Removal of<unk> <unk> s have very tenacious bites and need active detachment
Place under running hot water or use tongs or a stick
IV Fluids as needed; if persistent hypotension, consider vasopressors
Explore, clean and irrigate wound
Tetanus prophylaxis
Daily dressing changes with topical antiseptic
Antibiotics not routinely needed<unk> s have very tenacious bites and need active detachment
Place under running hot water or use tongs or a stick
Lizard bites
Hymenoptera stings 
Snake bites
Mammalian bites
Spider bites
Closed fist infection 
Octopus bite
Dog bite