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Animais peçonhentos

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VIDAL HADDAD JÚNIOR<br />

JOÃO PEDRO BARREIROS<br />

Table for identification and treatment of accidents caused by marine animals from the Azores (adapted from HADDAD Jr, 2000).<br />

Punctiform wounds Coetaneous eruption Lacerated tissues<br />

Sting Sting Sting Linear marks, Eczema Bluish bords Simple lacerations<br />

** present rarely swelling, *<br />

(1) or pale (2) (torn tissues)<br />

* present reddening, Sting fragments<br />

*<br />

** burn marks<br />

** **<br />

Sting rays Sea Scorpion Medusae, Portu– Sponges, Sting rays (1) Sharks, barracudas,<br />

urchins fish and guese Man O’War, marine worms, (rarely, Punctiform groupers,<br />

their kin corals, anemones. sea cucumbers wounds) trigger fish,<br />

other fish.<br />

1 1 1 2 2 1 3<br />

Moderate pain<br />

** Intense pain *<br />

1 Immersion in hot water (test previously with hand) for 30-90 minutes (ca. 50 ºC)<br />

Local anaesthetic infiltration<br />

Remove spiculae, spines, sting fragments or glandular epithelium.<br />

X-ray: Persistence of symptoms on a late phase.<br />

Tethanic prophylaxis.<br />

2 Wash the area or make bandages with iced sea water.<br />

Apply vinegar (wash the area and make bandages)<br />

Analgesics (dipirone or equivalent. Intramuscular).<br />

3 Intensive washing and surgical exploration.<br />

Tethanic prevention.<br />

In all cases (especially on lacerated wounds), evaluate therapy with antibiotics.<br />

54

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