First aid for jellyfish stings occurring in tropic Australia and Indo-Pacific regions, including Hawaii

This algorithm applies to the specified geographical regions where dangerous jellyfish (eg, Chironex and Carukia species) reside and is designed for use by medical control physicians to establish first responder protocols in their region according to available resources.

BLS: basic life support; CPR: cardiopulmonary resuscitation; EMS: emergency medical services.
* Removing tentacles by hand does not endanger the rescuer although a minor sting may occur. After picking off the tentacles, the rescuer should rinse his or her hands with sea water.
¶ For non-life-threatening stings, hot fresh water is acceptable for control of pain. Water temperature should be no hotter than what the rescuer can tolerate.
Δ In patients with life-threatening stings, fresh water promotes nematocyst activation and further stinging and should be avoided. If using ice for cold therapy, ensure that it is first placed in a plastic bag before applying and keep melting ice from contacting the sting site.
◊ Systemic symptoms may include nausea, vomiting, diaphoresis, waves of generalized pain, headache, confusion, agitation, or drowsiness.

This algorithm is largely consistent with recommendations provided by the Australian Resuscitation Council (http://www.resus.org.au/guidelines/ [Accessed on August 27, 2018]).

Graphic 119477 Version 1.0

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First aid for jellyfish stings occurring in tropic Australia and Indo-Pacific regions, including Hawaii