When you’re stung by a box jellyfish, you know it almost immediately. These somewhat squarish shaped cnidarians are armed to the bell with some of the most painful venom in the world. Long tentacles are packed with millions of stinging cells, called nematocysts, each with its own microscopic, needle-like harpoon-tipped tubule waiting to plunge into your flesh and inject the animal’s intense venom. The pain is not only debilitating, it can also be deadly. More than 60 deaths from box jelly stings have been reported in the last forty years.
Being stung is an awful experience. The best course of action is to remove any tentacles quickly to ensure that nematocysts that haven’t fired don’t get the chance to add their venom to the sting, and then treat for pain. Luckily enough, scientists discovered early on that vinegar (~5% acetic acid solution) irreversibly prevents nematocysts from firing, allowing people to rinse off tentacles without causing more trauma (which is also how the folk remedy of peeing on a sting originated, though vinegar is more effective and far less gross). For this reason, vinegar has been the go-to emergency response to box jelly stings for more than twenty years. It is currently the primary recommended treatment by the Australian Resuscitation Council, the American Heart Association and the American Red Cross.
“Now (we’re saying) don’t do what we’ve been telling you to do for the last 30 years,” Jamie Seymour, associate professor at James Cook University, told reporters at The Australian. Seymour’s sudden change of heart is the result of new research published by him with colleagues from the Cairns Hospital, including lead author Philippa Welfare. Other news sites have been quick to cover the story which originated in a press release from James Cook University, warning that “vinegar on jellyfish sting can be deadly” and that “Queensland researchers have discovered the cure can kill.”
Not so fast, guys.
