#TOXINology see also: [[Marine Envenomation]] >[!key points] >- potentially life threatening >- ==rapidly-progressive descending flaccid paralysis with resp failure in minutes== >- hypotension >- collapse > - do put pressure bandage on > > ==no antivenom== > >- **Dispo:** > - patients with no clinical features are not envenomated and can d/c after 6 hours > - envenomated patients with paralysis need intubation Toxin: Tetrodotoxin - sodium channel blocking neurotoxin