First Aid Guides
Sting - Cone Shell
What to do if stung by a Cone Shell
The Cone Shell, which is mainly located in tropical waters, can fire a venomous dart-like barb when stepped on or touched.
Without medical treatment, the venom can cause paralysis and death due to respiratory failure within 30 minutes.
Start with DRSABCD
D - Danger
Assess the area to ensure its safe for yourself, others and the patient. Only proceed to help them if its safe.
R - Response
Check for a response. You can do this by asking their name and squeezing their shoulders.
- If they do respond: Make them comfortable and continue to follow the steps in this guide
- If they don't respond: Send for help immediately (call Triple Zero 000) and follow the DRSABCD Action Plan
First Aid for a Cone Shell sting
If someone has been stung by a Cone Shell, call Triple Zero (000) immediately.
If they are unconscious or lose consciousness at any time, follow the DRSABCD Action Plan.
Step 1: Lay them down
- Ask them to lay down (on their back) and remain still. This will slow the spread of poison
- Keep calm and reassure them
Step 2: Bandage the bite site
- Firmly bandage the bite site directly with a compression bandage. This is called the pressure immobilisation method
- You do not need to remove cloths
- If there aren't bandages available, use clothing or towels
- Avoid wrapping too tight to cause numbness, tingling or any colour change to the limb, toes or fingers
- Clip the end of the bandage or tuck it underneath the final loop
Step 3: If bitten on a limb, apply a second bandage
- If the bite is on a limb, apply a firm compression bandage starting just above the fingers or toes
- Wrap the bandage upwards on the limb as far as you can
- Avoid wrapping too tight to cause numbness, tingling or any colour change to the limb, toes or fingers
- Clip the end of the bandage or tuck it underneath the final loop
- Mark the bite site on the bandage
Step 4: Apply a splint if bitten on a limb
- If you have a splint board, tie it at the ankle, then above and below the knee. If the bite is on the arm, then place it underneath the forearm
- If the bite is on the leg, splint by placing the legs together and tie them to each other with bandages. Once below the knees and again at the ankles
- If the bite is on the arm, make a splint and place it underneath the forearm. Then, tie or tape it to the arm at the wrist and just below the elbow. Place in a sling
- If you don't have bandages for tying, you can use long bits of fabric such as a t-shirt or towel
Step 4: Monitor symptoms
- Monitor the person closely. If they lose consciousness at any time, follow the DRSABCD Action Plan
- If they become cold, cover them with a blanket, towel or clothes
- Write down the time of the bite and when you finished bandaging. This will assist medical help later
- Check circulation by squeezing the edge of the big toe or thumb for 3 seconds. Release and check if the colour returns - it should return within 2 seconds
What not to do
- Use tourniquets
- Cut the bite site or try to suck out the venom
- Give them alcohol
- Wash the skin - this helps to identify venom
- Give food or drink
- Try and catch the snake, spider, insect or sea creature

