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Question: Environmental
en.wikipedia.org
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Your source for all things Pediatric Emergency Medicine
en.wikipedia.org
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Kelly August 29, 2017 - 10:48 am
A. Household Vinegar
Jellyfish possess thousands of stinging nematocysts that release various toxins. Symptoms include pain and a skin eruption: initially erythema, often followed by edema and purple-brown vesicular lesions. Most lesions last minutes to hours, but some may last up to 2 weeks. The most effective pain-reducing treatment is hot water (42-45C), which denatures the toxin. Vinegar or acetic acid 4-6% is commonly used to prevent the nematocysts from discharging. Vinegar-treated nematocysts should be removed using gloved hands or forceps. Urine & meat tenderizer are commonly mentioned for treatment, but are not recommended.
Redgate August 29, 2017 - 12:26 pm
During my Harbor SubI, I made this acronym – not on Horeczko level, but it might work for some!
Jelly: Just relax – try to calm patient who is likely in severe pain
F: Flush (sea water, hot water, 5% vinegar)
I: Isolate (the tentacles with pickups, bare hands, shaving cream)
S: Sooth (control the pain with topical anesthetic (lidocaine) or opioids)
H: Halt (infection: update tetanus, consider antibiotic prophylaxis)
Kelly August 29, 2017 - 12:32 pm
Love it!