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Hot water immersion v icepacks for treating the pain of Chironex fleckeri stings: a randomised controlled trial

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The known Hot water immersion has been shown to be effective for relieving the pain of some jellyfish stings, including blue bottle stings. 

The new In the emergency department, hot water immersion was no more effective than icepacks for relieving the pain of major box jellyfish (Chironex fleckeri) stings. 

The implications Protocols recommending icepacks for reducing the pain of major box jellyfish stings should not be changed. 

The most appropriate treatment of jellyfish stings is controversial. Although hot water immersion is effective and safe for blue bottle (Physalia spp.) stings,1 the evidence is less clear for other types of jellyfish.2 Hot water immersion has been used to treat some box jellyfish (Cubozoa) stings,3 but icepacks remain the standard approach for treating the pain caused by the major box jellyfish, Chironex fleckeri.4,5

C. fleckeri stings are a problem in northern Australia, and severe stings can result in life-threatening envenoming in children. A more common…