This is the procedure to follow in case you get stung by a pout:
First clean the wound with cold saline to drag the remains of integument and sting, causing local vasoconstriction which reduces the amount of venom into the blood. Not recommended for application of tourniquets. The injury must be explored thoroughly to integumentary remnants are preventing the barb, which contain poison glands and can perpetuate the poisoning.
immediately immersed the injured limb in hot water about 45 º C for about 30-90 minutes, which destroys the toxin of the pout, which is thermolabile. In case you do not have hot water on hand is recommended to use hot beach sand. Should take some oral pain medication to relieve pain. Sometimes it is so intense that require a local infiltration with novocaine, or regional anesthesia with lidocaine or bupivacaine. The
injured limb should be at rest and a little high. We should avoid the use of cold, corticosteroids and antihistamines do not seem to have great advantages. The use of muscle relaxants can be helpful.
Source: Official College of Pharmacists of A Coruña
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