Which first aid treatment is appropriate for a bizarre skin lesion and cardiovascular collapse after swimming in the sea?(2018)

Title           : Which first aid treatment is appropriate for a bizarre skin lesion and cardiovascular collapse after swimming in the sea?

Researcher       : Thaikruea, L., Leelarasamee, A.

Abstract            :  A 52-year-old Thai female was stung by a jellyfish on her knee incurred while swimming in the sea on Kood island in the Gulf of Thailand. She initially felt like electric shot at her left knee with severe burning pain. Her left leg rapidly developed erythema and showed brownish-red colored marks as showed in the Figure 1. A few minutes later while rushing back to the resort, she had difficulty in breathing and could walk a few steps further before collapse. Her vital signs at emergency room were as following: BP 152/72 mm.Hg, pulse 114 beats/minute, respiratory rate 22 beats/minute, body temperature 36.8° Celsius.

Link to Academic article: http://www.jmatonline.com/index.php/jmat/article/view/9258

Journal : Journal of the Medical Association of Thailand, 2018, 101(8)

Bibliography     : Thaikruea, L., & Leelarasamee, A. (2018). Which first aid treatment is appropriate for a bizarre skin lesion and cardiovascular collapse after swimming in the sea?. Journal of the Medical Association of Thailand,  101(8), pp. 1143–1144.