A randomised controlled trial of hot water (45° C) immersion versus ice packs for pain relief in bluebottle stings

Medical Journal of Australia

Volumn 184, Issue 7, 2006, Pages 329-333

  Loten, Conrad ^a   Stokes, Barrie ^b   Worsley, David ^a   Seymour, Jamie E ^c   Jiang, Simon ^d   Isbister, Geoffrey K ^e,f  

^a HUNTER NEW ENGLAND HEALTH   (Australia)

^b UNIVERSITY OF NEWCASTLE   (Australia)

^c JAMES COOK UNIVERSITY   (Australia)

^d UNIVERSITY OF NEWCASTLE   (Australia)

^e MENZIES SCHOOL OF HEALTH RESEARCH   (Australia)

^f NEWCASTLE MATER HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

HOT WATER;

ADOLESCENT; ADULT; ANALGESIA; ARTICLE; AUSTRALIA; BLUEBOTTLE PLANT; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CRYOTHERAPY; DISEASE SEVERITY; FEMALE; FIRST AID; FREQUENCY ANALYSIS; HEALTH CARE FACILITY; HUMAN; HYDROTHERAPY; MAJOR CLINICAL STUDY; MALE; OPEN STUDY; PHYSALIS; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RASH; SCHOOL CHILD; SEASHORE; SKIN INJURY; SKIN PAIN; STATISTICAL ANALYSIS; SWIMMING; SYMPTOMATOLOGY; TREATMENT OUTCOME; VISUAL ANALOG SCALE;

EID: 33645769813     PISSN: 0025729X     EISSN: None     Source Type: Journal    
DOI: 10.5694/j.1326-5377.2006.tb00265.x     Document Type: Article

References (22)

1. Williamson JA, Fenner PJ, Burnett JW, Rifkin JF. Venomous and poisonous marine animals. 1st ed. Sydney: UNSW Press, 1996.
2. Isbister GK. Marine envenomation and poisoning. In: Dart RC, editor. Medical toxicology. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2004: 1621-1644.
3. Fenner P. International Life Saving Federation policy statement 6: marine envenomation. Belgium: International Life Saving Federation, 2000: 1-5.
4. Exton DR, Fenner PJ, Williamson JA. Cold packs: effective topical analgesia in the treatment of painful stings by Physalia and other jellyfish. Med J Aust 1989; 151: 625-626.
5. Church JE, Hodgson WC. The pharmacological activity of fish venoms. Toxicon 2002; 40: 1083-1093.
6. Bucherl W, Buckley EE. Venomous animals and their venoms. Vol 3. London: Academic Press, 1971.
7. Endean R. Separation of two myotoxins from nematocysts of the box jellyfish (Chironex fleckeri). Toxicon 1987; 25: 483-492.
8. Carrette TJ, Cullen P, Little M, et al. Temperature effects on box jellyfish venom: a possible treatment for envenomed patients? Med J Aust 2002; 177: 654-655.
9. Nomura JT, Sato RL, Ahern RM, et al. A randomized paired comparison trial of cutaneous treatments for acute jellyfish (Carybdea alata) stings. Am J Emerg Med 2002; 20: 624-626.
10. Bowra J, Gillett M, Morgan J, Swinburn E. Randomised crossover trial comparing hot showers and icepacks in the treatment of Physalia envenomation [abstract]. Emerg Med 2002; 14: A22.
11. Lopez EA, Weisman RS, Bernstein J. A prospective study of the acute therapy of jellyfish envenomations [abstract]. J Toxicol Clin Toxicol 2000; 38: 512.
12. Thomas CS, Scott SA, Galanis DJ, Goto RS. Box jellyfish (Carybdea alata) in Waikiki: their influx cycle plus the analgesic effect of hot and cold packs on their stings to swimmers at the beach: a randomized, placebo-controlled, clinical trial. Hawaii Med J 2001; 60: 100-107.
13. Moritz AR, Henriques FC. Studies in thermal injury II: the relative importance of time and surface temperature in the causation of cutaneous burns. Am J Pathol 1947; 23: 695-720.
14. O'Reilly GM, Isbister GK, Lawrie PM, et al. Prospective study of jellyfish stings from tropical Australia, including the major box jellyfish Chironex fleckeri. Med J Aust 2001; 175: 652-655.
15. Powell CV, Kelly AM, Williams A. Determining the minimum clinically significant difference in visual analog pain score for children. Ann Emerg Med 2001; 37: 28-31.
16. Currie BJ, Wood YK. Identification of Chironex fleckeri envenomation by nematocyst recovery from skin. Med J Aust 1995; 162: 478-480.
17. Bird SB, Dickson EW. Clinically significant changes in pain along the visual analog scale. Ann Emerg Med 2001; 38: 639-643.
18. Beecher HK. The powerful placebo. JAMA 1955; 159: 1602-1606.
19. Wampold BE, Minami T, Tierney SC, et al. The placebo is powerful: estimating placebo effects in medicine and psychotherapy from randomized clinical trials. J Clin Psychol 2005; 61: 835-854.
20. Ellis RM, Sprivulis PC, Jelinek GA, et al. A double-blind, randomized trial of intravenous versus intramuscular antivenom for red-back spider envenoming. Emerg Med Australas 2005; 17: 152-156.
21. Holdgate A, Asha S, Craig J, Thompson J. Comparison of a verbal numeric rating scale with the visual analogue scale for the measurement of acute pain. Emerg Med (Fremantle) 2003; 15: 441-446.
22. Todd KH, Funk KG, Funk JP, Bonacci R. Clinical significance of reported changes in pain severity. Ann Emerg Med 1996; 27: 485-489.