AVOCA STREET MEDICAL CENTRE
130 Avoca Street Randwick NSW 2031
Tel: 02 9399 3335 - Fax: 02 9399 9778

Web: avocastreet.info
avocastreet.com - asmc.net.au - randwickhealth.com - randwickgp.com - familydoctor.sydney

Message from your GPs

We will be working reduced hours during Christmas and New Year period. Details soon.

Dr Angela

Dr Kien

Dr Mandy

Dr Priscilla

SURGERY HOURS
MON - FRI7:30 AM - 5:30 PM
SATsee notes
SUN & PUBLIC HOLIDAYSCLOSED


Dr Mandy will be working reduced hours.
Until November 2022, she will be consulting via
tele-health for urgent cases only.

eastvax.com

jabmenow.com

Consultation Fees

(from November 1st 2022)

Consultation typeFeeRebateCost out of pocket
Level B$75.00$39.75$35.25
Level C$115.00$76.95$38.05
Level D$165.00$113.30$51.70
Antenatal$85.00$49.85$35.15
Please note::
  • We do not provide certificates or reports for work compensation, motor vehicle accident injuries, or any third party claims.
  • All fees must be paid for at the end of each consultation.
  • We accept cash, EFTPOS and credit cards but not cheques.
  • We will not create accounts for or send invoices to any third party.
  • After receiving full payment, we will provide a tax invoice with which the client can claim back from their third party insurers.
  • For clients with valid Medicare cards, we can assist with sending claim to Medicare via secure internet so that Medicare benefit will be deposited directly onto the EFTPOS card used, or into a bank account registered with Medicare.


Covid-19 Notices
Flu Shot
Emergency Numbers
After Hours 13 74 25
Contact
Hours
Doctors
Appointments
Fees
About
Map
Links
Immunisation
Facebook
Feedback
Local Pharmacies
Resources
Home

General Information
 

Venomous Sea Creatures



First aid and treatment of jellyfish stings and venomous fish injuries
TypeFirst aidMedical treatment

Bluebottles (Physalia species)
  • Wash the sting site with seawater and remove any tentacles
  • Immerse in hot water at 45ºC for 20 minutes or hot shower
  • Do not use vinegar

  • The patient rarely requires transport to hospital or medical intervention
  • Severe local stings or bullous wounds may need dressing

Major box jellyfish (Chironex fleckeri)
  • Immediately remove any tentacles
  • Apply vinegar immediately and liberally
  • Apply ice packs
  • Resuscitate (airway, breathing and circulation) patients who are unconscious or have cardiovascular collapse
  • All but very minor stings require transport to hospital
  • Give oral and parenteral analgesia for sting site pain
  • For severe life-threatening envenoming:
    - give first aid
    - resuscitate
    - administer intravenous antivenom
    - consider magnesium therapy

Irukandji syndrome
  • Apply vinegar immediately and liberally
  • Remove any tentacles if present
  • If vinegar is not available wash the area with seawater
  • Transport to hospital for:
- parenteral analgesia with titrated intravenous fentanyl or morphine- cardiac monitoring, ECG and cardiac enzymes
  • Cardiac involvement and pulmonary oedema will require supportive care and management of breathing and circulation

Other jellyfish:
- mauve stinger (Pelagia species)
- hair jellyfish (Cyanea species)
- jimble (Carybdea rastoni)
- other box jellyfish (Chiropsalmus bronzeii)
  • Wash the sting site with seawater and remove any tentacles
  • Consider hot water immersion or ice packs
  • Do not use vinegar
  • Patients rarely require transport to hospital or medical intervention
  • Severe local stings or bullous wounds may need dressing

Venomous fish stings:- stonefish
- catfish
- other venomous
stinging fish
  • Wash the wound site and immerse in hot water about 45ºC for a maximum duration of 90 minutes
  • Irrigate the wound and remove foreign debris
  • Radiograph to exclude retained spiny material
  • Give oral or parenteral analgesia and occasionally local or regional anaesthesia for severe pain
  • Stonefish antivenom is available for stonefish stings with severe pain or systemic effects
  • Surgical consultation for involvement of joints or bones

Stingray injuries
  • Wash the wound site and immerse in hot water about 45ºC for a maximum duration of 90 minutes
  • Apply local pressure for bleeding and resuscitate if there are thoracic or abdominal injuries
  • Irrigate and debride the wound
  • Titrate intravenous analgesia and/or local or regional anaesthesia
  • Surgical consultation for deep injuries, injuries to the chest or abdomen, or with retained material
  • Resuscitation and surgical intervention for major trauma from thoracic or abdominal injuries

Sea urchin injuries
  • Wash the wound site and immerse in hot water about 45ºC for a maximum duration of 90 minutes
  • Radiograph or ultrasound to identify any retained spines
  • Remove spines close to the surface
  • Review regularly until resolved
  • Wound may require further spine removal and further radiographic imaging or ultrasound


The information in the above were collected from the internet,
either from government websites or from reasonably reliable health information sources.
They are for general information only and should not replace the need of seeking medical care during illnesses.

© avocastreet.com