What is the initial step in managing stingray, sea urchin, or spiny fish injuries?

• A. Get person out of water
• B. Apply ointment
• C. Rub area
• D. Return to water

Answer: (A)

Getting the person out of the water is the first step because safety comes first and continued exposure to the marine environment can worsen pain and increase the risk of additional injury or drowning. Once they’re in a dry, safe area, you can assess the wound, begin cleaning, and consider venom-specific care (such as hot-water immersion for stingray stings) and removal of visible spines as appropriate. Rubbing the area is not advised since friction can aggravate tissue damage and drive venom deeper. Returning to the water would prolong exposure and isn’t appropriate. Applying ointment isn’t the immediate priority; initial care focuses on safe removal from the water and wound management, with medical help sought if symptoms worsen or signs of infection appear.