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Ruminating on Remedies

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Julia Coyte, CHom

My thoughts on a few of the many thousands
of homeopathic remedies available.
​Where, when and how they may be applied in everyday life.

#wellnessawaits

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7/16/2022

Summer Fun #3: Flying Things (mainly)

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As a rule, repeat the homeopathic remedy every 15 minutes for the first hour.

If no relief in that time, it is most likely not the correct remedy for now -- try another.

      --------------------
Swelling, redness, heat, worse by heat: Apis.

Bites that itch and burn: Caladium.

If a watery blister develops: Cantharis.

Burning pains:  Cantharis.

If a secondary infection develops: Gunpowder. 
See: Things that go boom.

Intense, unbearable, possibly radiating pain with hypersensitivity to touch: Hypericum.

If the skin is hot and looks blue or purple: Lachesis.

Itching is better by cold and the site is sensitive to touch: Ledum.

Excessive itching or develop large welts: Staphysagria
​

Intense itching and burning with hive-like swelling: Urtica urens.

(Lessell 1999; Schmukler 2006; Ratera 2016). 
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My teenager came looking for me the other day at 8 am. It’s summer vacation so I knew something was not quite right. He awakened with a centipede in his bed. Not a good way to wake up in the morning! [Note to self: be careful of the blog articles I am planning… first the appendectomy and now the centipede in the bed!] Dr. Forgey (2020) says a cold pack is usually sufficient treatment but notes that some centipede bites can be severe and result in regional lymph node swelling. My son’s morning visitor got him on the shoulder and we used a little OHM Sting Relief & Insect Repellent and he was good to go. Beautiful stuff, but we’ll get to those ingredients in a minute.

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It's a good thing that most bug bites are just annoying. But, for those unlucky few, that's not the case. I have a friend who just found out the hard way that she is allergic to bees. They got her twice at once - (one on the leg and the other the hand) and her hand swelled up, as did her throat! She, too, is a homeopath and knew just what to do. In this case, Apis mellifica.
​
Homeopathic Apis is made from the honeybee and is absolutely the #1 go-to remedy for anything that causes an anaphylactic reaction. Repeat Apis often while on the way to the hospital or awaiting medical attention.

“Anaphylaxis is a sudden onset, immediate reaction that implies a risk of death … reactions usually begin within 2 minutes to 2 hours after injection, infusion, ingestion, contact or inhalation. Fatalities can be from asphyxiation from laryngeal or oropharyngeal swelling, collapse from hypotensive shock, cardiac arrest, or acute severe bronchoconstriction that causes respiratory failure and arrest” (Watts and Ditto 2019). In other words, anaphylaxis is serious stuff which most often requires immediate medical attention though “fatalities are a rare occurrence” (Anagnostou 2018). Most people who know they have anaphylactic reactions would be equipped with an Epi-pen, but this was news for my friend!

Even without the anaphylactic reaction, Apis is the remedy to turn to for bee stings. As a side note, given that the remedy is made from the honeybee itself, this makes Apis not homeopathic, but isopathic. Isopathy is “same cures same” as opposed to homeopathy “like cures like.” See ​Hom, not Home.

Anyway, back to bee stings and Apis… if there is burning and stinging, swelling and redness, then Apis is what you’re after.

Ledum can also be useful for bee stings, especially if the stricken area feels cold.

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Ticks can be hard to spot -- be sure to check your skin carefully!
Ticks are insidious little creatures. I remember finding wood ticks on me as a kid. I even have a little piece of my ear missing from when I panicked and pulled the big, fat thing off of me when it was still attached. To my knowledge, those ticks were just annoying. Now, we have to worry about Lyme disease (and 14 other known diseases (Alton and Alton 2021)) from the ticks.

Lyme disease is a bacterial infection from ticks and is a multisystem disease which is on the rise (Ross Russell et al. 2018). Fortunately, as we have gained more knowledge of Lyme, we learn of more preventative steps which can be taken and the horrific nature of this disease can be thwarted if caught early.

How do you know if you’ve been bitten by a disease carrying tick? First off, if you find a tick on you, remove it, following the most recent medical recommendations for removing the tick. (See here or here for starters.) Once the tick has been removed, save it in a jar or a plastic bag to be submitted to your local health authorities to find out whether it is indeed an infected tick.

OK, the tick has been removed and saved for analysis. Now what? Wash and disinfect the area (and wash your hands afterward, as well as washing your clothing in hot water and drying in high heat) and keep an eye on the bite sight. If that “bullseye” rash develops, and you experience fever and chills, muscle aches, fatigue and joint pain --  seek professional treatment immediately. "In about 70% of patients, the rash occurs before the fever and starts as a bump with redness in the area of the bite. It often then develops into a red ring-like 'bulls-eye' that feels warm to the touch. Alternatively, some may present with a spreading, crusty, splotchy area of redness, a red oval plaque or a bluish rash" (Alton and Alton 2021).

Homeopathically, start with Ledum 200c, twice daily for a week. Ledum is known for its use in puncture wounds and for the ill effects of puncture wounds. Ledum can be helpful in warding off bad stuff which would result from said wound. If you had to remove a tick from your body, you have certainly been punctured by the little bugger! The Mayo Clinic (2018) says Lyme infection is unlikely if the tick is attached for less than 36-48 hours, so be sure to check yourself carefully if you’ve been out in the wilds (or, even the not-so-wilds, like just being in your backyard if you live in tick-land!)

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Mosquitoes.
I have to say, I am not a fan. At all. OK, I actually don’t know anyone who does like the little bastards, but I feel compelled to complain about them.

These little suckers also carry some nasty diseases. The Survival Medicine Handbook (Alton and Alton 2021) notes that “in terms of the sheer number of human deaths, the lowly mosquito puts all the classic creatures from our nightmares to shame.” They do clarify, however, that it’s not the mosquito in and of itself that is the problem, they merely carry the microbe to the unsuspecting victim. I still don't like them, even if they haven't transmitted any diseases to me! Their bite alone is enough!

What kinds of diseases? Malaria, Dengue Fever, Zika, West Nile, to name a few. Addressing all those diseases homeopathically is far beyond the scope of this article. However, it's important to note that the first homeopathic "proving" done by Samuel Hahnemann, the father of homeopathy, was done on Cinchona or quinine -- which is the original treatment for malaria (Permin et al. 2016) and that homeopathy may help in these situations. For a quick read on this, try: The Cinchona Experiment (Homeopathy Plus 2020).

Homeopathically, again, the first place to stop for a mozzy bite is Ledum, as it’s another puncture wound, after all.

My go-to for mosquito bites is Staphysagria — it’s particularly well indicated if there is a level of anger involved with dealing with the bite.

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For wasp stings, see my previous articles: here and here.
​


"Within the vertically oriented sheath of mouthparts below the eyes are scissor blades that slice and shred their way into the skin of tough cow or horse hide with ease. A sponge-like structure on the end of the proboscis then mops up the blood that pools on the skin". 
(Sue 2014) 
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Blackfly or Horsefly

These guys are relentless! Equipped with the ability to cut through cow hides or horse hides, they can do a real number on humans!

I had a run-in with them a few weeks ago. I felt the first one and then I didn't feel it when they delivered the rest of their nastiness! These bites were sore and scabby and oozy and definitely good candidates for Graphites. (I still have residual marks, but the pain is gone.) But, again, Ledum could definitely have been helpful here, too.


BUG BITE PREVENTION:

In addition to bug spray and citronella candles, what else can be done?

Dr. Colin Lessell (1999) claims homeopathic Ledum begun 3 days before potential exposure to the biting insects and repeated every 12 hours “will assist in the reduction of reactivity.”

Dr. Ratera (2016) also adds Staphysagria (3-6 times a day) as well as Vitamin B12.
​
If you know you react poorly to bug bites, these certainly sound worth a try to me!
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DON’T LET THESE GUYS FOOL YOU!
​
These 2 look cute and friendly and I thought they were harmless. Silly me!

Many years ago, my then-toddler got a terrible, painful rash on his cheeks and it turned out to be from a caterpillar. I know now that the best thing to do is to use sticky tape to remove the toxic hairs from the skin (Cleveland Clinic 2021). In hindsight, I would most likely have used Cantharis to help him out with the pain, but maybe Graphites as I think I remember it being a weepy rash.

Later, we were visiting out of state and while swinging on the swings we were attacked by ladybugs. Who knew?! They were painful little bites! In hindsight, I probably would have used Ledum or Staphysagria.

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Back to OHM’s Sting Relief and Insect Repellent. OHM is a homeopathic pharmacy located in Texas; but, unfortunately, they do not sell to the general public. What’s in this marvelous little concoction? Equal amounts of Apis, Belladonna, Caladium, Calendula, Graphites, Ledum, Pulsatilla, Rhus tox and Staphysagria (as well as non-homeopathic bug repellent ingredients. It's a win/win -- if the repellent fails, you've got the homeopathic remedies to fix you up!)

As I have mentioned before (see: Calming the Cold, What Hurts?, Relief, Recovery from Surgery) learning the various remedies included in a combination remedy is a good place to start when figuring out what might help you, as well as just learning homeopathic remedies in general.

We talked about Apis, Ledum and Staphysagria already so let’s have a quick look at OHM’s other ingredients.

Belladonna is highly indicated in red, swollen, hot, intense conditions and there may be a “biting” quality to the pain.

Caladium may also have a “biting” pain. Bites that itch and burn intensely.

Calendula (See: I did a doozy) is a marvelously soothing remedy for things that hurt, particularly things that hurt worse than they “should.” Calendula can also be used topically.

Graphites is known to help skin conditions with honey-like oozing.
​
Pulsatilla skin eruptions which itch or sting, especially when scratching makes it worse.
​
Rhus tox for burning skin eruptions or pain after scratching.

If a stinger remains, Herbal Medic (Coffman 2021) recommends scraping “it away using a flat scraper such as the edge of a credit card. Then clean the bite or sting area well and apply the plaster or poultice.”

​What kind of a poultice, you ask? Coffman recommends bentonite clay or charcoal.

​
Other topical options:
​
Calendula, Pot Marigold, is just a marvelously soothing substance. It is also known to help keep infections at bay.
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Rural Sprout (Magyar 2020) has instructions for a fresh plantain poultice for bites and stings. Or, you can use a ready made Plantain tincture. I tried the tincture after my wasp sting and found it very soothing. Or, you could also use homeopathic Plantago major which is also indicated for puncture wounds.

​For both Calendula and Plantago, if you have the homeopathic remedy, but not the tincture or the fresh ingredients at hand, put a pellet or 2 of the remedy in clean water and then apply the medicated water to the affected area.


It’s a jungle out there in the summer! All this talk of creepy crawlies is making me itchy! Keep some of these homeopathic remedies at hand in case of attack!

​

Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits


* I have no financial affiliation with this company, I just like their products.

Reference list:


Alton, J. and Alton, A., 2021. The survival medicine handbook : the essential guide for when help is NOT on the way : a Doom and Bloom guide. United States? Doom And Bloom Llc.


Anagnostou, K., 2018. Anaphylaxis in Children: Epidemiology, Risk Factors and Management. Current Pediatric Reviews [online], 14 (3), 180–186.

Benzoni, T. and Cooper, J. S., 2021. Tick Removal [online]. PubMed. 

Cleveland Clinic, 2021. Caterpillar Rash: How to Spot and Treat It [online]. Cleveland Clinic. 

Coffman, S., 2021. Herbal medic : a green beret’s guide to emergency medical preparedness and natural first aid. North Adams, Ma: Storey Publishing.

Forgey, W. W., 2020. The prepper’s medical handbook : how to provide medical care when you can’t rely on anyone but yourself. Guilford, Connecticut: Lyons Press.

Homeopathy Plus, 2020. The Cinchona Experiment [online]. Homeopathy Plus. 

Lessell, C. B., 1999. The world travellers’ manual of homoeopathy. Saffron Walden: C.W. Daniel.

Magyar, A. C., 2020. How To Make A Plantain Tincture + 8 Ways To Use This Healing Plant [online]. Rural Sprout. 

Mayo Clinic, 2018. Lyme disease - Symptoms and causes [online]. Mayo Clinic. 

Permin, H., Norn, S., Kruse, E. and Kruse, P. R., 2016. On the history of Cinchona bark in the treatment of Malaria. Dansk Medicinhistorisk Arbog [online], 44, 9–30. 

Ratera, Dr. M. M., 2016. First Aid with Homeopathy. Kander, Germany: Narayana Verlag.

Ross Russell, A. L., Dryden, M. S., Pinto, A. A. and Lovett, J. K., 2018. Lyme disease: diagnosis and management. Practical Neurology [online], 18 (6), 455–464. 

Schmitt Pediatric Guidelines, 2022. How to Remove A Tick [online]. HealthyChildren.org. 

Schmukler, A. V., 2006. Homeopathy : an A to Z home handbook. Woodbury, Minn.: Llewellyn Publications.

Sue, 2014. Gigantic black horse fly [online]. Back Yard Biology. 

Watts, M. M. and Ditto, A. M., 2019. Anaphylaxis. Allergy and Asthma Proceedings [online], 40 (6), 453–456. 

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7/9/2022

Summer Fun #2: Water

Read Now
 
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Swimmer's Eye or Chlorine Conjunctivitis
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Swimmer's itch
Swimmer's itch is an allergic reaction to microscopic parasites that burrow into your skin while you're swimming or wading outdoors. (Mayo Clinic n.d.)

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Outer Ear Infection
(Mayo clinic n.d.)

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Jellyfish… so beautiful and so dangerous!
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Signs a swimmer is in trouble: (Redcross. CA 2013)
  1. Struggling to keep their face above the water in an effort to breathe – head is low in the water, tilted back, and mouth is at water level
  2. Has arms extended to the side pressing down for support
  3. Has a vertical or approaching vertical body position with no supportive kick
  4. Might continue to struggle underwater, often facing the nearest point of safety, for example land, a person, shallow water, a buoyant support toy or a boat.  
  5. Inability to respond to the question: “Are you okay?”
  6. Silence
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Whether a river, an ocean or a pool -- nothing is as inviting as a body of water on a hot, summer’s day. It’s cool and refreshing, but, after a shallow dive into the subject … I hate to be the bearer of bad news, but it can be dangerous!

Let’s start with a dip in the pool, which is most likely chlorinated. Some people are particularly sensitive to the chlorine and can develop what is known as SWIMMER'S EYE or, chlorine conjunctivitis. It is essentially eye irritation but it stings and it can be pretty miserable. Goggles can help, but that's not a sure thing to keep it at bay.

Homeopathic Euphrasia or “Eyebright” for burning eyes and watery eyes. Pain as if something were in the eye. Puffy eyes. Red eyes. When “eye” is in the name of the remedy, you know it’s a good place to start.

Arsenicum album for profuse, watery, burning discharge. There is often a level of restlessness.

Or, Similisan’s Redness & Itchy Eye Relief* would be a good thing to keep in the cupboard if you or your child is prone to this. 
​
     ---------------------------------------------

Moving from the pool to a natural body of water can bring it’s own set of problems, namely, SWIMMER'S ITCH or Cercarial Dermatitis.

Caused by a parasite that gets under the skin (Kolářová et al. 2012) and triggers an allergic reaction, swimmer’s itch is as the name suggests, an itchy rash.

If the rash is blistery and oozy, look to Graphites.

If the rash burns, stings and itches, try Sulphur.

If the rash stings and is raised and fluid filled, try Apis.

     -------------------------------------------

SWIMMER’S EAR
Regardless of what kind of water you’re swimming in, swimmer’s ear is basically an outer ear infection caused by trapped water in your ear that can lead to the growth of bacteria (Mayo Clinic).

For sharp ear pain with a sudden onset, Belladonna. There may be redness and throbbing pain.

An aching ear pain that feels like the ear is stopped up, Chamomilla.

If there is discharge and itching, try Hepar sulph.

Or, Similason has a new formula: Swimmer's Ear Relief*.

     -------------------------------------------

If you are lucky enough to be near the ocean, beware of JELLYFISH!

Potentially harmful jellyfish are found in most oceans and can cause both dermatological problems as well as systemic issues (Mebs 2014). The venom of the 51 species of box jellyfish  can kill a human in less than 2 minutes (Baldwin 2022). 

The Wilderness Medical Society has published “Jellyfish Stings: A Practical Approach” (Lakkis et al. 2015). If you left your stinger suit hanging in the closet and manage to get stung, conventional medicine doesn’t have a lot to offer. “The literature published on the treatment of jellyfish stings is limited, conflicting, and lacks consensus.” In short, help the person out of the water, keep them from rubbing the stung area and reassure them. Some say to apply cold, others heat. If it’s a life-threatening species, call an ambulance immediately. (Be careful when helping someone with a jellyfish sting as stinging cells may be spread on contact.)

Once again, this is a situation where homeopathy can come in very handy. Homeopathy doesn’t care if the sting is a result of a jellyfish or a bee. If the symptoms match the remedy, there is a good chance relief will follow.

First Aid with Homeopathy (Mateu 2020) says applying vinegar can decrease the effect of the toxins.

For all these homeopathic jellyfish remedy recommendations, repeat every five minutes until significantly better and then begin to lengthen the time between doses.

For most “run of the mill” jellyfish stings, try Apis mellifica. For intense burning and stinging followed by redness and swelling. The person needing Apis will generally be worse from warm applications.

If the affected area feels cold and also feels better from cold, try Ledum.

Urtica urens can be applied topically as well as ingesting the homeopathic remedy. The person needing Urtica will be experiencing great itchiness and burning, similar to experiencing stinging nettles (from which the remedy is made).

If the pains are more neuralgic in nature and radiating out, try Hypericum.

     -------------------------------------------

HYPOTHERMIA
It’s a warm, beautiful day with a little breeze and you think, “what could possibly go wrong?” Well, Hypothermia is one thing that can ruin your day.

“That only happens in the cold, right?” Um. Nope. The only requirement for hypothermia to set in is anything that causes a severe drop in body temperature. It can happen in perfect conditions (Florida Fish and Wildlife Commission 2022) and, actually, swimming doesn’t even need to be involved.

It can happen from being in the water or from being caught in a rainstorm. When I was a kid, my brother went sailing on a too cold day and he returned way too cold. I remember being instructed to lie down on the kitchen floor next to him under a blanket to try and warm him up. I now know that is termed “external passive rewarming” and is the method of choice for mild hypothermia. A slow and gentle warming is what you’re after.

For hypothermia to set in, the water doesn’t have to be cold, just cooler than your body temperature. Children, the elderly, injured or intoxicated people are more susceptible (Paal et al. 2022). Shivering, confusion, breathing issues, and muscle dysfunction are some of the symptoms which may be experienced with a significantly lowered body temperature.

The Natural First Aid Handbook (Mars 2017) recommends hot water bottles to the groin and sides of the torso and warns against rubbing or massaging an individual with hypothermia. First Aid with Homeopathy (Ratera 2016) recommends hot liquids and moderate warmth to the abdomen via a hot water bottle and also talks about breath as a treatment for hypothermia. “The helper places his mouth against the spine, between the shoulder blades, and breathes out in long breaths, blowing directly against the clothing. Almost immediately, local heat is felt, and gradually this heat spreads through the body if the exercise is continued. This technique helps to warm, and also to calm the patient. It can therefore also be used in crises of asthma or panic, to calm the patient and restore natural breathing.” Fascinating!

Other than warming the person, what can be done? Homeopathy, of course!

If the person is conscious, give a dose of Aconite to help with the shock.

Bellis perennis is useful in thermal shock (Ratera 2016). Thermal shock can happen from any sudden exposure to cold when the body is hot — even drinking cold drinks when the body is hot.

Carbo vegetabilis can be useful for persons who are chilly, with cold perspiration and cold breath. Other symptoms may include coldness, numbness and weakness.

Veratrum album is for internal coldness, as if ice-water is in the veins. Weakness and collapse with coldness.

If the person is icy cold but wants to be uncovered, consider some homeopathic Camphor. Cramps, convulsions or shock may be present.

        -----------------------------------------

DROWNING
Regardless of the size of the body of water, drowning is always something to watch out for and contrary to what we have seen in the movies, drowning is often completely silent (Redcross. CA 2013). See sidebar for "signs a swimmer is in trouble."

According to Stop Drowning Now (2018), in the US, 10 people die every day from drowning. “Drowning is fast and silent and can happen in as little as 20-60 seconds.”

When my  son was little, I turned my back to get his floaties and the other mother with me (who I thought was watching all the kids!) said, “I didn’t know he could swim.” I turned around and I saw him standing on the bottom of the pool, completely underwater, eyes open, looking up at me. He couldn’t swim! He definitely did not belong there! That could have been a disaster. It was absolutely instantaneous — shockingly fast! Thankfully, he was completely fine. I will never be able to get that vision out of my mind. It was terrible.

CPR or the Heimlich maneuver, followed by mouth-to-mouth is the standard recommendation. Venema (et al. 2010) claim that 30% of rescued drowning victims require CPR. Get medical help immediately.

If the person is unconscious, administer homeopathic Carbo vegetabilis while waiting for help to arrive. Carbo veg is known as “the corpse reviver” and should be administered frequently. To avoid inhaling the remedy, place the pellet between the lips and the teeth and let it dissolve there.

If the person is better when sitting up but is experiencing a rattling in the chest, try Antimonium tart.

Lachesis is indicated when the person is suffering asphyxia and the pulse is very weak.

If there is a “near miss” like I described with my son, it may not be over and done with when you have them out of the water and breathing on their own again. Jama Pediatrics (Stern and Thompson 2022) notes that “symptoms of drowning such as gasping or difficulty breathing most commonly occur immediately. In rare cases, symptoms may develop after a nonfatal drowning. If a child develops worsening cough, fast breathing rate, vomiting or change in mental status after nonfatal drowning, take them to the nearest emergency department for evaluation.”

It may seem like it’s better (and safer!) to just dip your toes in the water to cool off, but no! Life is too short to sit out the swim!

​
Julia Coyte, CHom
Classically Practical homeopath

​#wellnessawaits


* I have no affiliation with this company, I just like their products.

References and further reading:

Baird, J. K. and Wear, D. J., 1987. 12 Cercarial dermatitis: The swimmer’s itch. Clinics in Dermatology, 5 (3), 88–91.

Baldwin, E., 2022. Box Jellyfish: The Dangerous Jellyfish | Ocean Info [online]. oceaninfo.com. 

Florida Fish and Wildlife Commission, 2022. Hypothermia [online]. Florida Fish And Wildlife Conservation Commission. 

Gordy, M. A., Cobb, T. P. and Hanington, P. C., 2018. Swimmer’s itch in Canada: a look at the past and a survey of the present to plan for the future. Environmental Health, 17 (1).

Hoeffler, D. F., 1977. ‘Swimmers’ itch’ (cercarial dermatitis). Cutis [online], 19 (4), 461–465, 467. 

Kolářová, L., Horák, P., Skírnisson, K., Marečková, H. and Doenhoff, M., 2012. Cercarial Dermatitis, a Neglected Allergic Disease. Clinical Reviews in Allergy & Immunology [online], 45 (1), 63–74. 

Lakkis, N. A., Maalouf, G. J. and Mahmassani, D. M., 2015. Jellyfish Stings: A Practical Approach. Wilderness & Environmental Medicine [online], 26 (3), 422–429. 

Lessell, C. B., 1999. The world travellers’ manual of homoeopathy. Saffron Walden: C.W. Daniel.

Mateu, M., 2020. First aid with homeopathy. Kandern, Germany Narayana Verlag.

Mayo Clinic, n.d. Swimmer’s ear - Symptoms and causes [online]. Mayo Clinic. 

Mayo Clinic, n.d. Swimmer’s itch - Symptoms and causes [online]. Mayo Clinic. 

Mebs, D., 2014. Durch Quallen verursachte Verletzungen. Jelly Fish Sting Injuries Der Hautarzt [online], 65 (10), 873–878.

Paal, P., Pasquier, M., Darocha, T., Lechner, R., Kosinski, S., Wallner, B., Zafren, K. and Brugger, H., 2022. Accidental Hypothermia: 2021 Update. International Journal of Environmental Research and Public Health [online], 19 (1), 501. 

Ratera, Dr. M. M., 2016. First Aid with Homeopathy. Kander, Germany: Narayana Verlag.

Redcross. CA, 2013. Drowning: A silent killer - Canadian Red Cross [online]. Red Cross Canada. 

Schmukler, A. V., 2006. Homeopathy : an A to Z home handbook. Woodbury, Minn.: Llewellyn Publications.

Smith, S., 2007. Medical homoeopathy. West Wickham England: Winter Press.
Stern, A. M. and Thompson, L. A., 2022. What Parents Should Know About Drowning and Dry Drowning. JAMA Pediatrics [online]. 

Stop Drowning Now, 2018. Facts & Stats About Drowning - Stop Drowning Now [online]. www.stopdrowningnow.org. 

Szpilman, D., Bierens, J. J. L. M., Handley, A. J. and Orlowski, J. P., 2012. Drowning. New England Journal of Medicine [online], 366 (22), 2102–2110. 


Venema, A. M., Groothoff, J. W. and Bierens, J. J. L. M., 2010. The role of bystanders during rescue and resuscitation of drowning victims. Resuscitation [online], 81 (4), 434–439. 

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