VAPAGuide - Flowcharts

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Physalia sp.

Hours

Anaemia

Carukia barnesi, Chironex fleckeri, Chiropsalmus quadrigatus, Physalia sp. other jellyfish
Minutes to hours

Chironex fleckeri, Chiropsalmus quadrigatus, Physalia sp.		Carukia barnesi other jellyfish
Minutes		Hours

Respiratory insufficiency		Cramping abdominal pain, back pain, cardiac arrhythmias, arterial hypertension, pulmonary oedema, ("Irukandji syndrome")¹

Respiratory failure		Heart failure

¹Aetiology: massive release of catecholamines?

Chironex fleckeri,
Chiropsalmus

quadrigatus,

Physalia sp.,

other jellyfish

Minutes

Cardiac dysrhythmias,
cardiac insufficiency

Heart failure

All medically relevant cnidarians

Minutes (to hours)

Nausea, vomiting, urticaria
bronchospasm
arterial hypotension

Cardiovascular failure

All medically relevant cnidarians

Minutes

Local pain

Linear or blotchy urticarial or papulovesicular skin lesions, erythema

Chironex fleckeri, other cnidarians

Hours to days

Necrosis

Uncommon local effects: acute regional vascular insufficiency distal to the sting (see Diagnosis & treatment: Hospital); mononeuritis multiplex distal to the sting (see Diagnosis & treatment: Hospital). Eyes: pain, conjunctivitis, corneal oedema, iridocyclitis (see Diagnosis & treatment: Hospital).

Emergency & clinical flowcharts