Emersion in non-scalding water up to 45°C & Local lidocaine for pain control
Prompt removal of pedicellariae
Remove spines/foreign bodies
Attempts to remove spines are often futile due to their fragile and friable nature.
Some areas may have an appearance of a spine due to "tattooing" of the skin
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
Attempts to remove spines are often futile due to their fragile and friable nature.
Some areas may have an appearance of a spine due to "tattooing" of the skin
If spines are intraarticular or near neurovascular structures they need to be carefully removed in the OR
Sea urchins
Toxins
Tapeworm
Ciguatera
Felon
Scombroid
Bougie
Tetrodotoxin 