Wilderness Medicine Podcast #33: Marine Envenomation & Spinal Cord Protection
Mar 26, 2024
Darryl, a seasoned expert in wilderness medicine, dives into intriguing discussions about marine envenomation and spinal cord protection. He addresses common myths surrounding jellyfish stings and reveals that hot water is an effective treatment. The conversation also covers the local healthcare response to marine injuries in Okinawa and reassesses traditional cervical spine immobilization practices, advocating for a patient-centric approach. Listeners will gain insights into managing marine bites and the gentle nature of sea snakes.
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Treating Marine Envenomation
- For suspected marine envenomation, limit possible animals based on the setting and injury.
- Prioritize water safety, first aid, and transport to a medical facility.
Stonefish and Sea Urchin Stings
- Use hot water immersion for stonefish or sea urchin stings, as their venom is heat-labile.
- Seek medical care, especially for stonefish stings, which can have systemic effects.
Sea Urchin Anecdote
- Darrell Macias recounts a personal experience of stepping on a sea urchin while surfing.
- He emphasizes the effectiveness of hot water for pain relief, and the spines left a "tattoo".