NREMT Paramedic Practice

What initial management step is important for jellyfish stings?

1. Injection of adrenaline

2. Immediate application of ice

3. Removal of tentacle fragments

4. Application of a tourniquet

The correct answer is: Removal of tentacle fragments

The initial management step that is important for jellyfish stings is the removal of tentacle fragments. When a person is stung by a jellyfish, the tentacles often remain attached to the skin and can continue to release venom. Promptly removing these tentacles helps to minimize further envenomation and potential complications. It's essential to do this carefully, using a pair of tweezers or similar tools, and avoiding direct contact with the tentacles to prevent additional stings. While other management strategies may be considered later, such as applying heat or using vinegar to neutralize venom, the immediate priority is to ensure that any remaining tentacle fragments are removed to stop the venom from being injected into the victim's body. This action is critical in providing effective immediate care for jellyfish stings.