Sea Snake Bite: Most Venomous Species, First Aid, and Treatment Guide
What are the most venomous sea snakes. How to identify a sea snake bite. What is the proper first aid for sea snake envenomation. How is sea snake bite treated medically. Why are sea snake bites so dangerous. How to prevent sea snake encounters. Where are sea snakes commonly found.
Understanding Sea Snakes: Distribution and Characteristics
Sea snakes are fascinating creatures that have adapted to life in marine environments. These reptiles are primarily found in the warm, tropical waters of the Indian and Pacific Oceans. Interestingly, they are absent from the Atlantic Ocean. There are 57 known species of sea snakes, divided into two major subfamilies: Laticaudinae and Hydrophiinae.
Despite their potentially deadly venom, sea snakes are not naturally aggressive towards humans. They typically only bite when they feel threatened or surprised. This often occurs when fishermen accidentally catch them in their nets and attempt to remove them.
Key Characteristics of Sea Snakes:
- Adapted for marine life with paddle-like tails for swimming
- Possess small, fixed fangs
- Can remain submerged for long periods
- Most species give birth to live young
The Venom of Sea Snakes: A Potent Neurotoxin
Sea snake venom is renowned for its potency. It contains a powerful neurotoxin with low LD50 values, making it highly dangerous even in small quantities. The venom’s composition includes several enzymes that contribute to its deadly effects.
Components of Sea Snake Venom:
- Acetylcholinesterase
- Hyaluronidase
- Leucine aminopeptidase
- 5′- nucleotidase
- Phosphomonoesterase
- Phosphodiesterase
- Phospholipase A
The venom acts on both presynaptic and postsynaptic sites in the nervous system. At the presynaptic level, phospholipase A initially causes the release of acetylcholine but ultimately inhibits its release. The postsynaptic neurotoxin, a small protein between 6,000 and 8,000 daltons, binds almost irreversibly to acetylcholine receptor sites on the postsynaptic membrane.
Mechanisms of Sea Snake Venom Toxicity
The combined action of presynaptic and postsynaptic toxins results in the inhibition of neural impulses. This can lead to severe consequences, including skeletal muscle paralysis. In severe cases, the paralysis can affect the respiratory muscles and diaphragm, potentially leading to respiratory failure and drowning.
Additionally, some toxins in sea snake venom, such as phospholipase A, can cause myonecrosis. This muscle breakdown can result in myoglobinuria and elevated levels of creatinine and creatine kinase in the blood.
Is sea snake venom resistant to environmental factors?
Sea snake venom is remarkably stable. Research has shown that boiling the venom for 30 minutes or exposing it to extreme pH levels (from 1 to 11) does not significantly alter its LD50 levels when administered to rats. This stability makes sea snake venom particularly dangerous, as it remains potent even under harsh conditions.
Epidemiology of Sea Snake Bites
Sea snake bites occur less frequently than terrestrial snake bites. However, the potency of their venom means that when bites do occur, they can lead to high rates of morbidity and potential mortality if not treated promptly.
The true incidence of sea snake bites is challenging to determine. Many bites likely occur at sea or in small fishing villages where reporting may be difficult. Fishermen are the population most at risk for sea snake bites, as they are most likely to encounter these creatures while working.
Why are sea snake bites often unnoticed initially?
Sea snakes have small teeth, which means a bite can occur without the victim immediately realizing it. This delayed awareness can be dangerous, as symptoms may not appear until significant envenomation has already occurred.
Clinical Presentation of Sea Snake Envenomation
The symptoms of sea snake envenomation can vary in severity but typically follow a characteristic pattern. Understanding these symptoms is crucial for prompt diagnosis and treatment.
Early Symptoms of Sea Snake Bite:
- Minimal to no local pain at the bite site
- Mild swelling or discoloration around the bite
- Stiffness and tenderness in muscles, particularly in the neck and trunk
- Ptosis (drooping eyelids)
- Blurred vision
- Paresthesia (tingling or numbness) around the mouth
Progressive Symptoms:
- Generalized muscle pain and stiffness
- Trismus (lockjaw)
- Difficulty speaking and swallowing
- Dark urine due to myoglobinuria
- Progressive paralysis
- Respiratory distress
In severe cases, symptoms can progress rapidly, leading to respiratory failure within 30 minutes to several hours after the bite. However, it’s important to note that not all bites result in envenomation, and the severity of symptoms can vary widely.
First Aid and Immediate Management of Sea Snake Bites
Proper first aid is crucial in managing sea snake bites. The primary goal is to slow the spread of venom and get the victim to medical care as quickly as possible.
Steps for First Aid:
- Remove the victim from the water to prevent drowning
- Keep the victim calm and still to slow venom spread
- Apply a pressure immobilization bandage to the affected limb
- Immobilize the limb with a splint
- Transport the victim to the nearest medical facility immediately
It’s important to note that traditional first aid methods like sucking out the venom or applying a tourniquet are not recommended and can be harmful.
How should the pressure immobilization bandage be applied?
The pressure immobilization technique involves wrapping the entire limb with a bandage, starting from the bite site and moving upwards. The bandage should be firm but not so tight as to cut off circulation. The goal is to slow lymphatic flow, which is the primary means of venom spread, without impeding arterial or venous blood flow.
Medical Treatment of Sea Snake Envenomation
Once the victim reaches a medical facility, treatment focuses on supportive care and antivenom administration if necessary.
Key Components of Medical Treatment:
- Assessment of airway, breathing, and circulation
- Monitoring for signs of respiratory distress
- Fluid resuscitation to prevent acute kidney injury from myoglobinuria
- Pain management
- Administration of antivenom if indicated
- Laboratory tests to monitor creatine kinase, electrolytes, and renal function
When is antivenom administration necessary?
Antivenom is typically administered if there are signs of systemic envenomation, such as myalgia, ptosis, or difficulty swallowing. The specific antivenom used depends on the geographical location and the species of sea snake involved. In many cases, a polyvalent antivenom effective against multiple sea snake species is used.
Prevention and Safety Measures
While sea snake bites are relatively rare, prevention remains the best approach. Understanding sea snake behavior and taking appropriate precautions can significantly reduce the risk of encounters and bites.
Tips for Avoiding Sea Snake Encounters:
- Avoid areas known to have high sea snake populations
- Do not attempt to handle or provoke sea snakes
- Wear protective clothing when working in waters where sea snakes are present
- Use caution when checking fishing nets or equipment
- Be aware of your surroundings when swimming or diving in tropical waters
For individuals who work in areas where sea snake encounters are likely, such as fishermen or marine researchers, proper training in sea snake identification and safe handling techniques is essential.
What should you do if you encounter a sea snake while swimming?
If you encounter a sea snake while swimming, the best course of action is to remain calm and slowly move away from the snake. Sea snakes are generally not aggressive and will usually try to avoid human contact. Sudden movements or attempts to touch or catch the snake may provoke a defensive bite.
Most Venomous Sea Snake Species
While all sea snakes are venomous, some species are known for their particularly potent venom. Understanding which species pose the greatest risk can be crucial for those working or living in areas where sea snakes are common.
Top 5 Most Venomous Sea Snake Species:
- Belcher’s Sea Snake (Hydrophis belcheri)
- Beaked Sea Snake (Enhydrina schistosa)
- Yellow-bellied Sea Snake (Hydrophis platurus)
- Olive Sea Snake (Aipysurus laevis)
- Black-banded Sea Krait (Laticauda semifasciata)
The Belcher’s Sea Snake, also known as the faint-banded sea snake, is often cited as the most venomous sea snake. Its venom is estimated to be 100 times more potent than that of a cobra. However, this species is generally docile and rarely bites humans.
How does sea snake venom compare to land snake venom?
Sea snake venom is generally more potent than the venom of most land snakes. This high potency is believed to be an adaptation to their marine environment, where prey must be quickly immobilized to prevent escape. However, sea snakes typically inject less venom per bite compared to many terrestrial snakes, which can sometimes result in dry bites or envenomations of varying severity.
Research and Future Directions in Sea Snake Toxinology
The field of sea snake toxinology is an area of ongoing research, with potential implications for both medical treatment and drug development.
Current Areas of Research:
- Development of more effective and species-specific antivenoms
- Investigation of sea snake venom components for potential pharmaceutical applications
- Improved understanding of sea snake venom evolution and adaptation
- Ecological studies to better understand sea snake behavior and habitat preferences
One promising area of research is the potential use of sea snake venom components in the development of new pain medications. Some studies have shown that certain peptides found in sea snake venom may have analgesic properties without the addictive potential of opioids.
How might climate change affect sea snake populations and distribution?
Climate change could potentially impact sea snake populations and distribution patterns. Rising sea temperatures and changes in ocean currents may alter the habitats and food sources of sea snakes, potentially leading to shifts in their geographical range. This could result in sea snakes appearing in areas where they were previously uncommon, potentially increasing the risk of human-snake encounters in these regions.
The Role of the Interprofessional Team in Managing Sea Snake Envenomation
Effective management of sea snake envenomation requires a coordinated effort from an interprofessional medical team. Each member plays a crucial role in ensuring the best possible outcome for the patient.
Key Team Members and Their Roles:
- Emergency Medicine Physicians: Initial assessment and treatment
- Toxicologists: Guidance on antivenom administration and management of systemic effects
- Critical Care Specialists: Management of severe cases requiring intensive care
- Nurses: Continuous monitoring and care
- Laboratory Technicians: Rapid processing of blood tests
- Pharmacists: Preparation and dispensing of antivenom and other medications
- Physical Therapists: Rehabilitation for patients with prolonged muscle weakness
Effective communication and coordination among team members are essential for providing optimal care. Regular case reviews and training sessions can help improve team preparedness for these rare but potentially life-threatening events.
What role do local knowledge and traditional practices play in sea snake bite management?
In many coastal communities where sea snakes are common, local knowledge and traditional practices can play a significant role in bite prevention and initial management. While some traditional treatments may not be scientifically proven, the local understanding of sea snake behavior and habitats can be invaluable. Healthcare providers working in these areas should strive to integrate this local knowledge with modern medical practices to provide culturally appropriate and effective care.
In conclusion, while sea snake bites are relatively rare, their potential severity necessitates a thorough understanding of prevention, first aid, and medical management. Ongoing research and improved medical protocols continue to enhance our ability to treat these envenomations effectively. For those living or working in areas where sea snakes are present, awareness and caution remain the best defenses against potentially dangerous encounters.
Sea Snake Toxicity – StatPearls
Justin Fuehrer; Erwin L. Kong; Heather M. Murphy-Lavoie.
Author Information and Affiliations
Last Update: April 2, 2023.
Continuing Education Activity
Sea snakes, thought to be the most abundant venomous reptiles on the planet, are found in the warm, tropical waters of the Indian and Pacific Oceans but not in the Atlantic Ocean. There are 57 known species of sea snakes and two major subfamilies (Laticaudinae and Hydrophiinae). Sea snakes are not aggressive, although they have been known to bite humans in self-defense or when surprised; this most commonly occurs when fishermen attempt to remove them from fishing nets. Envenomation by sea snakes can be a potentially fatal condition if not appropriately treated, as sea snake venom is a potent neurotoxin with low LD50 values. Subsequent respiratory compromise or drowning can occur owing to the paralysis of the diaphragm and skeletal muscles, respectively. Although not all bites result in envenomation, avoidance of sea snakes is the best approach. This activity outlines the evaluation and management of sea snake toxicity and the role of the interprofessional team in improving care for patients exposed to this venom.
Objectives:
Describe the epidemiology of sea snake bites.
Outline the signs and symptoms of sea snake envenomation.
Describe appropriate treatment strategies for those with sea snake envenomation.
Review the importance of the medical team in coordinating the care of a patient exposed to sea snake venom.
Access free multiple choice questions on this topic.
Introduction
Sea snakes, thought to be the most abundant venomous reptiles on the planet, are found in the warm, tropical waters of the Indian and Pacific Oceans but not in the Atlantic Ocean. There are 57 known species of sea snakes and two major subfamilies (Laticaudinae and Hydrophiinae). Sea snakes are not aggressive, although they have been known to bite humans in self-defense or when surprised; this most commonly occurs when fishermen attempt to remove them from fishing nets. Envenomation by sea snakes can be a potentially fatal condition if not appropriately treated, as sea snake venom is a potent neurotoxin with low LD50 values. Subsequent respiratory compromise or drowning can occur owing to the paralysis of the diaphragm and skeletal muscles, respectively. Although not all bites result in envenomation, avoidance of sea snakes is the best approach.[1]
Etiology
Sea snakes are not aggressive, although if they feel threatened or surprised, a bite can occur. Fishermen are the most at-risk population for sea snake bites, as contact with sea snakes can occur when fishermen attempt to remove sea snakes from their netting. Much like terrestrial snakes, not all bites result in envenomation.[2] Importantly, sea snakes have small teeth, making it possible for a bite to occur without a person realizing they were bitten until symptoms begin.
Epidemiology
Sea snake bites occur far less frequently than terrestrial snake bites and most commonly occur when fishermen attempt to remove them from fishing nets. The true incidence of sea snake bites is not known as many bites likely occur at sea and in small fishing villages where reporting bites may be difficult. Although sea snake bites occur less frequently than terrestrial snake bites, the potent neurotoxin leads to a high rate of morbidity and, potentially, mortality if not treated rapidly.[3]
Pathophysiology
Sea snake venom contains a potent neurotoxin with low LD50 levels. Several enzymes are present in sea snake venom, including acetylcholinesterase, hyaluronidase, leucine aminopeptidase, 5′- nucleotidase, phosphomonoesterase, phosphodiesterase, and phospholipase A. Sea snake venom acts at both presynaptic and postsynaptic sites. The presynaptic toxin is thought to be due to phospholipase A. This toxin initially causes the release of acetylcholine but, ultimately, the inhibition of acetylcholine release. The postsynaptic neurotoxin is a small protein between 6,000 and 8,000 daltons. This neurotoxin binds nearly irreversibly to the postsynaptic membrane at acetylcholine receptor sites. The net effect of both the presynaptic and postsynaptic toxin is the inhibition of neural impulses which can lead to skeletal muscle paralysis, including paralysis of the respiratory muscles and diaphragm. Other toxins, such as phospholipase A, can cause myonecrosis with resultant muscle breakdown, myoglobinuria, and elevated creatinine and creatine kinase levels.[1]
Toxicokinetics
Sea snake venom is extremely stable. Research has shown that boiling for 30 minutes and dissolving venom in both acidic and basic solutions to a pH range of 1 to 11, respectively, did not significantly change LD50 levels after administration in rats.[1] Therefore, hot water is not indicated for this venom and may, in fact, worsen outcomes by increasing blood flow to the area with the toxins.
History and Physical
Physical exam findings revolve around the blockage of neural impulses and muscle breakdown. Paralysis, dysphagia, muscle spasm, respiratory arrest, and dysarthria can occur, and the most common cause of death in sea snake poisoning is respiratory arrest due to diaphragm paralysis or drowning secondary to skeletal muscle paralysis. Because sea snakes have small teeth, bite marks may be difficult to appreciate, and it can sometimes be difficult for the victim to realize they were bitten until symptoms occur. In general, if no symptoms occur within a few hours after the bite, including both neurologic symptoms and muscle pain from myonecrosis, it is possible that the bite was a dry bite with no envenomation.[2] Approximately 50% of bites are dry bites, and only 50% of the time is there a significant envenomation.[4]
Evaluation
Due to the potential for myonecrosis from phospholipase A, creatine kinase levels may be elevated and myoglobinuria present in urine. No specific laboratory or radiographic tests are required for the diagnosis as clinical history including contact with a sea snake, and typical symptomatology is all that is required for diagnosis. Serum electrolytes and creatinine levels may be helpful to monitor for resultant kidney injury but are not required for diagnosis.[5]
Treatment / Management
Treatment is supportive and requires the administration of antivenin as soon as possible when symptoms of envenomation are present. Removal of the patient from the water is paramount, as skeletal muscle paralysis can cause drowning. Respiratory compromise may also occur owing to diaphragmatic paralysis, and patients may require intubation and mechanical ventilation until antivenin is administered and can neutralize the venom. Incision, drainage, and suctioning of the bite area are not indicated as little venom is likely to be removed in this manner, and resultant damage to the skin and possible subsequent infection risks outweigh the benefit of any possible venom removal. A pressure-immobilization bandage can be considered to help prevent systemic circulation of venom. Monitoring urine output should also be considered to evaluate for myoglobinuria, and frequent measurement of serum creatinine and electrolytes should be evaluated, and electrolytes supplemented as needed. In the absence of antivenin, hemodialysis can be considered and, theoretically, could be helpful in refractory cases given the small protein size (6,000 to 8,000 daltons) of the neurotoxin. [1]
Differential Diagnosis
Cobra envenomation
Rhabdomyolysis
Prognosis
Due to the low LD50 of sea snake venom, morbidity, and mortality rates are high without appropriate treatment. However, if supportive care, including mechanical ventilation as needed for respiratory compromise and antivenin administration, is done early, the overall prognosis is good.
Complications
Complications of sea snake envenomation can include muscle necrosis and myoglobinuria due to phospholipase A. If significant muscle breakdown occurs, the resultant myoglobinuria can lead to elevated creatinine levels and kidney damage. If antivenin is not administered promptly, significant morbidity up to and including death from drowning or respiratory failure can occur.
Consultations
If available, consultation with toxicology for advice regarding the type and dose of antivenin is warranted. Intensive care unit consultation may also be required if a respiratory compromise occurs and mechanical ventilation is needed. If considering hemodialysis, consultation with nephrology is required.
Deterrence and Patient Education
Sea snakes are not aggressive, but they are quite dangerous; therefore, educating patients and the public to avoid contact with sea snakes could dramatically reduce the incidence of sea snake bites. The group that could be potentially impacted the most by education focusing on prevention is fishermen. As most bites occur when fishermen are emptying or entangling their nets, educating them on identifying sea snakes in endemic areas and avoiding contact with sea snakes could be an important preventative measure. Furthermore, if a sea snake bite does occur, educating the population most at risk about potential adverse outcomes such as paralysis and respiratory arrest is important as this education would help potential victims understand that they need to get to definitive care quickly for antivenin administration.
Enhancing Healthcare Team Outcomes
Recognition and early treatment of a potential envenomation by a sea snake are imperative to a successful outcome. [1] Health professionals who are likely to encounter sea snake envenomation should have the skills needed to identify symptoms of sea snake envenomation and the skills needed to provide supportive care up to and including mechanical ventilation if respiratory muscle involvement occurs. [Level 5]
Review Questions
Access free multiple choice questions on this topic.
Comment on this article.
References
- 1.
Tu AT. Biotoxicology of sea snake venoms. Ann Emerg Med. 1987 Sep;16(9):1023-8. [PubMed: 3307552]
- 2.
Hornbeak KB, Auerbach PS. Marine Envenomation. Emerg Med Clin North Am. 2017 May;35(2):321-337. [PubMed: 28411930]
- 3.
Tan CH, Tan KY, Tan NH. Revisiting Notechis scutatus venom: on shotgun proteomics and neutralization by the “bivalent” Sea Snake Antivenom. J Proteomics. 2016 Jul 20;144:33-8. [PubMed: 27282922]
- 4.
White J. Bites and stings from venomous animals: a global overview. Ther Drug Monit. 2000 Feb;22(1):65-8. [PubMed: 10688262]
- 5.
Tamiya N, Yagi T. Studies on sea snake venom. Proc Jpn Acad Ser B Phys Biol Sci. 2011;87(3):41-52. [PMC free article: PMC3066545] [PubMed: 21422738]
Disclosure: Justin Fuehrer declares no relevant financial relationships with ineligible companies.
Disclosure: Erwin Kong declares no relevant financial relationships with ineligible companies.
Disclosure: Heather Murphy-Lavoie declares no relevant financial relationships with ineligible companies.
Sea Snake Toxicity – StatPearls
Justin Fuehrer; Erwin L. Kong; Heather M. Murphy-Lavoie.
Author Information and Affiliations
Last Update: April 2, 2023.
Continuing Education Activity
Sea snakes, thought to be the most abundant venomous reptiles on the planet, are found in the warm, tropical waters of the Indian and Pacific Oceans but not in the Atlantic Ocean. There are 57 known species of sea snakes and two major subfamilies (Laticaudinae and Hydrophiinae). Sea snakes are not aggressive, although they have been known to bite humans in self-defense or when surprised; this most commonly occurs when fishermen attempt to remove them from fishing nets. Envenomation by sea snakes can be a potentially fatal condition if not appropriately treated, as sea snake venom is a potent neurotoxin with low LD50 values. Subsequent respiratory compromise or drowning can occur owing to the paralysis of the diaphragm and skeletal muscles, respectively. Although not all bites result in envenomation, avoidance of sea snakes is the best approach. This activity outlines the evaluation and management of sea snake toxicity and the role of the interprofessional team in improving care for patients exposed to this venom.
Objectives:
Describe the epidemiology of sea snake bites.
Outline the signs and symptoms of sea snake envenomation.
Describe appropriate treatment strategies for those with sea snake envenomation.
Review the importance of the medical team in coordinating the care of a patient exposed to sea snake venom.
Access free multiple choice questions on this topic.
Introduction
Sea snakes, thought to be the most abundant venomous reptiles on the planet, are found in the warm, tropical waters of the Indian and Pacific Oceans but not in the Atlantic Ocean. There are 57 known species of sea snakes and two major subfamilies (Laticaudinae and Hydrophiinae). Sea snakes are not aggressive, although they have been known to bite humans in self-defense or when surprised; this most commonly occurs when fishermen attempt to remove them from fishing nets. Envenomation by sea snakes can be a potentially fatal condition if not appropriately treated, as sea snake venom is a potent neurotoxin with low LD50 values. Subsequent respiratory compromise or drowning can occur owing to the paralysis of the diaphragm and skeletal muscles, respectively. Although not all bites result in envenomation, avoidance of sea snakes is the best approach.[1]
Etiology
Sea snakes are not aggressive, although if they feel threatened or surprised, a bite can occur. Fishermen are the most at-risk population for sea snake bites, as contact with sea snakes can occur when fishermen attempt to remove sea snakes from their netting. Much like terrestrial snakes, not all bites result in envenomation.[2] Importantly, sea snakes have small teeth, making it possible for a bite to occur without a person realizing they were bitten until symptoms begin.
Epidemiology
Sea snake bites occur far less frequently than terrestrial snake bites and most commonly occur when fishermen attempt to remove them from fishing nets. The true incidence of sea snake bites is not known as many bites likely occur at sea and in small fishing villages where reporting bites may be difficult. Although sea snake bites occur less frequently than terrestrial snake bites, the potent neurotoxin leads to a high rate of morbidity and, potentially, mortality if not treated rapidly. [3]
Pathophysiology
Sea snake venom contains a potent neurotoxin with low LD50 levels. Several enzymes are present in sea snake venom, including acetylcholinesterase, hyaluronidase, leucine aminopeptidase, 5′- nucleotidase, phosphomonoesterase, phosphodiesterase, and phospholipase A. Sea snake venom acts at both presynaptic and postsynaptic sites. The presynaptic toxin is thought to be due to phospholipase A. This toxin initially causes the release of acetylcholine but, ultimately, the inhibition of acetylcholine release. The postsynaptic neurotoxin is a small protein between 6,000 and 8,000 daltons. This neurotoxin binds nearly irreversibly to the postsynaptic membrane at acetylcholine receptor sites. The net effect of both the presynaptic and postsynaptic toxin is the inhibition of neural impulses which can lead to skeletal muscle paralysis, including paralysis of the respiratory muscles and diaphragm. Other toxins, such as phospholipase A, can cause myonecrosis with resultant muscle breakdown, myoglobinuria, and elevated creatinine and creatine kinase levels. [1]
Toxicokinetics
Sea snake venom is extremely stable. Research has shown that boiling for 30 minutes and dissolving venom in both acidic and basic solutions to a pH range of 1 to 11, respectively, did not significantly change LD50 levels after administration in rats.[1] Therefore, hot water is not indicated for this venom and may, in fact, worsen outcomes by increasing blood flow to the area with the toxins.
History and Physical
Physical exam findings revolve around the blockage of neural impulses and muscle breakdown. Paralysis, dysphagia, muscle spasm, respiratory arrest, and dysarthria can occur, and the most common cause of death in sea snake poisoning is respiratory arrest due to diaphragm paralysis or drowning secondary to skeletal muscle paralysis. Because sea snakes have small teeth, bite marks may be difficult to appreciate, and it can sometimes be difficult for the victim to realize they were bitten until symptoms occur. In general, if no symptoms occur within a few hours after the bite, including both neurologic symptoms and muscle pain from myonecrosis, it is possible that the bite was a dry bite with no envenomation. [2] Approximately 50% of bites are dry bites, and only 50% of the time is there a significant envenomation.[4]
Evaluation
Due to the potential for myonecrosis from phospholipase A, creatine kinase levels may be elevated and myoglobinuria present in urine. No specific laboratory or radiographic tests are required for the diagnosis as clinical history including contact with a sea snake, and typical symptomatology is all that is required for diagnosis. Serum electrolytes and creatinine levels may be helpful to monitor for resultant kidney injury but are not required for diagnosis.[5]
Treatment / Management
Treatment is supportive and requires the administration of antivenin as soon as possible when symptoms of envenomation are present. Removal of the patient from the water is paramount, as skeletal muscle paralysis can cause drowning. Respiratory compromise may also occur owing to diaphragmatic paralysis, and patients may require intubation and mechanical ventilation until antivenin is administered and can neutralize the venom. Incision, drainage, and suctioning of the bite area are not indicated as little venom is likely to be removed in this manner, and resultant damage to the skin and possible subsequent infection risks outweigh the benefit of any possible venom removal. A pressure-immobilization bandage can be considered to help prevent systemic circulation of venom. Monitoring urine output should also be considered to evaluate for myoglobinuria, and frequent measurement of serum creatinine and electrolytes should be evaluated, and electrolytes supplemented as needed. In the absence of antivenin, hemodialysis can be considered and, theoretically, could be helpful in refractory cases given the small protein size (6,000 to 8,000 daltons) of the neurotoxin.[1]
Differential Diagnosis
Cobra envenomation
Rhabdomyolysis
Prognosis
Due to the low LD50 of sea snake venom, morbidity, and mortality rates are high without appropriate treatment. However, if supportive care, including mechanical ventilation as needed for respiratory compromise and antivenin administration, is done early, the overall prognosis is good.
Complications
Complications of sea snake envenomation can include muscle necrosis and myoglobinuria due to phospholipase A. If significant muscle breakdown occurs, the resultant myoglobinuria can lead to elevated creatinine levels and kidney damage. If antivenin is not administered promptly, significant morbidity up to and including death from drowning or respiratory failure can occur.
Consultations
If available, consultation with toxicology for advice regarding the type and dose of antivenin is warranted. Intensive care unit consultation may also be required if a respiratory compromise occurs and mechanical ventilation is needed. If considering hemodialysis, consultation with nephrology is required.
Deterrence and Patient Education
Sea snakes are not aggressive, but they are quite dangerous; therefore, educating patients and the public to avoid contact with sea snakes could dramatically reduce the incidence of sea snake bites. The group that could be potentially impacted the most by education focusing on prevention is fishermen. As most bites occur when fishermen are emptying or entangling their nets, educating them on identifying sea snakes in endemic areas and avoiding contact with sea snakes could be an important preventative measure. Furthermore, if a sea snake bite does occur, educating the population most at risk about potential adverse outcomes such as paralysis and respiratory arrest is important as this education would help potential victims understand that they need to get to definitive care quickly for antivenin administration.
Enhancing Healthcare Team Outcomes
Recognition and early treatment of a potential envenomation by a sea snake are imperative to a successful outcome.[1] Health professionals who are likely to encounter sea snake envenomation should have the skills needed to identify symptoms of sea snake envenomation and the skills needed to provide supportive care up to and including mechanical ventilation if respiratory muscle involvement occurs. [Level 5]
Review Questions
Access free multiple choice questions on this topic.
Comment on this article.
References
- 1.
Tu AT. Biotoxicology of sea snake venoms. Ann Emerg Med. 1987 Sep;16(9):1023-8. [PubMed: 3307552]
- 2.
Hornbeak KB, Auerbach PS. Marine Envenomation. Emerg Med Clin North Am. 2017 May;35(2):321-337. [PubMed: 28411930]
- 3.
Tan CH, Tan KY, Tan NH. Revisiting Notechis scutatus venom: on shotgun proteomics and neutralization by the “bivalent” Sea Snake Antivenom. J Proteomics. 2016 Jul 20;144:33-8. [PubMed: 27282922]
- 4.
White J. Bites and stings from venomous animals: a global overview. Ther Drug Monit. 2000 Feb;22(1):65-8. [PubMed: 10688262]
- 5.
Tamiya N, Yagi T. Studies on sea snake venom. Proc Jpn Acad Ser B Phys Biol Sci. 2011;87(3):41-52. [PMC free article: PMC3066545] [PubMed: 21422738]
Disclosure: Justin Fuehrer declares no relevant financial relationships with ineligible companies.
Disclosure: Erwin Kong declares no relevant financial relationships with ineligible companies.
Disclosure: Heather Murphy-Lavoie declares no relevant financial relationships with ineligible companies.
Dangerous sea snakes, symptoms after being bitten, first aid
1 Dangerous sea snakes, danger to humans, symptoms after being bitten, types of bites and habitats of sea snakes.
2 When do snakes wake up and when are they most active?
3 What is known about sea snakes?
3.1 Sea snakes Hydrophiinae
4 Is the sea snake dangerous for humans
5 Water snake: features of the snake
5.1 Description of the water snake
5.2 Food and hunting
5.3 Reproduction
6 First aid for an injured person
7 Further actions
8 What should not be done?
9 Is there a vaccine against snake venom?
10 Why urgently go to the hospital
10. 1 Similar entries:
Dangerous sea snakes, danger to humans, symptoms after a bite, types of bites and habitats of sea snakes.
Perhaps, so many printed pages, books and stories are not devoted to any of the “non-existent” creatures, not yet recognized by science, as the mysterious Great Sea Serpent. From time immemorial to the present day, they write, talk, argue about him. Some with irritation and hostility, and some with sincere faith and hope. However, science does not have irrefutable evidence that giant sea snakes live in the depths of the ocean.
When do snakes wake up and when are they most active?
Snakes spend the winter in hibernation and wake up when the air warms up to 5-6 degrees Celsius, and in some places the snow begins to melt on the southern slopes. Then they crawl out of their burrows to bask in the sun. Every year this happens at different times, for example, in 2020 it was a warm March, and in the Tver region the “exit” of vipers was recorded at the beginning of the month. If there are frosts, then the awakening is shifting. The peak of snake activity usually occurs at the end of April – May and ends in June, but their movement in search of a partner, food and winter shelter lasts until September. However, this does not mean that the snake is aggressive all season.
“The snake is not always so active and aggressive,” explains Vladislav Starkov, researcher at the Institute of Bioorganic Chemistry, herpetologist. “When it’s cold, she lies helpless in the grass, she has a reduced reaction.”
The snakes leave for wintering in October. They winter on hills, on bumps, hills, slopes of ravines.
What is known about sea snakes?
In structure and appearance, sea snakes are somewhat different from their terrestrial relatives. Their body length is from 1 to 3 meters, and their weight is 700-1500 grams. The tail of the sea snake is flattened laterally, which allows individuals to feel confident in the water. The right lung of specimens is sufficiently enlarged, it stretches literally through the entire body and reaches the tail. Reptiles in most cases use it to store air (like fish use their swim bladder). To get a breath of air, water snakes come to the surface. When they dive back to the depth, the nostrils are blocked by a special valve.
One amazing ability of sea snakes is also known. They know how to breathe underwater, using the mucous membranes of their mouths, which are pierced by numerous blood vessels. Being at a depth, the snake slightly opens its mouth, receives a certain amount of oxygen, and can be in the water without emerging for 2 hours.
Many snakes have a rather bright color, light stripes and dark rings alternate on their skin. The exception is the bicolor bonito and a few other, less common species.
Sea snakes feed mainly on fish and shellfish. The bite of specimens is characterized by increased toxicity. This is due to the fact that cold-blooded fish are less resistant to poison.
Sea snakes Hydrophiinae
Sea snakes live in the Indian and Pacific oceans. About 63 species of these snakes have been described.
The sea serpent is a dangerous creature.
Body size varies between 0.8-2.7 meters depending on the species. The body of these snakes is compressed from the sides to the tail so much that the tail resembles a kind of leaf. Thanks to this tail, snakes swim well and dive to considerable depths. The head is small. The mouth is dotted with a network of blood vessels, thanks to which the snake can breathe oxygen dissolved in water. When the snake is immersed in water, its nostrils are closed with special valves. The language of these snakes is reduced.
Most sea snakes are viviparous. Newborn babies can immediately swim well.
All types of sea snakes have a strong venom, which is why they were long attributed to asps. Poison is mainly used to immobilize the victim and is used very sparingly. Sea snakes feed on fish. They attack people only in rare cases, when a person himself provokes a snake. A few hours after the bite of a sea snake, death occurs by suffocation.
Are sea snakes dangerous for humans
Despite the fact that the venom of the sea snake is highly toxic, it does not pose a significant threat to humans. Individuals use their sharp and poisonous teeth to kill prey, but rarely use them for self-defense.
Many people say that you can handle a sea snake. Without fear, many fishermen do this, in whose nets there are specimens.
But don’t pick up every sea snake. Experienced fishermen warn that the Dubois sea snake is very dangerous. In terms of toxicity, it is second only to the Australian brown snake and taipan. Keep in mind that individuals are found on the coast of Australia.
If you are bitten by a sea snake, it is better to play it safe and go to the nearest emergency room. Local doctors will give an injection with an antidote and stabilize the condition of the victim. If the toxic substance has time to spread throughout the body, paralysis of the respiratory tract may occur.
These are the sea snakes. Some of them do not harm a person, while others can inflict a fatal bite. If you do not understand their types, it is better not to take a reptile in your hands. Spread this information through your social networks and help your friends learn more about sea snakes. Don’t forget to subscribe to our channel and leave comments. Ahead of you is waiting for a lot of interesting things about the world of fish and seafood.
See also: How to protect yourself from a bear. This is a species close to the common snake and in many respects similar to it, but at the same time, it has its own characteristics. The very name of this snake suggests that it is closely connected with the aquatic environment.
Description of the water snake
This is a relatively large snake: body length can reach 130 cm, but more often 80-90 cm. Internasal shields are triangular in shape. The suture between the premaxillary and first upper labials is much longer than between the premaxillary and nasal.
Scales covering the body and tail from above, with well-defined longitudinal ribs. The ribs are absent on one row of scales adjoining the ventral scutes and weakly visible on a row of scales adjoining the undercaudal scutes.
The color of the dorsal side varies from olive-dark olive to brownish-dark brown, often with dark staggered spots.
The water snake differs from the common snake in that it does not have yellow spots on its head. Its feature is a V-shaped spot on the back of the head, facing forward with the tip.
The ventral side in males is reddish, in females it is yellowish or orange with dark transverse spots on the ventral scutes, gradually replacing the main background on the ventral side from the neck to the tail.
The coloration of juveniles is similar to that of adults, only their undersides are whitish.
The pupil of the water snake is round, the iris is yellowish, with gray dots.
Food and hunting
Water snakes feed mainly on fish, and to a lesser extent on amphibians. They hunt very actively and catch fish, looking for it mainly at the bottom. If a fish swims up to a stationary snake, it grabs its prey with one vigorous throw, but if it misses, it does not swim after it.
According to the observations in the aquarium, snakes swallow the captured small fish right there under water. Large prey is usually eaten on the shore. Often grabbing a fish by the tail, the snake hurries to the shore and, grabbing a stone with its body, tries to pull it out of the water.
Reproduction
The mating season begins in April – early May, and the laying of eggs occurs in late June – July. A clutch usually contains 6 to 18 eggs. Egg laying for each female lasts several hours. In freshly laid transparent eggs, embryos are clearly visible, which begin to develop even in the body of the female.
Eggs are incubated for 40-50 days. Young snakes are active, crawl quickly, and in appearance do not differ from adults in any way, except for their size. Their body length is 16-19 cm. In the latter case, there are only painful sensations from the bitten skin. The bite of non-venomous reptiles does not pose a health risk. A bite from a venomous snake is considered an emergency, and therefore a number of actions should be taken promptly. Experts advise in this case not to panic, but to adhere to the following algorithm.
First of all, calm down the victim. To prevent the poison from spreading through the circulatory system, you need to reduce blood flow. For this purpose, the victim is placed on a flat surface. At this stage, it is desirable to get rid of jewelry (if any on the body). The fact is that after a bite, severe puffiness forms, and therefore you will have many additional problems with jewelry. Further, the bitten place is fixed by means of the tire. It’s important that it stays still. Then they suck out the poison. For this purpose, use a rubber pear. If this device is not available, you can remove the poison by mouth. The main thing is that there are no lesions on the mucous membrane. To eliminate the poison for sure, experts advise making several small incisions around the wound.
What to do next
After giving first aid, the affected area of the body should be compressed with a bandage. It is important that the vessels fully function at the same time, and therefore it is not necessary to tightly tighten the bandage. To reduce the concentration of toxic substances that enter the bloodstream with poison, the victim should drink plenty of water. It may be that after a bite, the victim goes into shock or serious complications are observed. In this case, they resort to indirect heart massage and artificial respiration, and then the patient is hospitalized.
What can not be done?
There are some manipulations performed by ignorant people. This can lead, at best, to serious consequences and complications, at worst, to death. For example, some of the affected area is cauterized or ice is applied to it. Some provide “help” with warm or hot compresses. After being bitten by a venomous snake, it is forbidden to drink alcohol. There is also no need to fuss, as well as to be highly active. This is explained by the fact that physical activity increases blood flow, as a result of which the absorption of the poison will occur faster.
Is there a vaccine against snake venom?
Anti-snake serum available. If you go from half an hour to three or four hours to the clinic, and there is anti-snake serum, then you will have minimal complications for a snake bite. They exist throughout the Altai Territory, only in the system of disaster medicine, that is, in every large district of the Altai Territory.
Why urgently go to the hospital
— Who is most at risk of being bitten by a snake?
— In our region, mainly snakes of the viper family live. The predominant effect of their poison is local. Its concentration and dose can kill a bird. The life of an adult and healthy person will not be threatened by such a poison.
But if a viper bites a child or an elderly person, it can be dangerous.
Children have low body weight, and the elderly have reduced body reserves. There may be a threat to life.
— What kind of help will be provided in the hospital?
In the clinic, the victim will be given anti-snake serum. Usually hospitals have a serum for the venom of a specific snake that is found in a given region.
Unfortunately, serum is not always available in district hospitals. In this case, the victim will be given droppers and therapeutic treatment for allergic manifestations will be applied. The doctor will observe the patient and assess the general condition, including how the heart works. They will do a blood test to see if the clotting is broken.
Similar entries:
Sea snakes, danger to humans, symptoms after a bite, types of bites and habitats of sea snakes.
sea snakes, fireworms and biting fleas in resorts / Chip.Travel Blog
If not you, then an acquaintance of an acquaintance must have stepped on a sea urchin or burned himself on a jellyfish.
There are many creatures in the sea that you should be wary of meeting. It’s even better to know where to run and what to do in case of injury or a bite from a fish. We have collected useful information about marine life at popular resorts for you. Remember the first aid measures and behave with them carefully!
And pay attention to the flags on the beach
Jellyfish
Air creatures can be incredibly dangerous. Their stinging cells contain poison. The most dangerous jellyfish that you can meet on the beach: a yellow round box jellyfish and a beautiful blue-violet “Portuguese man-of-war” jellyfish.
Portuguese Boat Jellyfish
Box Jellyfish (Sea Wasp)
Where meets: Beaches in South East Asia, Mediterranean, Indian and Pacific Oceans.
Safety measures : try not to go to the beach after a storm – jellyfish are washed ashore and the chance to meet them is very high.
If you are stung by a jellyfish, call a doctor. After a bite, do not rub the wound or pull out the sting. While waiting for help, you can apply a dry compress and rinse the area with sea water. And forget fairy tales about miracle cures for urine, vinegar and alcohol!
Sea fleas
Let’s say right away that sea fleas bite very rarely, but the consequences of bites appear immediately. Miniature insects can cause unpleasant rashes and irritations. All fleas bite – both females and males. But only irritation and itching will remain from the bites of males, and the consequences of female bites are more serious. These fleas stick to a person and drink blood, so the bite can become inflamed and fester if the body of an insect remains in it.
Sea fleas can be found along the surf line, in seaweed thrown up by the storm. And yet – a large colony can make quiet sounds. Hear a barely noticeable howl on a wild beach? Then it’s better not to walk barefoot on the sand!
Where meet: on sandy beaches. In Southeast Asia (Thailand, Vietnam), India, South America, Africa, even on the Black Sea coast in Russia.
Safety measures : do not swim at dawn and dusk, do not walk barefoot on a wild beach, wash your feet after walking on the sand. If a flea has bitten and nothing but itching bothers you, take an antihistamine and anoint the wound with a soothing cream. If the head of an insect is visible in the wound, there is pus, then you need to go to the hospital. Trying to get a flea on your own with oil, like a tick, will not work.
Fireworms
Despite the creepy name, they look very nice: a bright orange caterpillar with fluffy white bristles. It can reach 40 cm in size, but usually about 10 cm. Some wildlife lovers find it difficult to restrain themselves from grabbing a handsome man in their hands. In no case should this be done: the worm instantly parted with its bristles, they scatter in the water and pierce directly into the hands. In the spines are capsules with poison containing a neurotoxin. The skin turns red, swells, dizziness and nausea begin.
Where meet: The Mediterranean Sea, the shores of the Adriatic.
Safety measures : do not swim on wild beaches – fireworms accumulate right in the shallow water between the stones. They themselves are shy and non-aggressive, they will not attack unless they are disturbed. If you dive on an unequipped beach, wear rubber slippers – they will protect your feet.
If you are injured by a fireworm, remove the poison capsules. Use tweezers if you see thorns, or regular tape if the bristles are not visually visible. After that, the wound should be wiped with alcohol. And do not forget to see a doctor – if the lesion is large, you will be prescribed antibiotics.
Sea urchins
Walking along the water’s edge, you can easily step on a sea urchin hidden in the rocks. The main danger is sharp needles up to 30 centimeters long. If one of them digs into the leg, it can ruin the vacation. The foot swells, the temperature rises, the wound fester.
Where meet: Coast of North and South America, New Zealand, Red and Mediterranean Sea. They live in stones, they are rare on sandy beaches. Often seen on wild beaches.
Safety measures : Rubber bathing slippers can save. When you enter the water, carefully inspect the bottom, be vigilant while diving. If the thorn of the hedgehog still attacked you, do not try to take it out yourself: it is very fragile and will break easily. It is better to immediately go to the hospital.
If there is no way to go to the hospital, you can first hold the barbed leg in hot water, and then gently pull it out. Treat the wound with an antiseptic.
Lionfish (zebrafish, lionfish)
Lionfish, zebrafish or lionfish are beautiful striped creatures with large fins that contain a dangerous venom. You can meet fish while diving. She lives near coral reefs, in shallow water. It is quite possible to observe her from afar – she does not attack herself. But if you disturb a zebra fish, it will release its fins-thorns with poison. It will hurt, fainting and even muscle paralysis is possible.
Location : Red Sea, Indian Ocean
Safety Precautions : Avoid disturbing lionfish while diving. If you have already run into a dangerous thorn, wash the wound with hydrogen peroxide and, if found, treat it with Epsom salts (magnesium sulfate) – this will help neutralize the poison. Then dip in hot water up to 45 degrees so that it does not burn. It will get better in 10-15 minutes. After that, disinfect the wound again and take an antihistamine.
Watch a video on how to avoid being bitten by fish
Sea snakes
It’s Serious : Water snakes produce more toxic venom than their terrestrial counterparts.
The good news is that a bite releases very little of this venom to seriously harm a person. Only 2 types of sea snakes are deadly. But a meeting with the safest of them cannot be called pleasant – the bite will hurt, tumors, swelling, allergies, weakness are possible. In the water, animals do not attack and try to hide as soon as possible. But if the snake was thrown onto land, you definitely shouldn’t touch it.
Where meet: the warm seas of the Pacific and Indian Oceans, most of all in the South China Sea.
Precautions : Do not touch sea snakes. They are shy and will not attack themselves. If you manage to get a snake bite, you do not need to wipe it with vinegar. And do not try to “treat” with alcohol – this contributes to the expansion of blood vessels and the rapid absorption of poison. You can try to suck out the poison with a blood-sucking jar, syringe or mouth (but only if there are no wounds in the mouth).
Skates
Most of the time the animals are motionless, so they can be overlooked in the sand. But if you disturb the stingray, it will be forced to sting. Feel pain, dizziness, weakness. You should be worried if the stingray wounded in the chest or stomach. If the stingray stung in the leg or arm, then there is no danger to life. The main thing is to properly treat the wound.
Where meet: Red Sea, Mediterranean Sea, Indian Ocean, Atlantic Ocean.
Precautions : do not walk on wild beaches barefoot, wear rubber slippers. If stung by a stingray, first rinse the wound with sea water. Treat with hydrogen peroxide, place the limb in warm water and hold for at least 30 minutes. Take an antihistamine. After that, the pain should subside. Clean the wound with soap and water on the following days. If there are signs of suppuration, consult a doctor.
Anemones (anemones)
Do you think these are beautiful flowers underwater? No, these are living creatures – anemones from the order of sea cnidarians. Outwardly, they look like ordinary grass, only the colors are brighter, and the leaves are fleshier.