Bluebottles Invade Phuket – How To Treat A Sting!

DO NOT USE VINEGAR ..

Dangerous jellyfish known commonly as Bluebottles or Portuguese man’o War have been washing up on Phuket’s beaches for the past week or so causing much consternation and fear among beach users and authorities.

The Bluebottles have also been causing much confusion among many people with some experts saying that vinegar should be used to treat a sting. The fact is that vinegar should NOT be used to treat a bluebottle sting.

Here is what to do if stung by a Bluebottle:

  • Keep the victim at rest, reassure and keep under constant observation
  • Do not allow rubbing of the sting area.
  • Pick off any tentacles (this is not dangerous to the rescuer) and rinse sting area well with seawater to remove invisible nematocysts
  • Place the victim’s stung area in hot water (no hotter than the rescuer can comfortably tolerate) for 20 minutes.
  • If local pain is unrelieved by heat, or if hot water is not available, apply a cold pack or ice in a dry plastic bag.
  • If pain persists or is generalised, if the sting area is large (half of a limb or more), or involves sensitive areas (eg the eye) call an ambulance and seek assistance from a lifesaver/lifeguard if available.

Until recently tropical and non-tropical Bluebottle stings were treated differently. The Australian Resuscitation Council’s latest guidelines recommend that vinegar NOT be used for any species of Bluebottle (Physalia physalis in Australia and Physalia utriculus in South-East Asia) whether in the tropics or temparate climate and the above procedure be strictly applied. 

http://www.phuketgazette.net/news/detail.asp?id=10556&display=1

 

Deadly Chironex Box Jellyfish Suspected of Railay Sting

The deadly Chironex species of Box Jellyfish is the most likely culprit that caused a life-threatening sting to a British woman on a West Railay beach in June 2011.

Some of the life-threatening stings suffered by a British woman while swimming at beautiful West Railay beach, Krabi in June 2011
 

The woman reported that she was swimming at around 6pm when she felt exruciating pain on her legs, arm and abdoman. With up to 4 tentacles still on her body, the woman emerged from the sea experiencing severe pain as though her entire body was on fire and she began hyperventilating. The sting was later deemed as ‘life-threatening’ and it was her controlled breathing and quick action that most likely saved her life.

There were no warning signs at the beach or resorts. No staff warned that there was the risk of a sting. The woman was helped to a nearby restaurant where a staff member suggested that she apply vinegar to the stings – no vinegar was available! This staff member told the woman that he often sees people stung yet even so nothing is made available or done to ensure that stings can be treated on the spot and lives potentially saved.

Last November a Spanish woman was severaly stung at the same place – it is presumed that many are stung but do not report so no official acknowledgement is made. The only reason this recent case is known is because the woman went to the trouble of reporting it. All stings should be reported. Contact either the Phuket Marine Biological Centre, Thailand Dept of Public Health (Bureau of Epidemiology) or the Marine Medic – all websites are listed in this blog profile.

The Chironex Box Jellyfish venom stops the will to breathe and it was the controlled breathing of this woman over a 2 hour period of intense pain and suffering that most likely kept her alive.

The woman has experienced prolonged nerve problems and loss of appetite since the sting. The scarring is severe at the moment but should heal well if properly treated.

With plenty of mangrove areas in around Krabi, Ao Nang and Railay beaches providing excellent habitat for Box Jellyfish, it is advised that all people swimming in or using the water in the region should carry their own vinegar and preferably wear a lycra suit.

 

Home Video of Box Jellyfish Sting Survival

The Chironex species of Box Jellyfish in potentially lethal whether it be in Thailand, Philippines, Indonesia, Malaysia or Australia.

In Australia Chironex fleckeri has a fearsome reputation and is responsible for deaths and serious stings all across the tropical northern coast. Its presence, unlike that of its Asian cousins, is seasonal though it is often sighted outside of the October to May range.

This blog with associated home video shows a 7 year old boy Osborne Kewe from Townsville in Australia who received a life-threatening box jellyfish sting. He is alive today only because a nurse on hand kept him alive with CPR while others knew to splash vinegar on his stings and NOT to remove the tentacles by scraping or rubbing or pulling which makes matters worse.

http://blog.cameronlaird.com/2011/04/stung-by-a-box-jellyfish-and-he-lived-to-tell-the-tale.html

Box Jellyfish – The World’s Most Deadliest Animal

Box Jellyfish live in the island and coastal waters of Thailand and Malaysia, in fact, they exist throughout the Indo-Pacific region including Vietnam, Philippines, Indonesia and Australia.

The name Box Jellyfish refers to around 20 or so Cnidarians in the Cubozoa class of which several are the most dangerous of all of the 1000s of species of jellyfish that exist in our oceans. The most dangerous is the species Chironex that is widely believed to be the most venomous animal on the planet. Another known killer is Irukandji. For all intents and purposes, the term Box Jellyfish refers specifically to the Chironex species.

In Australia the species Chironex fleckeri with its remarkably potent venom has been responsible for dozens of human deaths. The Chironex species that exist throughout South-East Asia  have been photographed and captured but not formally identified though are cousins of the Australian Chironex and have also been associated with innumerable fatalities over the years.

Little is known about habitat, habits and seasons of Box Jellyfish in Thailand and Malaysia due to lack of research. Up until my son was stung the day before New Year’s Eve 2007, nothing was known about Box Jellyfish in the region, most denied their existance at all, many involved in the tourism industry scoffed at suggestions that there was a problem, Thai marine scientists were completely unaware of them in their own backyard.

In April 2008 a Swedish family on holiday were hit by a terrible tragedy when 11 year old Moa Bergman was stung by a Box Jellyfish at Koh Lanta and killed within a few minutes. At the time the ill-informed hospital where her body was taken assumed she died of an allergic reaction though this has since been proved incorrect with the death officially attributed to the venom of a Box Jellyfish.

With progress slowly being achieved, the word is getting out though surveillance is still basic and knowledge rudimentary. Authorities are aware of serious stings in the region that appear to occur with no pattern of consistency or in any one particular location.

It is important to note that the risk of being stung by a Box Jellyfish is not great. They are in the water though the ratio of stings per swimmer is incredibly low. The point is however that it does happen and when it happens the consequences are usually fatal.

Risk is everywhere of course and more so in countries such as Thailand and Malaysia than many. Weigh up the risk, learn about what to do to avoid being stung and how to help if you or someone else is stung. A little knowledge could save you and the life of a loved one or a forever grateful stranger.

In Thailand it is estimated that 10s of 1000s die on the roads every year from motorbike crashes, one reason why I don’t ride a motorbike in Thailand. Why take the risk? Flights to and in Thailand carry 10s of 1000s of passengers every year and every single one on every single flight will be made aware of the risk of a crash and instructed on what to do just in case. In the same way, enjoy swimming and snorkeling but learn about Box Jellyfish – you have more chance of being stung than from being in a plane crash.

This blog is designed to state the facts of the matter and provide relevant, factual information sourced from recognized Box Jellyfish experts. The aim is for regular updates to educate those interested in the topic and perhaps living in or intending to visit the region.