2. Eat Your Spinach! Why a Blend of Personal and Academic Discourses Matter

Burnett, Sara

doi:10.21832/9781783093649-005

Cited by 1 publication

(4 citation statements)

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“…Ultimately much of what is considered a beneficial therapy is unavailable for immediate first aid response such as IV channel blockers. Topical therapy is unable to catch up with the initial severe envenomation as the toxin is injected into the dermis directly, whilst topical treatment takes thirty minutes to reach the same area as the initial sting [ 16 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Not all tentacle contact results in a sting, defined as immediate pain plus a rash, as Burnett found there to be a “miss” a third of the time when tentacles came into contact with the skin [ 16 ]. Jellyfish tentacles hold between a few thousand to several billion nematocysts [ 7 , 25 ].…”

Section: The Organismsmentioning

confidence: 99%

“…Little is known about the factors that affect their lifecycles with regard to the true composition of their toxins and how to treat their stings. There is much confusion among the public on the first aid protocol for jellyfish envenomation, which is further complicated by the portrayal of quick treatments such as urine and meat tenderizer as suitable therapeutic agents from extrapolated results without discussing the limitations of the findings [ 16 , 17 ]. There is a great deal of literature on the treatment of jellyfish envenomation, which is contradictive, uncertain and unjustified, and thus reflects knowledge at this time [ 15 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Anecdotal treatment is accepted due to the scarcity of statistically significant findings of evidence-based medicine (EBM). However, many currently accepted anecdotal treatments can exacerbate symptoms through further nematocyst release [ 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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To Pee, or Not to Pee: A Review on Envenomation and Treatment in European Jellyfish Species

2016

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There is a growing cause for concern on envenoming European species because of jellyfish blooms, climate change and globalization displacing species. Treatment of envenomation involves the prevention of further nematocyst release and relieving local and systemic symptoms. Many anecdotal treatments are available but species-specific first aid response is essential for effective treatment. However, species identification is difficult in most cases. There is evidence that oral analgesics, seawater, baking soda slurry and 42–45 °C hot water are effective against nematocyst inhibition and giving pain relief. The application of topical vinegar for 30 s is effective on stings of specific species. Treatments, which produce osmotic or pressure changes can exacerbate the initial sting and aggravate symptoms, common among many anecdotal treatments. Most available therapies are based on weak evidence and thus it is strongly recommended that randomized clinical trials are undertaken. We recommend a vital increase in directed research on the effect of environmental factors on envenoming mechanisms and to establish a species-specific treatment. Adequate signage on jellyfish stings and standardized first aid protocols with emphasis on protective equipment and avoidance of jellyfish to minimize cases should be implemented in areas at risk.

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Section: Discussionmentioning

confidence: 99%