In 1961, Jack Handyside Barnes, his nine year-old son, and a local surf lifesaver were rushed to Cairns Base Hospital after developing Irukandji syndrome.
Scombroid poisoning occurs after the ingestion of fish with high histamine levels due to improper processing or storage. One of the most common causes of morbidity associated with fish intake
John (Jack) Handyside Barnes (1922-1985) was an Australian medical practitioner and toxinologist. 1964 the first specimens of the small stinger Carukia barnesi (Irukandji)
Irukandji Syndrome - originally a mystery was solved by some self experimentation of Dr Jack Barnes, his nine-year old son and local surf lifesaver. He proved that the thumbnail sized carybdeid (or four tentacled box jellyfish) could cause Irukandji syndrome but placing it on all three of them.
Irukandji syndrome is a distressing envenoming secondary to the sting of Carukia barnesi and other, as yet unidentified, jellyfish found in coastal waters of tropical Australia.
Bluebottle Jellyfish are not actually a single organism but are made up of zooids. These bluebottles cause thousands of stings each year on Australian beaches and hot water usually provides relief. Major systemic envenoming does not occur (unlike other Physalia stings in other parts of the world).
The bluebottle jellyfish is responsible for thousands of stings on Australian beaches each year. Clinical features include intense local pain and dermal erythema. Hot water immersion provides safe symptomatic relief. Unlike Physalia stings in other parts of the world, major systemic envenoming does not occur.
The Tiger Snakes are the only venomous snake in Tasmania and coexist with brown snakes in Australia with similar clinical features in early envenomation. Also behind the brown snake they can also cause death.
A 38 yr old male presents to your ED, 2 hours after ingesting an unknown quantity of amitriptyline (TCA) with a GCS of 13, HR 130, BP96/50. How do you proceed?
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