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Box jellyfish sting — ACEM Fellowship MCQ

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HardEnvironmental emergenciesBox jellyfish stingACEM Fellowship

A child stung in tropical northern Australia has tentacle marks, severe pain, collapse and absent palpable pulse. Which management is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Begin CPR with toxicology-led antivenom escalation

Explanation lettering: D = shown as A · E = shown as B · B = shown as C · C = shown as D · A = shown as E

B is correct. Collapse and absent pulse after a suspected box-jellyfish sting is a resuscitation emergency. Begin CPR and obtain urgent critical-care or toxicology advice for antivenom. The other treatments do not manage cardiac arrest.

Reference: Queensland Poisons Information Centre: Box jellyfish antivenom: https://www.poisonsinfo.health.qld.gov.au/for-health-professionals/antidote-stocking-recommendations/antivenom-box-jellyfish