Pain management and venom neutralization is accomplished via hot-water (45 C) immersion for 30-60 minutes
Clean wound, update tetanus, remove retained tissue
One fifth of wounds develop local infection, but prophylactic antibiotics remain controversial 
High risk for Vibrio vulnificus which can lead to necrotizing fasciitis.
Antivenom includes Commonweatlth Serum Laboratories<unk>  antivenom.
All doses are intramuscular d/t risk of anaphylactoid reaction.
Give 1 vial for 1-2 puncture wounds, 2 vials for 3-4 wounds, etc.
1 vial is equivalent to 2,000 units and neutralizes 20mg of venom
All doses are intramuscular d/t risk of anaphylactoid reaction.
Give 1 vial for 1-2 puncture wounds, 2 vials for 3-4 wounds, etc.
1 vial is equivalent to 2,000 units and neutralizes 20mg of venom
Stonefish envenomation
Toxins
Crown-of-Thorns starfish envenomation
Ciguatera
Cone shell envenomation
Scombroid
Fire coral envenomation
Tetrodotoxin 