The Portuguese
Man-Of-War is a jelly-like marine animal that looks like a fragile
blue bubble. These sea creatures are infamous for their very painful,
powerful sting and very common in the tropical and subtropical regions
of the Pacific and Indian oceans, and the northern Atlantic Gulf Stream
which are the waters just off the island paradise of Key Biscayne.
It is sometimes found floating, and often found washed ashore, normally
in the winter months and when the winds are blowing onshore.
The
man-of-war's body consists of a gas-filled, bladder-like float (a polyp,
called the pneumatophore) - a translucent structure tinted pink, blue,
or violet - which may be 3 to 12 inches (9 to 30 centimeters) long and
may extend as much as 6 inches (15 centimeters) above the water. Beneath
the float are clusters of polyps, from which hang tentacles of up to 165
feet (about 50 meters) in length. The "animal" moves by means of
its crest, (pictured here tinted pink) which functions as a sail.
Some of the tentacles of
the Portuguese Man-Of-War bear stinging nematocystic (coiled thread-like)
structures that paralyze small fish and other prey.
The sting of the Portuguese
Man-Of-War is very painful to man and can cause serious effects, including
fever, shock, and interference with heart and lung action. Pick off any
visible tentacles. Rinse with fresh or salt water. Apply ice for pain.
IMMEDIATE MEDICAL ATTENTION MAY BE REQUIRED as their stinging may bring
about shock.
The toxin secreted from the
tentacles of the Portuguese Man-Of-War are about seventy-five percent as
powerful as cobra venom.
The most common result of
contact with the Portuguese Man-Of-War are the residual whip-like, red
wavy, stringy welts on the skin from contact with the blue tentacle. The
lesions can last for minutes to hours.
Portuguese Man-Of-War are
not always obvious in the water. Tentacles may break away in the
surf and inflict stings just as potent as those from attached tentacles.
Even dead specimens stranded on the beach can still cause stings. Do not
touch these animals with bare skin and do not enter the water if they are
present.
Guarded beaches on Key Biscayne
are posted with special signs by lifeguards when there are Portuguese Man-Of-War
present in the Atlantic ocean. Observe these signs, stay out of the water
to avoid being stung - a very painful experience.
FIRST AID SUGGESTIONS
FOR A MAN-OF-WAR STING
Few Portuguese man-of-war
stings in Key Biscayne cause life-threatening reactions, but this is always
a possibility. Some people are extremely sensitive to the venom; a few
have allergic reactions. Consider even the slightest breathing difficulty,
or altered level of consciousness, a medical emergency.
For the average Portuguese
Man-Of-War sting on Key Biscayne:
Students of the Key Biscayne
Presbyterian Preschool learn about
the dangers of the Portuguese
Man-Of-War from their teacher,
Miss Lourdes, on
a field trip to the beach. (February, 2001)
Pick off any visible tentacles
with a gloved hand, stick, or anything handy, being careful to avoid further
injury.
Remember that it is stinging
because of countless barbs that are IN the skin. You probably CANNOT
SEE them all so use EXTREME CAUTION touching the area since you may push
in additional barbs loaded with poison!!! The best product on the
market is spray on Lidocaine (pain killer). Spray on so that nobody
has to touch anything!!!
DO NOT USE CREAMS OR LOTIONS
OF ANY KIND THAT REQUIRE RUBBING (which should include all of them)
Rinse the sting thoroughly with
salt or fresh water to remove any adhering tentacles.
Apply ice for pain control.
( If Lidocaine spray is not readily available)
Irrigate exposed eyes with copious
amounts of room temperature tap water for at least 15 minutes. If vision
blurs, or the eyes continue to tear, hurt, swell, or are light sensitive
after irrigating, see a doctor.
For persistent itching or skin
rash, try 1 percent hydrocortisone ointment four times a day, and one or
two 25 milligram diphenhydramine (Benadryl) tablets every 6 hours. These
drugs are sold without prescription. Diphenhydramine may cause drowsiness.
Don't drive, swim or surf after taking this medication.
It is GOING TO HURT and HURT
BIG TIME! Do not touch eyes, mouth, and Mom's remember that if you
pick up your child that any stingers on the child WILL STING THROUGH YOUR
SWIM SUIT!!!
Although formerly considered
effective, vinegar is no longer recommended for Portuguese man-of-war
stings. In a laboratory experiment, vinegar dousing caused discharge of
nematocysts from the larger (P. physalis) man-of-war species. The
effect of vinegar on the nematocysts of the smaller species (which has
less severe stings) is mixed: vinegar inhibited some, discharged others.
No studies support applying
heat to Portuguese man-of-war stings. Studies on the effectiveness of meat
tenderizer, baking soda, papain, or commercial sprays (containing aluminum
sulfate and detergents) on nematocyst stings have been contradictory. It's
possible these substances cause further damage. In one U.S. Portuguese
man-of-war fatality, lifeguards sprayed papain solution immediately on
the victim's sting. Within minutes, the woman was comatose, and later died.
Alcohol and human urine may
be harmful on Portuguese man-of-war stings. An Australian study reports
that both alcohol and urine caused massive nematocyst discharge in the
box jellyfish, Chironex fleckeri.
Most Portuguese man-of-war
stings disappear by themselves, sometimes within 15 or 20 minutes. Because
of this, even harmful therapies often appear to work. A key concept in
the first aid of any injury is: Do no harm. Therefore, avoid applying unproven,
possibly harmful substances on stings.
REFERENCES: The first aid information
on this page is gathered from the book, All Stings Considered - First
Aid and Medical Treatment of Hawaii's Marine Injuries by Craig
Thomas, M.D. and Susan Scott (University of Hawaii Press, 1997) and from
Dangerous
marine creatures,
by C. Edmonds (Reed Books Pty Ltd. Sydney).
DISCLAIMER: The first aid information
provided above is up-to-date and accurate, as far as we know, as of January,
2001. The information provided above is for general purpose use and offered
as a guide that is suggestive, not prescriptive, invasive, or medical in
nature. You should always consult with, or see a medical practitioner for
definitive health care information or to receive medical treatment.