A prospective study of stingray injury and envenomation outcomes
- Access
- Restricted to UC San Diego use only
- Collection
- Description
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Stingray injuries result in thousands of emergency department visits annually. This study aimed to assess the complication rate and outcome of field treatment with hot water immersion. This was an on-site, prospective, observational study. Subjects were enrolled after having been stung by a stingray. A trained researcher obtained the following information: age, sex, health conditions and medications, and wound description. The efficacy of hot water immersion on pain was recorded. Patients were contacted on post-injury days 3, 7, and 14 for follow up. 22 subjects were included. No obvious foreign bodies were observed in wounds. 10 subjects were treated with hot water immersion and povidone-iodine, 12 with hot water immersion alone. Ongoing symptoms or complications were notes at 3-day follow-up in 6 of 22 subjects (27.3%). One subject was diagnosed with cellulitis on post-sting day 8, and was treated with antibiotics. Ongoing symptoms or complications were reported more commonly in patients treated with hot water and povidone-iodine compared with those treated with hot water alone (p=0.056). There was a significant difference in wound size between those with and without ongoing symptoms at 3-day follow-up (p=0.0102). No wounds less than 1 cm developed any complications. Average duration of water immersion was 73.6 minutes (range 35-145 minutes). Mean pain score pre- treatment was 7.36 and post treatment was 2.18, with an average decrease of 5.18 (95% CI 4.22-6.15). Conclusion: stingray injuries responded well to hot water immersion for pain control. Skin and soft tissue infection was diagnosed in 1 of 22 patients (4.55%)
- Creation Date
- 2018
- Creator
- Physical Description
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1 online resource (8 unnumbered pages) : tables
- Note
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Description based on online resource; title PDF cover page (viewed May 23, 2019)
Forms part of the UC San Diego School of Medicine independent study projects, Class of 2018
Includes bibliographical references
Title provided by the cataloger
- Genre
- Topic
Format
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- Language
- English
- Publication
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La Jolla, California: University of California, San Diego
- Thesis
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M.D. University of California, San Diego 2018
- Rights Holder
- Myatt, Toby
- Copyright
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Under copyright (US)
Use: This work is available from the UC San Diego Library. This digital copy of the work is intended to support research, teaching, and private study.
Constraint(s) on Use: This work is protected by the U.S. Copyright Law (Title 17, U.S.C.). Use of this work beyond that allowed by "fair use" or any license applied to this work requires written permission of the copyright holder(s). Responsibility for obtaining permissions and any use and distribution of this work rests exclusively with the user and not the UC San Diego Library. Inquiries can be made to the UC San Diego Library program having custody of the work.
- Digital Object Made Available By
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Academic Liaison Program, UC San Diego, La Jolla, 92093-0175 (http://ucsd.libguides.com/c.php?g=91092&p=584168)
- Last Modified
2020-10-28