Seek immediate medical attention.
If you know for certain that the person has been stung by a Portuguese man-of-war or sea nettle, wash with salt water (ocean water is okay, but make sure you do NOT get sand in the wound). Protect affected area if possible. Soak the area with a solution made of 1/2 vinegar and 1/2 water for about 30 minutes. This helps remove the tentacles. Rinse the area and then resoak with more 1/2 strength vinegar.
(You may also remove tentacles by applying a paste made of flour or shaving cream and scraping the area with a dull instrument such as a credit card.)
Apply a cream containing a painkiller, an antihistamine, or a corticosteroid.
Determine the following information:
The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The patient may receive:
Portuguese man-of-war and sea nettle stings are rarely deadly. Sea wasp stings can be deadly in minutes.
Simon B, Hern HG Jr. Wound management principles. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 56.
Isbister GK, Caldicott DG. Trauma and evenomations from marine fauna. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 196.
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