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From: <Niilus_at_aol.com>
subject: [Paddlewise] Drinking And Cleaning Wounds With Urine ?
Date: Fri, 22 Mar 2002 11:34:11 EST
In a message dated 3/22/2002 8:18:25 AM Pacific Standard Time, 
tombrooklyn_at_yahoo.com writes:


> I'd only heard about drinking urine anectodally.  Is it
> actually a viable survival technique?  Would urine be good
> for flushing out a wound? Perhaps only if the urinator was
> in good health, or only for wounds on the same person the
> urine came from?
> 

I have heard that some surfers pee on jellyfish stings.  Is there some 
benefit from uric acid or is that just a macho thing?

Tony

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From: <Heike_Robinson_at_lakeland.cc.oh.us>
subject: Re: [Paddlewise] Drinking And Cleaning Wounds With Urine ?
Date: Fri, 22 Mar 2002 11:55:45 -0500
Yes,  it works.  I have tried it several times in my life. It worked fast and
stopped even pain!  It is not a macho thing,  I am female:))I think it was an
old soldiers trick in WWI.
Heike
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From: Arthur Hebert <seacajun_at_gs.net>
subject: [Paddlewise] jellyfish stings
Date: Fri, 22 Mar 2002 16:28:36 -0600
> Tony wrote;

> I have heard that some surfers pee on jellyfish stings.  Is there some
> benefit from uric acid or is that just a macho thing?
>


Urine, vinegar (with the highest percentage of acidity content you can
find), alcohol,meat tenderizer,ammonia all could be used for the initial
treatment of jellyfish, certain corals and anemones stings.
The liquids mentioned above can help with the immediate reduction of pain.
It is said that you should not remove any of the tentacles at this point, if
removal is attempted you could release more nematocysts that are triggered
causing additional injury.  The best procedure it seems is to trap them by
powdering the affected area with talcum, flour,sand or dirt which is allowed
to dry for a minute or two. The affected area is then scraped clean. One
should not rub the affected area or use water or wet sand as this will only
activate any remaining nematocysts

Arthur Hebert
www.lacostadelgolfo.com
>


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From: Scott <sc_at_gci.net>
subject: Re: [Paddlewise] jellyfish stings
Date: Fri, 22 Mar 2002 13:34:43 -0900
Thanks, Arthur,
I guess now I know why the male nurse on the tv show Survivor got a woman to
pee on his hand when he was stung by an anenome....

Scott Simpson
Anchorage Alaska

"There is always one more thing you can do to influence any situation"
Lt. Gen Harold Moore, USA (Ret)
----- Original Message -----
From: "Arthur Hebert" <seacajun_at_gs.net>
Sent: Friday, March 22, 2002 1:28 PM


> Urine, vinegar (with the highest percentage of acidity content you can
> find), alcohol,meat tenderizer,ammonia all could be used for the initial
> treatment of jellyfish, certain corals and anemones stings.
> The liquids mentioned above can help with the immediate reduction of pain.
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From: Jackie Fenton <jackie_at_muddypuppies.com>
subject: Re: [Paddlewise] jellyfish stings
Date: Sat, 23 Mar 2002 12:04:12 -0800 (PST)
> From: "Arthur Hebert" <seacajun_at_gs.net> 

> Urine, vinegar (with the highest percentage of acidity content you can
> find), alcohol,meat tenderizer,ammonia all could be used for the initial
> treatment of jellyfish, certain corals and anemones stings.

Hmmm... might want to check into this.  The URLs below contain excerpts
from "All Stings Considered," covering first aid and medical treatment 
of marine injuries for Hawaii (but many of the marine critters are found 
worldwide... jellyfish, sea urchin, Portuguese man-owar, anemone, sea 
snakes, etc.) and comments that an Australian study reported urine and 
alcohol "caused massive nematocyst discharge in the box jellyfish" as 
well as Portuguese man-of-war.  Studies using vinegar had mixed results 
and meat tenderizer, baking soda showed contradicting results.  (I wonder
if the different results are due to some kind of changes in the life 
cycle?)

Excerpts from "All Stings Considered"

Part 1 (might have to try reloading this a couple of times as I got a
server refusal a couple of times)
http://www.aloha.com/~lifeguards/alsting1.html

Part 2
http://www.aloha.com/~lifeguards/alsting2.html

cheers,

jackie
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From: Koenigs <gyst_at_cox.net>
subject: Re: [Paddlewise] jellyfish stings
Date: Sat, 23 Mar 2002 23:24:54 -0600
It is tricky to figure out what is the best way to deal with a noxious
marine encounter -say one's bodypart and a jellyfish tentacle.  Since the
fall of the Third Reich it has been hard for researchers to find out, in a
controlled fashion, what eases pain best when poured on a tentacle draped
forearm.  There is a tendency to accept and pass on as truth the advice of
those who most often encounter the problem, say surf lifeguards, or those
who write the first aid and wilderness medicine books we study.  Without
controlled studies, though, we are likely to pass on the unproven "truth"
we've read or heard from these "legitimate" sources.
It seems that treatment of Jellyfish envenomation has two primary goals: 1)
removal of and inactivation of any stinging cells on a tentacle that may not
yet have "fired" and injected toxin into one's skin and 2) relief of the
pain and systemic effects that already "fired" cells may have produced.
It appears to be generally accepted that rinsing a "stung" area with sea
water (as opposed to fresh water) is a good first step. Rubbing of the area
is thought to be poor form. Regarding the application of some later
substance such as vinegar, baking soda, alcohol, meat tenderizer or urine,
there is less consensus.  And it may be that different coelenterate stinging
cells respond differently. Regardless, it may be useful after flooding with
vinegar (if available) to mechanically remove any remaining cells with a
sand or mud seawater paste or whatever else may be available.  There is an
antivenin available (to the lucky ones) for the Australian Box Jellyfish but
since death can reportedly occur within 60 seconds of contact the antivenin
is not always useful.
We in the western hemisphere are unlikely to encounter anything worse than
the Man of War (which is noxious indeed) but not so deadly as a box jelly.
It appears that the best treatment is not completely understood but removing
the tentacles mechanically with sea water and possibly applying vinegar, if
available, afterwards is about as much good as can be done initially.
Larry Koenig
www.lacostadelgolfo.com


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From: Jackie Fenton <jackie_at_muddypuppies.com>
subject: Re: [Paddlewise] jellyfish stings
Date: Sat, 23 Mar 2002 22:49:05 -0800 (PST)
> From: "Koenigs" <gyst_at_cox.net>

> forearm.  There is a tendency to accept and pass on as truth the advice of
> those who most often encounter the problem, say surf lifeguards, or those
> who write the first aid and wilderness medicine books we study.  Without
> controlled studies, though, we are likely to pass on the unproven "truth"
> we've read or heard from these "legitimate" sources.


"All Stings Considered" (which I mentioned earlier) is co-authored by
a medical doctor.  He has written other books on medical first aid for
outdoors folks.  Looks like a pretty good reference manual for first
aid.  This from the book:

   "A key concept in the first aid of any injury is: Do no harm. 
   Therefore, avoid applying unproven, possibly harmful substances
   to stings."

Looks like the authors agree with you :-)

There is an email address at the website I mentioned where you can 
write for more information.  I'm sure they'd be glad to answer any
questions for you.  Always good to get the opinion of a medical
professional in such matters, especially those that make this their
field of study.  There are probably lots of other good sources
at your local library (or at .edu sites... medical schools are often
a great source) where you can read up on studies conducted.  

cheers,

jackie

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From: PeterO <rebyl_kayak_at_iprimus.com.au>
subject: Re: [Paddlewise] jellyfish stings
Date: Mon, 25 Mar 2002 07:34:50 +1100
Larry Koenig wrote: -
>It is tricky to figure out what is the best way
>to deal with a noxious marine encounter

G'Day,

It might not be relevant in all parts of the world, but the 1999 edition of
'Australian First Aid', ISBN 0 949569 38 0 published by St John Ambulance,
has a section dealing with marine bites and stings. The first aid described
is consistent with the websites Jackie posted. In this manual vinegar is
recommended for box jelly fish and cold packs for other jellyfish stings. A
Melbourne University web site gives scientific and first aid information
with a more detailed recommendation on when to use vinegar.
http://www.pharmacology.unimelb.edu.au/pharmwww/avruweb/creatable.html .

About 100 marine stings per day during the holiday season are managed by
medical professionals here and a few laboratories have studied the response
of jellyfish stinging cells to 'vinegar', which is used not to ease pain but
to prevent further release of poison. Seems to me (a non medic) that the
sting management strategies recommended by first aid organisations such as
St John's Ambulance, although based on limited data, have a reasonable
prospect of being appropriate.

But maybe prevention is better than cure in warmer climates - In the section
on box jelly fish the Melbourne University website shows a picture of
Queensland surf lifesavers wearing stinger suits. Alternatively panty hose
body stocking have been suggested by some divers/kayakers in tropical waters
as a protection against stings - it doesn't sound tough but is supposed to
be effective:~)

All the best, PeterO

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From: Michael Daly <michaeldaly_at_rogers.com>
subject: Re: [Paddlewise] jellyfish stings & other things
Date: Sun, 24 Mar 2002 17:15:35 -0500
From: "PeterO" <rebyl_kayak_at_iprimus.com.au>

> Queensland surf lifesavers wearing stinger suits. Alternatively panty hose
> body stocking have been suggested by some divers/kayakers in tropical waters
> as a protection against stings - it doesn't sound tough but is supposed to
> be effective:~)


I'll echo Jackie's comments on the value of this for kayakers, if only for
sun protection.  I've never gone diving without full body protection and
almost always prefer a long-sleeved top to a T-shirt with sunscreen when
kayaking.

The advantage of light clothing over sun screen is that it is a constant
protection and doesn't wear off.  The latest MEC catalogue came in the mail
and Amie and I just returned from there (she wanted to go - that's rare!).
They have increased the number of sun protective clothing products with
long sleeved T's and other clothes.  They've also introduced us to the
acronym UPF (clothing equivalent of SPF).  

We have more options than ever at dressing lightly for protection; take
advantage of it.

Mike

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From: Koenigs <gyst_at_cox.net>
subject: Re: [Paddlewise] jellyfish stings & other things
Date: Sun, 24 Mar 2002 22:05:33 -0600
so then, let it be vinegar
or maybe ? acidic urine.
I refer to anectodotalism not to question so much the undestanding of
present day experts but to point out that there is a lot available in what
should be reliable books that differs from this.
Larry Koenig

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From: Jackie Fenton <jackie_at_muddypuppies.com>
subject: Re: [Paddlewise] jellyfish stings
Date: Sun, 24 Mar 2002 13:31:43 -0800 (PST)
> From: "PeterO" <rebyl_kayak_at_iprimus.com.au>

> to prevent further release of poison. Seems to me (a non medic) that the
> sting management strategies recommended by first aid organisations such as
> St John's Ambulance, although based on limited data, have a reasonable
> prospect of being appropriate.

I agree strongly.  The advice from the book I mentioned earlier isn't
just anecdotal.  It comes from ermergency-room experience as well as 
studies conducted.  Craig Thomas is an emergency room doctor and his 
co-author/wife is a registered nurse who volunteers with him for the 
Aloha Medical Mission and earned a bachelor's degree in biology at 
the University of Hawaii.  Since 1987, she she has been writing a 
weekly column called "Ocean Watch" for the Honolulu Star-bulletin and
both are avid divers as well as sailors having sailed their 37-foot 
sailboat from Connecticut to Hawaii in 1983 where they have since 
resided.  I'd say their observations in the area of marine first aid 
would be noteworthy. :-)  btw, there are 200 species of jellyfish, 
some of which do not sting at all.

> But maybe prevention is better than cure in warmer climates - In the section
> on box jelly fish the Melbourne University website shows a picture of
> Queensland surf lifesavers wearing stinger suits. Alternatively panty hose
> body stocking have been suggested by some divers/kayakers in tropical waters
> as a protection against stings - it doesn't sound tough but is supposed to
> be effective:~)

I can vouch for that.  I burn easily so tend to cover myself as best
I can for a full day kayak surfing in the sun.  My clothing choice 
for surfing is bicycle pants and longsleeve tops because they prevent 
sunburn like nothing else for a full day of kayak surfing.  One time
while out surfing, I wiped out into a school of Portuguese man-of-war.
My tight-fitting bicycle pants saved my legs but my not-tight-enough 
top did not save my upper torso from the stings.  It actually trapped
them inside my shirt until I could work my way out of the surf and reach
the beach and remove it.   Was one of those teeth-grinding kinds of pain.  

I survived, though :-)  Don't remember exactly but most likely just 
rinsed off with fresh water which has been the remedy of choice since
I was a kid playing at the beach and stinging went away in short order.
This is another excerpt from the book...

   "Most Hawaii Portuguese man-of-war stings disappear by themselves, 
    sometimes within 15 or 20 minutes. Because of this, even harmful 
    therapies often appear to work. 

Which is often the case of unproven remedies which develop a reputation
as being a great cure.  "Hey, the pain stopped, so it's got to be a
cure!"
 
cheers,

jackie



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From: <Gypsykayak_at_aol.com>
subject: Re: [Paddlewise] jellyfish stings
Date: Sun, 24 Mar 2002 17:10:26 EST
my oh my...if I'd know how interesting this was going to be, I'd have read 
all the postings...so forgive me if this has been said before:

in a first aid course (years ago, I'll admit) we were told that papaya 
enzymes help neutralize the pain....this is contained in some meat 
tenderizers.  

If I remember correctly, we were told to pack a sprinkle bottle/jar of Accent.

sandy kramer
miami
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From: Wayne Smith <wsmith_at_cts.com>
subject: Re: [Paddlewise] Drinking And Cleaning Wounds With Urine ?
Date: Sun, 24 Mar 2002 09:52:24 -0800
Niilus_at_aol.com wrote:

> // I have heard that some surfers pee on jellyfish stings.  Is there some
> benefit from uric acid or is that just a macho thing? //

The Acid in Urine lowers the Ph in the jellyfish stings and makes it
ineffective.  Not macho at all.

--
Wayne Smith   (ò¿ó)   http://www.waynesmith.net/
315/185/185 Dr Rumbaut 10/07/1999
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