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Sublingual glyceryl trinitrate as prehospital treatment for hypertension in Irukandji syndrome

Peter J Fenner and Morris Lewin
Med J Aust 2003; 179 (11): 655.
Published online: 1 December 2003

To the Editor: The Irukandji syndrome can cause severe hypertension (over 220/110 mmHg)1 and has caused two fatalities from cerebrovascular haemorrhage.2 There is no first aid treatment for the severe pain or hypertension, so developing an effective prehospital treatment is a priority.

  • Peter J Fenner1
  • Morris Lewin2

  • Surf Life Saving Australia, Sydney, NSW.

Correspondence: 

Acknowledgements: 

Donations were received from Thyne Reid Education Trust No 1, GBR Research Foundation, and the Australian Lions Foundation for Research on dangerous Marine Species. We thank Island Clinics for their cooperation and the doctors who encouraged us despite initial opposition to the trial treatment.

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