Interventions for the symptoms and signs resulting from jellyfish stings

Li, Li; McGee, Richard G; Isbister, Geoffrey K.; Webster, Angela C

doi:10.1002/14651858.cd009688.pub2

Cited by 30 publications

(32 citation statements)

References 50 publications

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“…We strongly concur with the calls by Li and others (Li et al, 2013) for additional pre-clinical and clinical studies to elucidate optimal care after serious jellyfish stings.…”

Section: Discussionsupporting

confidence: 83%

“…A recent review published by Li and colleagues in the Cochrane Database of Systemic Reviews, examining 'interventions for the treatment of jellyfish stings', included only seven trials involving 435 patients that met the inclusion criteria (Li et al, 2013). The authors concluded that the evidence from one study (on Physalia stings) suggested hot water immersion relieved pain.…”

Section: Discussionmentioning

confidence: 99%

“…Currently the Australian Resuscitation Council (ARC) recommends dousing with vinegar followed by ice as first aid for jellyfish stings in tropical Australia, with limited evidence to support this recommendation (Li et al, 2013). We report our successful experience in using hot water immersion as first aid in treating two people stung by venomous tropical Australian jellyfish, one by Chironex fleckeri and one by Carukia barnesi.…”

Section: Introductionmentioning

confidence: 99%

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Successful use of heat as first aid for tropical Australian jellyfish stings

Little

Fitzpatrick

Seymour

2016

Toxicon

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a b s t r a c tCurrently the Australian Resuscitation Council (ARC) recommends dousing with vinegar followed by ice as first aid for jellyfish stings in tropical Australia, with limited evidence to support this recommendation (Li et al., 2013). We report our successful experience in using hot water immersion as first aid in treating two people stung by venomous tropical Australian jellyfish, one by Chironex fleckeri and one by Carukia barnesi.© 2016 Elsevier Ltd. All rights reserved. Clinical recordA 35 yo M cinematographer was filming documentary on Irukandji jellyfish at Palm Cove, Queensland. He was coming to the shore holding a camera housing, and removed his glove to lift the housing out of the water. As he placed his left hand underwater he contacted a jellyfish, where the tentacle ran from ½ way down the extensor surface of his forearm, running around the web space of his L hand across his palm and then between the ring and middle finger, and ending dorsally at the wrist joint. It was estimated to be 30 cm of tentacle, which was typical for Carukia barnesi.Within 5 minutes his entire forearm and hand was immersed in hot water (as hot as he could tolerate) in a plastic container. This was left there for about 20 minutes, with the water being replaced several times as soon as the water cooled.He was taken to the ED at Cairns Hospital, was observed for 5 hours and did not require any analgesia medication.The jellyfish, wrapped around the victims arm, was captured and later identified as Carukia barnesi.A 40yo M biologist was at Palm Cove collecting Box jellyfish (Chironex fleckeri). Whilst collecting one animal, he was stung across both hands and fingers on both the dorsal and palmer aspects by a Chironex fleckeri box jellyfish with a bell 25cm diameter. He had immediate severe pain, which the patient described 'brought him to tears'. He immediately rubbed his hands in wet sand and within 5 minutes he placed both hands in a plastic container of hot water (as hot as he could tolerate) for about 10 minutes. He had almost immediate relief of pain, and the severe pain recurred as the water temperature cooled and had the hot water replaced about four times. After ten minutes the pain had settled and was minimal, although he had marked swelling of his hands that settled over 48 hours. He required no analgesia medication. He had no permanent scarring.

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“…We strongly concur with the calls by Li and others (Li et al, 2013) for additional pre-clinical and clinical studies to elucidate optimal care after serious jellyfish stings.…”

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Successful use of heat as first aid for tropical Australian jellyfish stings

Little

Fitzpatrick

Seymour

2016

Toxicon

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“…(99,100) For pain relief, jellyfi sh sting should be treated with hot water immersion (45 o C or as hot as tolerable) for at least 20 minutes or for as long as the pain persists. (101)(102)(103)(104) (j) Dental injuries: Seek rapid medical consultation following tooth avulsion. Immediate re-implantation of an avulsed tooth within an hour provides the greatest chance of tooth survival.…”

Section: Medicalmentioning

confidence: 99%

Guidelines for Bystander First Aid 2016

Pek¹

2017

smedj

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Cardiac life support is a form of fi rst aid for cardiac emergencies. However, research and evidence in this fi eld is lacking compared with other forms of fi rst aid. Having identifi ed the common emergencies that are encountered in the hospital, based on the available evidence, we have put together what could be an evidence-based approach to the fi rst aid management of some of these common emergencies, viz. breathlessness, chest pain, allergies, stroke, heat injury, poisoning, unconsciousness, seizures, and trauma situations such as bleeding, wounds, contusions, head injury, burns and fractures. Educating the public is the key to developing a fi rst responder bystander. These guidelines could become the basis for training of the public.

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“…Although, the evidence behind the currently suggested therapy is relatively weak [5,115]. The best preventive measure is to avoid any contact with seawater during the time jellyfish are invading.…”

Section: Treatment With Envenomationmentioning

confidence: 99%

Jellyfish Envenomation with Skin and Cardiovascular Manifestations and Treatments

Bais¹,

Che²,

Jiang³

et al. 2017

Toxicol Open Access

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Jellyfish are smooth-formed animals in the phylum cnidaria, living in around coastal water zones worldwide. Interacting with jellyfish tentacles, even the beached and dying jellyfish, can prompt millions of nematocysts to perforate the skin and infuse the venom through the inverted long spiny tubules, thereby causing toxic manifestations from no effect to extreme pain to death. According to the structure of nematocyst, quantitative toxins are released into body in a short time. Stung by jellyfish possesses a wide spectrum of toxic effects especially on skin and cardiovascular toxicities. However, the mechanism of jellyfish venom is not clear. In this review, we focus on Jellyfish toxins, symptoms and treatment after sting in order to reduce treatment time, improve the survival rate for medical providers and to set a reference for follow-up study.

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Interventions for the symptoms and signs resulting from jellyfish stings

Abstract: Analysis 2.3. Comparison 2 Short duration (3-4 days) versus long duration (7-14 days) IV therapy, Outcome 3 Persistent kidney

Cited by 30 publications

References 50 publications

Successful use of heat as first aid for tropical Australian jellyfish stings

Successful use of heat as first aid for tropical Australian jellyfish stings

Guidelines for Bystander First Aid 2016

Jellyfish Envenomation with Skin and Cardiovascular Manifestations and Treatments

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