Tick removal: Difference between revisions
Gatordoc77 (talk | contribs) No edit summary |
No edit summary |
||
| (8 intermediate revisions by 5 users not shown) | |||
| Line 1: | Line 1: | ||
Indications | ==Indications== | ||
*Tick attachment to the skin | |||
Contraindications | |||
==Contraindications== | |||
Equipment | *None | ||
==Equipment== | |||
Technique | *Gloves | ||
#Grasp tick as close to skin surface as possible and pull upward with steady, even traction. | *Fine-toothed forceps | ||
*Fine suture | |||
==Technique== | |||
#Apply viscous lidocaine to kill the tick and anesthetize bite site | |||
#Grasp tick with forceps as close to skin surface as possible and pull upward with steady, even traction. | |||
#Alternatively, fine suture looped in a half-hitch around the tick between the skin and tick's body | |||
#Take care not to squeeze or crush the tick body because this may expel infective agents. | #Take care not to squeeze or crush the tick body because this may expel infective agents. | ||
#Do not twist or jerk the tick in order to prevent the mouth parts from breaking off during extraction. | #Do not twist or jerk the tick in order to prevent the mouth parts from breaking off during extraction. | ||
| Line 13: | Line 19: | ||
#If one is still unable to remove the mouth parts, excision under local anesthesia will be needed to prevent local infection | #If one is still unable to remove the mouth parts, excision under local anesthesia will be needed to prevent local infection | ||
#Once tick is removed wash the bite area with soap and water or antiseptic. | #Once tick is removed wash the bite area with soap and water or antiseptic. | ||
Complications/Follow-up | #Save tick in plastic bag for ID and aid in diagnosis if illness occurs. | ||
==Complications/Follow-up== | |||
*Monitor for signs and symptoms of tick-borne disease | |||
*Routine antimicrobial prophylaxis or serologic testing is not recommended | |||
# | *There is potential for secondary infections | ||
==See Also== | |||
*[[Tick borne illnesses]] | |||
==External Links== | |||
===Videos=== | |||
{{#widget:YouTube|id=0jF0k5ZuQoo}} | |||
==References== | |||
<references/> | |||
[[Category:Procedures]] | |||
[[Category:ID]] | |||
Latest revision as of 21:47, 29 June 2021
Indications
- Tick attachment to the skin
Contraindications
- None
Equipment
- Gloves
- Fine-toothed forceps
- Fine suture
Technique
- Apply viscous lidocaine to kill the tick and anesthetize bite site
- Grasp tick with forceps as close to skin surface as possible and pull upward with steady, even traction.
- Alternatively, fine suture looped in a half-hitch around the tick between the skin and tick's body
- Take care not to squeeze or crush the tick body because this may expel infective agents.
- Do not twist or jerk the tick in order to prevent the mouth parts from breaking off during extraction.
- If mouth parts are left behind after removal of the body, they may be removed with tweezers.
- If one is still unable to remove the mouth parts, excision under local anesthesia will be needed to prevent local infection
- Once tick is removed wash the bite area with soap and water or antiseptic.
- Save tick in plastic bag for ID and aid in diagnosis if illness occurs.
Complications/Follow-up
- Monitor for signs and symptoms of tick-borne disease
- Routine antimicrobial prophylaxis or serologic testing is not recommended
- There is potential for secondary infections
See Also
External Links
Videos
{{#widget:YouTube|id=0jF0k5ZuQoo}}