It is said by those who know personally, that it really is not very nice at all to be stung by a lionfish. The lionfish venom itself is contained in glandular tissues that are located in the grooves of the spines. Since catching my first lionfish in 2009 I have been stung 5 times, once with nets, once with a spear and three times while cutting them up. How much a sting (envenomation) hurts actually depends upon a number of factors, which include how many spines penetrated the skin, how deep those spines penetrated, the size of the lionfish, the actual amount of venom injected, where on the body the person was stung and the strength of the immune system of the patient. The main symptom is initially a sharp pain and then an intense throbbing that goes on and on and on. One such diver where we live in Grand Cayman was one of those unlucky individuals when he was stung less than a year after we saw our first lionfish here.
Please note that while writing this post I have assumed that the patient (person stung) was stung on the hand, which is the only area of the body I have ever seen anyone stung.
Remember if you are stung while diving you should try to remain CALM – which sometimes in life is far easier to say than do. Lionfish venom includes a protein, a neuromuscular toxin and a neurotransmitter called acetylcholine. When you are on a lionfish hunting dive you should always remember to bring with you a thermos of hot water, or better still bring two. These bottles also worked very well when it was the Captain of the boat that got stung and he had to drive the boat back to the dock in heavy seas for over 30 minutes. Remember to put the cooler water in the container first and then keep adding thermos hot water a bit at a time. The heated water should NOT exceed 113 F (45 C) albeit that assumes you have a thermometer readily available. However, after some time the water will gradually decrease in temperature and the patient will notice an increase in pain. DO NOT add hot thermos water to the container while the patient’s hand is still in the container. Remove any obvious spine(s) protruding from the wound, using a pair of tweezers if available. When it comes to the size of a lionfish you are much more likely to receive a painful sting from a smaller lionfish than a larger specimen.
Plus, when you see a large fish, you may be more wary and careful perhaps because of its size and strength. There are many different types of burns to learn about in First Aid Classes, from superficial damage to deep tissue damage which can be life-threatening. There are many different types of burns and causes for them as listed below from the workplace approved First Aid manual. Electrical Burns can be from both high and low voltage currents, ranging from domestic appliances to mains cables, or even a lightening strike. Cold Burns include frostbite, touching freezing metals or freezing vapours like liquid oxygen or liquid nitrogen. Chemical Burns may involve industrial chemicals, domestic chemicals or any other strong acid or alkali.
Radiation Burns can be from sunburn, overexposure to UV lamps or even exposure to a radioactive source such as an X-Ray. There are three categories for the depth of a burn; superficial, partial-thickness and full-thickness.
To estimate the percentage of the body that has sustained burns, you can use the patients palm to represent 1% of their body surface. St Mark James First Aid manual says all full-thickness burns must be given hospital treatment despite their size. Heat stroke is a condition caused by exposure to excessive heat, whether natural or artificial. Tetanus, also called lockjaw, is a rare but serious infection caused by the bacterium Clostridium tetani. Designed an unpacking experience that presents the major components first while the accessories are contained underneath. A disposable outer sleeve carries branding and graphics so the case bound structure can be kept as an organizer reducing excessive waste. The new package design is fifty percentsmaller than the existing design and thecharger can be plugged in and used whilein the case bound structure.

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A bee sting is a term that usually refers to stings from a number of different insects that can include a bee, wasp or even a honey bee. It is believed that the bee sting developed in bees after a series of inter-colony wars that bees are subjected to as they fight for territory that they attempt to secure for the betterment of the hive and the survival of the queen. The stinger, which is located on the lower abdomen for easy-stinging access, is violently pushed into whatever the bee is stinging. Honey bees typically die after stinging a thick skinned animal because when they attempt to pull the stinger out of the stinging victim, they often rip off part of their abdomen leaving behind intestines, muscles and other parts of the bee itself.
Bee stings are often feared, but more so because a large percentage of the population are allergic to bee stings. As the spine enters a victim the sheaf is pushed back which allows the venom in the grooves to penetrate the wound. Here is a link to the Cayman Compass newspaper article dated 8 June 2010, outlining the serious effects of necrosis.
As mentioned I have been stung five times and I have otherwise witnessed approximately eight stings of which two were excruciatingly painful. As the venom is protein based then heat will break down the protein and thereby the pain will be relieved. You should also have a high sided container available to mix some sea-water with some thermos hot water. Remember that numbness may be a symptom of the sting, so to avoid a scald, then the helper should try the water on themselves first. I witnessed the after effects of this once on our dock when one of my colleagues unfortunately made this mistake on the boat on the way back to the dock. It is OK to allow the wound to bleed for approximately a minute directly after being stung, but continuous bleeding, which is actually very rare in these cases, should be controlled quickly. This is because the spine tip is smaller and sharper, and the venom is found closer to the tip of the spine on the smaller fish. I squeeze the sting area hard between my thumb and forefinger – blood comes out and hopefully some venom, effectively flushing the wound and the venom out. I used to live in Bristol, England but after a change in direction we moved overseas to work in the scuba diving industry. The job of the skin is to protect us from infection and a burn means it cannot function effectively. Superficial burns only affect the top layer of the skin and cause redness, swelling and tenderness.
Any partial-thickness burns over more than 1% of the body surface must get medical attention and superficial burns over a larger area than 5%. Also, any burns to the face, hands, feet, genital areas, or burns spreading fully around an arm or leg must be given professional attention. John Ambulance, St Andrew’s Ambulance Association and the British workplace approved), 2006.
It is only considered heat stroke when the body temperature is at (or exceeds) 40°C (104°C). Because these stings are often associated with a good amount of pain, many people fear being stung by a bee. Most believe that a bee will die after a sting regardless of the type of animals that it stings. The poison that is contained in a bees stinger is called melittin, a venom that commonly causes pain in vertebrates. While the stings themselves are not pleasant, they are not a big enough deal to create the hysteria that they do in most people. However, I believe it is what I automatically do immediately after I get stung that helps me and which can hopefully help you.

The container we now always have on the boat is a one gallon bottle with a hand size hole cut in the top side and with the handle retained. If the helper can tolerate more heat then they should take their hand out of the container, add more thermos hot water, and then carefully put their hand back in. His friend had a very nasty scald which he said hurt a lot more than the original sting and took a long time to heal. If you are able, you should immerse the affected area in hot water for between 30 minutes and 90 minutes, or until there is little or no pain when the affected area is removed from the water.
Also you may like to lay a wet piece of clothing or towel over the hot engine block and then wrap this around the sting area.
After a time in Thailand, for the last 8 years I have been living with my wife Deby, in the East End of Grand Cayman, The Cayman Islands. There may be significant fluid loss from a burn as damaged tissues excrete fluid which will either be contained under the skin and create blisters or will leak through. Partial-thickness burns can be very painful and cause the skin to become red and blistered due to fluid expelled from damaged tissues. If the patient has burns with varying depths you should also seek hospital treatment or if you are in any doubt about the severity of the injury. If your cough goes from dry to wet, you begin getting a fever or it carries on for more than two weeks, you must phone your GP.
Keep in mind that a bee sting is very different from being bitten by other insects, mostly because the venom and poison that is injected into the body can cause different reactions, along with dangerous allergic reactions that can be potentially life threatening.
In most insects and types of bees the stinger will be joined to two barbed lancets so that it inflicts maximum damage and also will stick in animals with thicker skin, and therefore must be removed or fall out on its own. The treatment of bee stings when the individual is not allergic is relatively straightforward and contains a number of different steps that need to be taken to ensure that the sting does not get infected. Signs that others will see besides you sweating are that blood may be coming out of the wound and over time the area that was stung will swell up. We used to use a mask box but we found if we were returning in wavy seas most of the water would slosh out after the first few waves. Once the helper has found the hottest water they can tolerate then the patient can now put their hand in, and not before. Finally, full-thickness burns are when all the layers of the skin are damaged, possibly along with nerves, fat tissues, muscles and blood vessels. As a byproduct of metabolism, heat is usually dissipated by heat radiation through the skin or evaporation. When bees sting animals like humans and other mammals, their stingers will stick into their thick skin, and rip from their abdomen.
Honey bee venom is actually used for the long term treatment of arthritis, and in a number of other medical uses.
The most important part of treating any sting is ensuring that you get the stinger out of you as soon as possible.
The good news is that no deaths have been reported from any lionfish stings in the western Atlantic or Caribbean. Remember if you do decide to continue the dive there is a much greater risk that a severe reaction may occur, and you don’t want that to happen while underwater. These burns are not usually painful as damaged nerves mean sensation is lost, however workplace approved Training emphasises that this is a tell-tale sign of a serious injury and needs urgent medical attention.
Is that because every time I do something immediately after a sting that I have NEVER heard anyone else mention. If you are on the land then you should ask some person or business locally to heat some water for you.
When bees sting bees, other insects or animals without thick skin, often times the stingers will remain intact and will not rip from the abdomen.

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