REMOVE

• Search head-to-toe

• with tweezers, grasp the tick mouth parts as close to the skin as possible and gently pull in a steady upward motion

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Vaseline, fingernail polish, matches not correct

Fingers not correct

Regurgitation is what we are trying to avoid to decrease the load of contamination

The ticks secrete anticoagulants, salivary enzymes, analgesics and cement substances into the wound accounting for the transient erythema and pruritus