Tick Removal

(contributions from Dr. Bearamy)

Over the course of my education, I’ve probably heard of 10 different ways to remove a tick, from burning it to freezing it to yanking it. Uptodate recommends using the tweezer approach.

  1. grasp the tick as close to the skin as possible
  2. pull straight up gently but firmly trying to avoid jerking, twisting, or crushing
  3. if mouthparts remain in the skin, they should be left alone as they will normally be expelled spontaneously

However, there are other techniques that show promise for successful tick removal without the risk of leaving parts behind. Just like life, it’s always better to gain compliance voluntarily than by force. Note: Its unclear if saline or lidocaine is injected to make the blister, I’d imagine the tick might not like the taste of lidocaine

(more Tricks of the Trade)

About ER Jedi

I’m a resident doctor in Emergency Medicine and I’ve learned during the past few years that 1) I’ve had some pretty amazing experiences 2) I have a very bad short-term memory. So this blog is just a place for me to write about some of these experiences, from the ER, medical school, the wards and life in general. At least that way I’ll have some idea as to where I’ve been all this time. A scrap-book of sorts, a place to vent, organize some clinical tools and post a few good songs I’ve heard along the way.

Posted on April 26, 2011, in Tricks of the Trade. Bookmark the permalink. Leave a comment.

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