What is the recommended treatment for spiny fish stings?

• A. Apply ice directly to the sting
• B. Squeeze the wound to remove venom
• C. Flush with tap water, soak in hot water for 20 minutes
• D. Cover with adhesive bandage

Answer: (C)

Rinsing the wound with clean water and then soaking it in hot water is the most effective initial treatment for spiny fish stings because it helps remove venom and inactivates venom proteins while providing pain relief. The heat can denature the venom components and reduce pain and swelling when applied at a tolerable temperature (hot but not scalding) for about 20 minutes or longer if possible. Squeezing the wound can push venom deeper and spread it through the tissue, ice can cause tissue damage and doesn’t counteract the venom, and simply covering with an adhesive bandage doesn’t address the venom effect. If pain persists or other symptoms develop, seek medical care.