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Summary: Box Jellyfish Stings

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Introduction
Jellyfish stings are a major and increasing problem in Australia and require prompt medical treatment to prevent extensive injury or death (1). There are many methods to the treatment of Box Jellyfish envenomation in Australia; from sea water and ice, to vinegar and urine (1). Therefore, it is vital to remain relevant with current research and literature on the best treatment of this controversial topic, to ensure patients are receiving the best possible care. This paper will include a reflective paper on current literature pertaining to the topic and the practicality of interventions and methods of management in the out-of-hospital setting. Furthermore, utilising this information, a critique of current local clinical practice guidelines (CPG) and Justifications and recommendations for amendments will be made.

Literature Review

In Australia, Box Jellyfish are found in Northern tropical waters (2). Stings from the Box Jellyfish are most common in summer months, however, can occur all year round, typically close to the shore line (2). The contact marks from a Box Jellyfish typically present in a ladder pattern and cause intense pain (3). In …show more content…

However, other resources, such as mobile doctors may be available to prevent the patient from requiring hospital admission (17). Furthermore, certain approaches to pain relief, such as warm running water and cold packs, are not always readily available to paramedics. Thus implementing these procedures as a necessary part of paramedic practice would not prove practical. However, paramedics should be aware of the different approaches to relieving pain for these patients and be further aware that if the resources are available, they should be utilised in order to provide as much relief as possible to the suffering

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