Box jellyfish are among the deadliest creatures on
Earth and annually are responsible for more deaths
-- including snorkelers and an occasional scuba diver
-- than shark attacks. But just how to treat them -- hot
water, ice, lidocaine, urine, seawater -- has been vigorously
debated. Until now.
Angel Yanagihara, an assistant research professor
at the University of Hawaii's Manoa Pacific Biosciences
Research Center, led a team testing various treatments,
using "live, stinging tentacles, and live human red blood
cells that allowed us to pit first-aid measures against one
another." They found that tried-and-true measures, hot
water (107°-112°F) immersion, and to some extent, vinegar,
really do work on Hawaiian box jellyfish stings.
Urinating on a jellyfish sting doesn't work, because
the water needs to be warmer than body temperature -
specifically about 113° F. Marine venom components are
inactivated at temperatures between 104 and 122° F.
However, the study shows that a new over-the-counter
product, Sting No More™, inhibits the venom directly,
and works faster and better than hot water. Folk remedies,
such as urine (not hot enough), seawater and ice
offered little, if any, benefit. However, vinegar can prevent
further discharge of stinging cells, but not treat the
sting.
While the current study only tested measures using
the Hawaiian box jelly, hot water is the go-to treatment
for other jelly stings. However, if you're diving with jellies,
it's a good idea to have StingNoMore on hand (purchase
online at www.StingNoMore.com).
Toxins 2016, 8(1), 19; doi:10.3390/toxins8010019
Because StingNoMore was developed by Yanagihara with
Department of Defense funding, the potential conflict
of interest in this study was managed by the University of
Hawaii.
- Ben Davison