NREMT Paramedic Practice

In treating puncture wounds from echinoderms, what is the recommended initial step?

1. Apply antiseptic ointment

2. Submerge in hot water

3. Remove spines with forceps

4. Perform surgical debridement

The correct answer is: Remove spines with forceps

The recommended initial step in treating puncture wounds from echinoderms is to submerge the affected area in hot water. This method works because the heat helps to alleviate pain, inactivate toxins, and promote local tissue healing by increasing blood flow to the area. It is essential for managing the immediate consequences of such injuries and providing comfort to the patient. While removing spines with forceps might seem logical for addressing embedded debris, it should not be the primary step. This action can cause additional tissue damage, introduce infection, or dislodge venom into surrounding tissues, potentially worsening the situation. Thus, the emphasis on warm water immersion highlights the importance of addressing pain and managing venom effects before taking further invasive measures, such as removing spines or performing surgical interventions.