Jellyfish Sting Management: To Pee or not to Pee?

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    Jellyfish Sting Management: To Pee or not to Pee?

    In preparation for July 4th weekend and upcoming beach season…let’s review a quick-to-read basic management of a jellyfish sting (not including those pesky Australian Irukandji jellyfish):

     

    • To inactivate nematocysts: Pour vinegar or acetic acid solutions for ~30 seconds (Grade 2C)
    • Promptly remove tentacles to prevent continued venom release (avoid vigorous rubbing [Grade 1C])
      • Beware: detached live tentacles release venom
    • Hot water immersion for 20 min is also likely beneficial (Grade 1B)
    • Pressure bandaging remains controversial, not routinely recommended

     

    Should your friend pee on the jellyfish sting like with Monica in that Friends episode (https://www.youtube.com/watch?v=eQdWWeoT7ug) or with Ben Stiller in “The Heartbreak Kid”?

    • Urine not recommended
    • Urine may too closely resemble freshwater and thereby cause venom release by altering the salt concentrations inside/outside the tentacle cells
    • jellyfish urine 2

     

    References
    • http://emedicine.medscape.com/article/769538-treatment
    • http://www.uptodate.com/contents/jellyfish-stings?source=machineLearning&search=jellyfish&selectedTitle=1~10&sectionRank=3&anchor=H22#H22
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