Pressure immobilisation bandages in first‐aid treatment of jellyfish envenomation: current recommendations reconsidered

@article{Pereira2000PressureIB,
  title={Pressure immobilisation bandages in first‐aid treatment of jellyfish envenomation: current recommendations reconsidered},
  author={Peter L Pereira and Paul Cullen and Richard F Mulcahy and Mark Little and Teresa J. Carrette and Jamie E Seymour},
  journal={Medical Journal of Australia},
  year={2000},
  volume={173}
}
To evaluate whether applying pressure equivalent to that of pressure immobilisation bandages (PIB) causes release of additional venom from discharged jellyfish nematocysts. 

First aid for jellyfish stings: Do we really know what we are doing?

  • M. Little
  • Environmental Science
    Emergency medicine Australasia : EMA
  • 2008
Current guidelines from the Australian Resuscitation Council still recommends ice for most jellyfish stiings, although there appears to belittle evidence to support this, and there is more evidence supporting the use of hot water.

Struan Sutherland's “Rationalisation Of First-Aid Measures For Elapid Snakebite”—A Commentary

The evolution of theory and practice in toxinology andthe personalities involved holds as much fascination asthe creatures that inflict these potentially mortal injuries.Perhaps the earliest text on

Jellyfish Stings and Their Management: A Review

There seems to be evidence and consensus on oral/topical analgesics, hot water and ice packs as effective painkillers and on 30 s application of domestic vinegar to prevent further discharge of unfired nematocysts remaining on the skin.

A sting from an unknown jellyfish species associated with persistent symptoms and raised troponin I levels.

This case highlights the envenomation risks associated with marine recreation, and the need for critical evaluation of cardiac troponin assays and for further research in marine toxicology.

Is there a role for the use of pressure immobilization bandages in the treatment of jellyfish envenomation in Australia?

There is no good evidence to support the use of pressure immobilization bandages in the management of jellyfish sting in Australia, and most of the 'jellyfish' literature is in relation to envenomation by Chironex fleckeri.

Picaduras de medusas:actualización: An update

The epidemiology, symptoms and diagnosis of the syndrome produced by the bite, to improve its management of jellyfish management is reviewed.

An in-vitro examination of the effect of vinegar on discharged nematocysts of Chironex fleckeri.

This in-vitro research suggests that vinegar promotes further discharge of venom from already discharged nematocysts, raising concern that vinegar has the potential to do harm when used as first aid in C. fleckeri envenomation.

Encounters with venomous sea-life.