Sea Snake Bites: Toxicity, First Aid, and Treatment of the Most Venomous Species
What are the most venomous sea snakes. How to identify a sea snake bite. What is the proper first aid for a sea snake bite. How are sea snake envenomations treated. Why are sea snake bites so dangerous. Where are sea snakes most commonly found. Who is at highest risk for sea snake bites.
The Fascinating World of Sea Snakes: An Overview
Sea snakes are truly remarkable creatures, inhabiting the warm, tropical waters of the Indian and Pacific Oceans. With 57 known species divided into two major subfamilies (Laticaudinae and Hydrophiinae), these reptiles are considered the most abundant venomous creatures on our planet. Despite their prevalence, sea snakes are not typically aggressive towards humans, only biting in self-defense or when startled.
Interestingly, sea snakes are absent from the Atlantic Ocean, limiting their distribution to specific regions. This geographical constraint has significant implications for human-sea snake interactions and the associated risks of envenomation.
Sea Snake Characteristics
- Adapted for aquatic life with paddle-like tails
- Can remain submerged for long periods
- Possess potent venom for immobilizing prey
- Generally docile unless provoked
The Deadly Bite: Understanding Sea Snake Venom
Sea snake venom is a complex cocktail of enzymes and toxins, making it one of the most potent neurotoxins in the animal kingdom. The venom’s low LD50 values (the dose required to kill 50% of test subjects) underscore its lethality. But what makes this venom so dangerous?
Key Components of Sea Snake Venom
- Acetylcholinesterase
- Hyaluronidase
- Leucine aminopeptidase
- 5′- nucleotidase
- Phosphomonoesterase
- Phosphodiesterase
- Phospholipase A
These components work in concert to create a devastating effect on the human body. The venom acts on both presynaptic and postsynaptic sites, ultimately leading to the inhibition of neural impulses. This can result in skeletal muscle paralysis, including the paralysis of respiratory muscles and the diaphragm – a potentially fatal outcome if not treated promptly.
Venom Stability
One of the most alarming aspects of sea snake venom is its remarkable stability. Research has shown that even after boiling for 30 minutes or exposure to extreme pH levels (1 to 11), the venom’s LD50 levels remain largely unchanged. This stability makes traditional first aid methods, such as applying hot water, ineffective and potentially dangerous.
Identifying the Most Venomous Sea Snakes
While all sea snakes are venomous, some species are known for their particularly potent venom. Among the most dangerous are:
- 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, in particular, is often cited as having the most toxic venom of any snake, sea or terrestrial. However, it’s important to note that toxicity alone doesn’t determine the danger level of a snake. Factors such as temperament, habitat overlap with humans, and likelihood of delivering a full envenomation also play crucial roles.
Epidemiology of Sea Snake Bites: Who’s at Risk?
Sea snake bites are relatively rare compared to their terrestrial counterparts, but when they do occur, they can be extremely serious. But who is most at risk of encountering these marine reptiles?
High-Risk Groups
- Fishermen
- Divers
- Beachgoers in tropical regions
- Marine researchers
Fishermen are by far the most at-risk group, as they frequently encounter sea snakes tangled in their nets. The process of removing these snakes can lead to bites if not done carefully. Divers and marine researchers may also come into contact with sea snakes during their work, while beachgoers in tropical areas might accidentally step on or disturb a sea snake in shallow waters.
Geographical Distribution of Incidents
Sea snake bites are most common in the coastal areas of:
- Southeast Asia
- The Indian subcontinent
- Northern Australia
- The Persian Gulf
These regions correspond to the natural habitats of sea snakes, where human activities like fishing and coastal development are also prevalent.
Recognizing a Sea Snake Bite: Signs and Symptoms
Identifying a sea snake bite can be challenging, as the initial bite may be painless due to the snake’s small teeth. However, symptoms typically develop within 30 minutes to a few hours after the bite. What are the key signs to watch for?
Early Symptoms
- Mild to moderate pain at the bite site
- Stiffness and tenderness of muscles
- Drowsiness or fatigue
- Nausea and vomiting
- Headache
- Thirst
Progressive Symptoms
- Progressive muscle paralysis
- Ptosis (drooping eyelids)
- Difficulty swallowing
- Respiratory distress
- Darkened urine (due to myoglobinuria)
- Generalized aching
- Renal failure
It’s crucial to note that symptoms can progress rapidly, and respiratory paralysis can occur within 6-12 hours of the bite if left untreated. This underscores the importance of seeking immediate medical attention even if initial symptoms seem mild.
First Aid for Sea Snake Bites: What to Do and What to Avoid
In the event of a sea snake bite, prompt and correct first aid can be life-saving. However, it’s equally important to avoid certain actions that could worsen the situation. What are the do’s and don’ts of sea snake bite first aid?
Do’s
- 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
- Seek medical help immediately
- Monitor breathing and be prepared to perform CPR if necessary
Don’ts
- Do not attempt to suck out the venom
- Do not apply a tourniquet
- Do not cut the wound
- Do not apply ice or heat to the bite site
- Do not give the victim alcohol or other drugs
The pressure immobilization technique is particularly important for sea snake bites. This involves applying a firm bandage (not a tourniquet) over the bite site and wrapping the entire limb, then immobilizing it with a splint. This helps to slow the spread of venom through the lymphatic system.
Medical Treatment of Sea Snake Envenomation
Once the victim reaches a medical facility, treatment focuses on managing symptoms and administering antivenom if necessary. What does the medical management of sea snake bites typically involve?
Initial Assessment and Stabilization
- Airway management and respiratory support if needed
- Intravenous fluid administration
- Pain management
- Blood tests to assess coagulation, renal function, and muscle damage
Antivenom Administration
Antivenom is the definitive treatment for sea snake envenomation. The most commonly used antivenom is the Commonwealth Serum Laboratories (CSL) Sea Snake Antivenom, which is effective against most sea snake species. The decision to administer antivenom is based on clinical symptoms and laboratory findings.
Supportive Care
- Mechanical ventilation if respiratory failure occurs
- Dialysis for severe renal failure
- Management of electrolyte imbalances
- Wound care and antibiotic administration if necessary
It’s important to note that recovery can be prolonged, and patients may require ongoing supportive care and rehabilitation even after the acute phase of envenomation has passed.
Prevention: Staying Safe in Sea Snake Habitats
While treatment options exist, prevention remains the best approach when it comes to sea snake bites. How can individuals minimize their risk when in areas where sea snakes are present?
For Recreational Beach-goers and Divers
- Wear protective footwear when walking in shallow waters
- Avoid handling or disturbing sea snakes if encountered
- Be aware of local sea snake species and their habitats
- Dive with a reputable company that provides safety briefings
For Fishermen and Marine Workers
- Use protective gear when handling nets or equipment
- Learn proper techniques for safely removing sea snakes from nets
- Keep antivenoms on board if working in high-risk areas
- Undergo regular training on sea snake safety and first aid
Education plays a crucial role in prevention. Understanding sea snake behavior, recognizing different species, and knowing how to react in an encounter can significantly reduce the risk of bites.
The Future of Sea Snake Research and Treatment
As our understanding of sea snakes and their venom continues to evolve, so too do our approaches to treatment and prevention. What are some of the exciting developments in this field?
Emerging Research Areas
- Development of more specific and effective antivenoms
- Exploration of sea snake venom for potential pharmaceutical applications
- Improved understanding of sea snake ecology and behavior
- Development of non-invasive venom detection methods
Potential Therapeutic Applications
Interestingly, while sea snake venom is deadly, it also holds potential for medical applications. Researchers are investigating components of sea snake venom for:
- Pain management
- Cancer treatment
- Neurodegenerative disease therapy
- Cardiovascular medicine
These potential applications highlight the importance of sea snake conservation, not just for ecological reasons, but also for their potential contributions to human health and medicine.
As we continue to explore the fascinating world of sea snakes, it’s clear that these creatures are as complex as they are dangerous. While their potent venom poses a significant threat, proper education, prevention strategies, and medical treatments can greatly reduce the risks associated with sea snake encounters. Moreover, ongoing research into sea snake venom may unlock new therapeutic possibilities, further emphasizing the importance of understanding and preserving these remarkable marine reptiles.
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.