tick removal: what works?

6 Feb

WHAT DOES NOT WORK (in inducing detachment):

–wheal of 1% lidocaine
–1% lido +epi
–1% chloroprocaine
–application of petroleum jelly
–fingernail polish
–70% isopropyl alcohol
–a hot kitchen match



WHAT DOES WORK:
–use of forceps or protected fingers

NICE IDEAS:

grasp as close to the skin as possible with curved forceps, tweezers or protected fingers.

Pull straight up with steady even pressure. If cement or mouthparts remain, then extract if that is practical.

Disinfect bite site before and after tick removal.

Do not squeeze, crush, or puncture the body of the tick, because its fluids (saliva, hemolymph, gut contents) may contain infectious organisms.

Submitted by J. Gullo.

Reference(s): lidocaine study, 5 common techniques article, aafp overview, emedicine overview, picture (CDC)

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