Emersion in non-scalding water up to 45°C & Local lidocaine for pain control
Remove spines/foreign bodies
If spines are intraarticular or near neurovascular structures they need to be carefully removed in the OR
Thorough irrigation
Update tetanus vaccination if needed
Prophylactic antibiotics for deep puncture wounds
If spines are intraarticular or near neurovascular structures they need to be carefully removed in the OR
Crown-of-Thorns starfish envenomation
Toxins
Stonefish envenomation
Ciguatera
Fire coral envenomation
Scombroid
Cone shell envenomation
Tetrodotoxin 