Mordeduras de pulpos -U.S. Navy Diving Manual-

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Extreme care should be used when reaching into caves and cervices. Regardless of size, an octopus should be handled carefully with gloves. It is ill advised to spear an octopus, especially the large octopuses found off the coast of the Northwestern United States, due to the risk of being engtangled by the octopus tentacles. If killing an octopus becomes necessary, stabbing it between the eyes is recommended.

First Aid and Treatment.

1.Control local bleeding.
2.Clean and debride the wound and cover with a clean dressing.
3.For suspected blue-ringed octopus bites, a loose constrictive band should not be applied.Apply direct pressure with a pressure bandage and immovilize the extremity in a position that is lower than the heart using splints and elastic bandages.
4.Be prepared to administer mouth-to-mouth resuscitation and cardiopulmonary resuscitation if necessary.
5.Blue-ringed octopus venom is heat stable and acts as a neurotoxin and neuromuscular blocking agent. Venom is not affected by hot water therapy. No antivenin is available.
6.Medical therapy for blue-ringed octopus bites is directed toward management of paralytic, cardiovascular, and respiratory complications. Respiratory arrest is common and intubation with mechanical ventilation may be required. Furation of paralysis is between 4 and 12 hours.Reassure the patient.
7.Administer tetanus prophylaxis as appropriate.
U. S. Navy Diving Manual


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