Which of the following is recommended if a Gila Monster bite is still attached to the patient?

• A. Place the reptile on a solid surface to loosen its bite.
• B. Remove the reptile with gloved hands.
• C. Apply a tourniquet proximal to the bite.
• D. Suture the wound closed immediately.

Answer: (B)

Removing the reptile with gloved hands is the best move because the danger comes from ongoing venom delivery while the animal is attached. By gently detaching the Gila Monster, you stop further venom injection and reduce the amount that can enter the tissues. Wearing gloves helps protect you from a secondary bite and venom exposure as you carefully release the mouth and pull the animal away. Leaving the reptile in place would allow continued envenomation, increasing pain, swelling, and systemic effects. Tourniquets and closing the wound immediately are not appropriate here: a tourniquet can cause tissue damage and doesn’t reliably stop venom spread, and suturing the wound right away can trap venom and raise infection risk. After the animal is removed, clean the area, apply a clean dressing, immobilize the limb, and seek medical care for ongoing management.