• Aust Fam Physician · Jun 2013

    Hot water immersion for bluebottle stings.

    • Handbook of Non Drug Intervention (HANDI) Project Team.
    • Aust Fam Physician. 2013 Jun 1; 42 (6): 401-2.

    AbstractHot water immersion can be used to treat bluebottle (Physalia spp.) stings. Bluebottle stings are most common in non-tropical areas and can be very painful. After initial management, hot water (ideally at 42-45°C) applied to the site of the sting for 30-90 minutes can be used to manage pain. If hot water is unavailable, a heat pack may provide an accessible alternative. Hot water application for bluebottle stings has NHMRC Level 2 evidence of efficacy. The most common adverse effect is that the patient cannot tolerate the heat, and there has been one case of a thermal burn reported. This article forms part of a series on non-drug treatments, which summarise the indications, considerations and the evidence, and where clinicians and patients can find further information.

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