city once or twice a couple of months after the flight.

We did the hot towel treatment and copious amounts fo fentanyl and when it ran out, we went to morphine.

DAN network was called on this and they recommended the level 1 trauma center. Not sure why when a level 2 would have probably worked but that's who they recommended. Maybe they had a marine envenomation residency or something like that. Who knows.