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How to Treat a Jellyfish StingJellyfish deliver stings from specialized cells called nematocysts, which remain "alive" -- or at least reactive -- long after the animal dies. These cells inject a variety of toxins, including neurotoxins, that induce intense pain and paralysis. Only a few species of jellyfish have nematocysts that are hardy enough to actually pierce human skin.

This is important to know, because dealing with "unfired" cells is the first step. Note that there have been fatalities from stings, especially associated with anaphylaxis, so not exposing the rescuer is critical. (According to the medical dictionary, anaphylaxis is "a type of allergic reaction, in which the immune system responds to otherwise harmless substances from the environment, e.g., an allergic reaction.)

The Treatment Steps1. Tend to breathing, if this is an issue. Remember to protect the rescuer here. Be on the lookout for anaphylactic reactions.

2. If there is a chance the cells still remain on the skin, you need to remove them. The best way is to make a paste of baking soda and seawater, gently spreading that over the affected area, and gently scraping it off with a dull edge (like a butter knife). If not all the ingredients are available, do the best you can -- but try not to agitate untriggered cells. You can replace baking soda with talcum powder, mud, etc., or even skip it if you can't find any. DO NOT USE FRESH WATER! THIS TRIGGERS THE CELLS. Do not scrub the affected area (with sand or anything else), as this triggers unfired cells.

3. If you have Alcohol (EToH or Methanol), pour it liberally over the affected site. This seems to numb remaining cells.

4. If caught within the first hour or two of contact, you can try to denature the proteinic toxins by applying a hot compress to the affected area for 10-15 minutes. BE CAREFUL NOT TO BURN THE PATIENT. But make the compress as hot as the person can comfortably and safely handle.

5. Apply cold compresses to dull the pain, although this will not really remove it.

6. In more serious cases, systemic painkillers may be called for. I've never had topical painkillers work at all, as the toxins seem to be antagonistic to Benzocaine and the like, but it probably wouldn't hurt if applied at the end of all the procedures.

Urine, Yay or NayI have heard of urinating on the affected area. But I've never had this work for me. Actually, urine is more than likely just another way of accidentally triggering unfired cells. Urine contains small amounts of ammonia, which supposedly neutralizes the agents. It can be tried in an emergency, but I wouldn't count on miraculous results.
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15y ago

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