(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.
- grasp the tick as close to the skin as possible
- pull straight up gently but firmly trying to avoid jerking, twisting, or crushing
- 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)