A quick guide to Marine Stingers in Fiji and First Aid for those Marine Stings…

True jellyfish have an open bell or hood – the main body shaped like an umbrella, with lots of tentacles or arms coming out of the bottom, where the handle of the umbrella would be.

While all jellyfish can sting, most are not powerful enough to hurt a human for more than 15 – 20 minutes.

The stings are only in the tentacles, not the bell (or body), which are quite short, so some larger jellyfish can safely be pushed out of the way as long as you only touch the bell.

Comb jellies and salps are shaped more like a closed bag or balloon, with no tentacles or sometimes with only two, they DO NOT HAVE STINGS and are totally harmless.




Most Common Marine Stingers in Fiji

We do not have many venomous (very harmful) jellyfish species in Fiji. Less harmful stings that do not last long can be caused by the things below:

Moon jellies and Purple Crown jellies

Moon jellies and Purple Crown jellies can sting, but not badly, and especially the Crown jellies do not usually float in until they are half dead, and butterflyfish have eaten most of their stinging tentacles, so they are not a concern.

Upside-down jellyfish

Upside-down jellyfish are found in mangrove swamps and sometimes in muddy pools. They don’t usually swim around, and their stings are on the top when the jellyfish is upside down on the seabed, so stings only tend to happen if people handle them, or sit on them.

Stinging hydroids

Stinging hydroids, cousins to fire coral, look like white feathers and grow on mooring lines or sometimes on the reef, and can sting the hands of people taking hold of them.

Floating larval (baby) jellyfish or hydroids

At warm times of the year we sometimes get seasonal outbreaks of invisible floating larval (baby) jellyfish or hydroids, which ping and sting for about 20 minutes, then are gone.


First Aid

First aid is to scrape off any stinging cells with a handful of sand, and apply white vinegar to prevent further stings BEFORE any fresh water shower. (Freshwater can make it sting again).

Signs & symptomsDiagnosisImmediate First AidFollow Up
Red blotches on skin
(no bleeding)
Pain or Itching
Possible but not always:
Blisters
Swelling around sting
Mild sting:

Fire Coral
Jellyfish
Hydroids
VINEGAR wash (before fresh water)
If no vinegar:
Lemon juice or
Crushed pawpaw
(papaya) leaves
Any cream for mosquito bites
(Cortisone / Antihistamine)
Slice of lemon rubbed over sting stops itching
Rash lasts 2 – 3 days

There are more serious venomous jellyfish in the sea, that can cause a great deal of pain, and in a very small number of cases, even death.

We are lucky that none of these live in Fiji waters, but sometimes after a big storm or cyclones, a few “visitors” can get washed in to us.

Occasional Visitors…

Very occasionally we have had one or two Blue-bottles or juvenile Portuguese Man o’War, and Box jellies even more rarely. I know of only three incidents in 30 years.

Blue-bottles

Blue-bottles are not true jellyfish, but part of a family called Siphonophores. They have long chains of stinging cells which they use to catch and kill fish. Some are transparent and hard to see. The blue-bottle has a blue “sail”, usually 10 – 20 cm long, which can be seen floating on the surface of the water like a small blue plastic bag. The tentacles can be very long – large ones can stretch back from the float up to 10 metres away.

Box jellyfish

Box jellyfish are usually small (5 – 10 cm long body), clear and a different shape from true jellyfish – they are box shaped with tentacles only on the four corners. Again these tentacles can be very long, so the body might not be seen when the sting is felt.

DO NOT go into fresh water until after vinegar treatments, as stuck cells can sting again. Be ready in case people go into shock or have an allergic reaction.

Signs & symptomsDiagnosisImmediate First AidFollow Up
Long strings of red blotches on skin
(no bleeding)

Visible clear tentacles stuck or wrapped around skin

Blisters
Swelling around sting

Strong pain
Dangerous sting:

Box jellyfish

Blue-bottle

Siphonophore
Scrape off tentacles without touching them

VINEGAR wash for at least 30 seconds

If no vinegar:
Rinse with SEA water (NOT FRESH) or a paste of seawater and baking soda.

If pain continues very strongly
Cover area in HOT WATER (45 – 50oC) for 30 mins or longer
– can be applied over a towel
Pain killers
Anti-histamine tablets

Ice pack (wrapped up – do not put ice straight on to skin)

Hydrocortisone / Antihistamine cream

If severe reaction such as difficulty breathing, nausea, vomiting, may require a doctor or hospital treatment,
Weak and shaky
Wants to leave
May collapse
Shock: May happen after any accidentLie down in quiet, shaded area.
Keep calm & drink water
Do not let patient leave until they can walk properly

More information

DAN (Divers Alert Network) Marine Envenomations: Jellyfish and Hydroid Stings

https://dan.org/alert-diver/article/marine-envenomations-jellyfish-hydroid-stings/

Marine Stingers: Identification

NO STINGS – Harmless

Comb jellies / Sea Gooseberries / Salp chains

Comb jellies are small, clear jelly-like closed bags or balloons. They may have two long tentacles. They swim by beating hairs inside their body that may look coloured lights. NO STINGS.

Salp chains look like a long chain of comb jellies, and swim a bit like an eel.

They will break up into short sections if touched. NO STINGS, NO BITES.

MINOR STINGS – short lasting

Invisible baby jellyfish or hydroids

Nothing seen, just sharp stings a bit like electric shocks that wear off after 15 -20 minutes.

Upside-down jellyfish and Hydroids

Upside-down jellyfish sit on the sea bed, tentacles, upwards, looking like seaweed in muddy water. Hydroids look like white feathers and may grow on reef or ropes.

Moon Jellies and Purple Crown jellies

Moon jellies are usually less than 20 cm across the bell, and clear, with four joined circle markings on the bell, and short, clear tentacles.

Purple Crown jellies are big (20 – 30 cm across the bell) and solid-looking, with a high crown on the bright purple bell, and short frilly arms with clear tentacles below.

Butterflyfish will eat the stinging tentacles, so often they cannot sting by the time they are on the reef. If there are only a few, they can be pushed away by pushing on the bell.

DANGEROUS STINGS

Blue-bottles (Portuguese Man o’War)

Blue “bag” sail floats on the surface of the water. Very long blue tentacles may stretch out up to 10 metres away from the sail. If even one is seen, leave the water, as you do not know where the stinging tentacles are.

Siphonophores

Related to blue-bottles but without the floating sail. Long, clear chains with stinging cells on threads hanging down. Can stick to skin like blue-bottles, and are painful, but not nearly as dangerous.

Box jellyfish

Small, clear box-shaped bell, long clear tentacles only coming off the four corners. If even one is seen, leave the water, as you do not know where the stinging tentacles are. Sometimes found washed up on the shore or beach.

NOTE: if jellies are found washed up on the shore or beach THEY CAN STILL STING – do not handle.

BASIC FIRST AID FOR MARINE LIFE STINGS

Signs and symptomsDiagnosisImmediate
First Aid
Follow Up Treatment
Weak and shaky
Wants to leave
May collapse
Shock: May happen after any accidentLie down in quiet, shaded area.
Keep calm & drink water
Do not let patient leave until they can walk properly
Red blotches on skin
(no bleeding)
Pain or Itching

Possible but not always:
Blisters
Swelling around sting
Mild sting:

Fire Coral
Jellyfish
Hydroids
VINEGAR wash (before fresh water) If no vinegar:
Lemon juice,
Crushed pawpaw
(papaya) leaves
Any cream for mosquito bites
(Cortisone / Antihistamine)
Slice of lemon rubbed over sting stops itching
Rash lasts 2 – 3 days
Long strings of red blotches on skin
(no bleeding)

Visible clear tentacles stuck or wrapped around skin

Blisters
Swelling around sting

Strong pain
Dangerous sting:

Box jellyfish

Blue-bottle

Siphonophore
Scrape off tentacles without touching them
VINEGAR wash for at least 30 seconds
If no vinegar:
Rinse with SEA water (NOT FRESH) or a paste of seawater & baking soda.
If pain continues very strong
Cover area in HOT WATER (45 – 50oC) for 30 mins or longer
can be applied over a towel
Pain killers
Anti-histamine tablets
Ice pack (wrapped up – do not put ice onto skin)

Hydrocortisone / Antihistamine cream

If severe reaction such as difficulty breathing, nausea, vomiting ,may require a doctor or hospital treatment,
Cut or Puncture Wound
Severe Pain

Possible but not always:
Some Bleeding
Nausea or Vomiting
Shock
May Collapse
Severe Sting:

Stingray
Scorpionfish
Stonefish
Lionfish
Crown of Thorns
Remove sting if possible
Encourage bleeding

Cover whole wound in HOT WATER (45 – 50oC) for 30 mins or longer
– breaks down poison and stops pain
Clean and disinfect
Use antibiotic cream or powder
Keep covered and dry
Swelling or bruising may last 2- 3 days
If pain lasts, see doctor
Very small Puncture
(no bleeding)
Weakness & Numbness

Possible but not always:
Muscles stiff or paralysed

BREATHING AND
HEARTBEAT STOPS
Life threatening poison:

Sea Snake

Cone Shell
IMMEDIATE EVACUATION
MAY NEED CPR
Keep affected limb lower than body
If qualified, apply
pressure bandage to
stop poison spreading

GET TO A DOCTOR OR HOSPITAL AS SOON AS POSSIBLE

THIS IS POTENTIALLY LIFE THREATENING

More Information

The DAN (Divers Alert Network) Hazardous Marine Life Medical Reference Book is highly regarded as a practical, comprehensive guide for identifying and treating injuries from marine life.

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