For jellyfish envenomation, which action is indicated if antivenin is available on site?

• A. Give antivenin on site
• B. Transport with patient to hospital
• C. Do nothing
• D. Remove tentacles only

Answer: (B)

When jellyfish envenomation presents with significant symptoms, the patient should be transported to a hospital for definitive care. Antivenin administration requires a controlled medical setting where monitoring for allergic reactions, airway management, and potential delays in onset or escalation of symptoms can be handled safely. Even if antivenin is available on site, giving it there is not the preferred approach in prehospital care. The focus on scene is stabilization and rapid transport so the patient can receive proper dosing and observation in a facility. In the field, you can continue basic measures like tentacle removal and appropriate rinsing, and provide supportive care while arranging transport.