Immediately immerse wound in hot water (45°C for 30-90min) 
Hot water is thought to denature the thermolabile venom
Supportive care
Remove spines and stinger, if visible
XR for evaluation of foreign bodies
Tetanus prophylaxis
Prophylactic antibiotics are controversial - if used, give doxycycline or ciprofloxacin to cover Vibrio vulnificus
Infusion of prostaglandin E1 has resulted in successful salvage of an ischemic leg, but insufficient datat exists to recommend this as routine therapy.
There is no antivenom available.
Hot water is thought to denature the thermolabile venom
Stingray injury
Toxins
Fishhook injury
Ciguatera
Lisfranc injury
Scombroid
Dental avulsion
Tetrodotoxin 