Clinical Practice Guideline of Jellyfish Envenomation, especially Box Jellyfish Envenomation

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Lakkana Thaikruea
Potjaman Siriarayaporn
Monaiya Pruedthiphap
Thanasawat Chaiyakul
Winai Wananukul
Satariya Trakulsrichai
Sahaphume Srisuma
Nuankanya Sathirapongsasuti




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1. Thaikruea L, Siriarayaporn P. Injuries and deaths caused by toxic jellyfish: surveillance, prevention, and treatment. [Internet]. [cited 2019 July 29]. Available from: (in Thai).

2. Hartwick R, Callanan V, Williamson J. Disarming the box-jellyfish: nematocyst inhibition in Chironex fleckeri. Med J Aust 1980;1(1):15-20.

3. Fenner PJ, Williamson J, Callanan VI, Audley I. Further understanding of, and a new treatment for, "Irukandji" (Carukia barnesi) stings. Med J Aust 1986;145(11-12):569, 572-4.

4. Fenner P, Rodgers D, Williamson J. Box jellyfish antivenom and "Irukandji" stings. Med J Aust 1986;144(12):665-6.5.

5. Fenner PJ, Williamson JA, Burnett JW, Rifkin J. First aid treatment of jellyfish stings in Australia: response to a newly differentiated species. Med J Aust 1993;158(7):498-501.

6. Thaikruea L, Siriariyaporn P. Severe dermatonecrotic toxin and wound complications associated with box jellyfish stings 2008-2013. J Wound Ostomy Continence Nurs 2015;42(6):599-604.

7. Thaikruea L, Siriariyaporn P. The magnitude of severe box jellyfish cases on Koh Samui and Koh Pha-ngan in the Gulf of Thailand. BMC Res Notes 2016;9:108.

8. Berling I, Isbister G. Marine envenomations. Aust Fam Physician 2015;44(1-2):28-32.

9. IBM Micromedex® POISINDEX®: POISINDEX® System (electronic version). IBM Watson Health, Greenwood Village, Colorado, USA. [Internet]. [cited 2019 July 29] Available from:

10. Mao C, Hsu CC, Chen KT. Ocular jellyfish stings: report of 2 cases and literature review. Wilderness Environ Med 2016;27(3):421-4.

11. Thaikruea L, Leelarasamee A. Which First Aid Treatment Is Appropriate for a Bizarre Skin Lesion and Cardiovascular Collapse after Swimming in the Sea?. J Med Assoc Thai 2018;101(8):1143-4.

12. Tintinalli JE, Stapczynski JS, Ma OJ, Yealy DM, Meckler GD, Cline DM. Tintinalli’s emergency medicine: a comprehensive study guide. 8th ed. New York: McGraw-Hill Education; 2015.

13. Ramasamy S, Isbister GK, Seymour JE, Hodgson WC. The in vivo cardiovascular effects of box jellyfish Chironex fleckeri venom in rats: efficacy of pre-treatment with antivenom, verapamil and magnesium sulphate. Toxicon 2004;43(6):685-90.

14. Yanagihara AA, Wilcox C, King R, Hurwitz K, Castelfranco AM. Experimental assays to assess the efficacy of vinegar and other topical first-aid approaches on Cubozoan (Alatina alata) tentacle firing and venom toxicity. Toxins (Basel) 2016;8(1):19.

15. Thaikruea L, Santidherakul S. The public health impact of a new simple practical technique for collection and transfer of toxic jellyfish specimens and for nematocyst identification. J Public Health Policy 2018;39(2):143-55.

16. Khonchom K, Poonsawat T, Ongsara S, Pransilpa M, Detsri U and Sathirapongsasuti N. Molecular identification of box jellyfish in Thai waters. In: The 6th Marine Science Conference; June 18-20, 2018. Bangsean Herritage Hotel, Chonburi; 2018. p.748-59.