Is the patient envenomed?
Is it likely that injection of venom has taken place?
D
Diagnostics
Inquire re:
- time of the sting,
- local, possibly regional pain,
- nausea, vomiting, diarrhoea.
Assess:
- state of consciousness.
Measure:
- blood pressure/pulse,
- respiratory rate.
Observe/investigate:
- puncture sites,
- number of puncture sites (important in Stonefish stings for assessment of the amount of venom injected and to determine the antivenom dose),
- local/regional swelling,
- clinical signs of cardiovascular disturbances, such as cardiac dysrhythmias, arterial hypotension,
- signs of paralysis.