Tick removal is covered in our Forestry First Aid (+F) course, but it’s also important for first aid trainers to know in case of queries. We recently received a question about the correct removal method, so we wanted to provide clarity.
Ticks – What You Need to Know
Ticks are small, spider-like creatures found in grass and woodland areas. They attach to humans and animals to feed on blood, and as they do, they can swell to the size of a pea.
Ticks can carry Lyme disease, a bacterial infection that can cause flu-like symptoms, joint pain, and long-term complications if untreated. Because of this, it’s important to remove ticks as soon as possible.
The Challenge – Conflicting Advice
When reviewing the available guidance, we found some differences in recommendations:
NHS & Voluntary Aid Services (VAS) Manual: Advise pulling the tick straight out with tweezers or a tick remover, without twisting.
Lyme Disease Action: Suggests twisting when using a tick tool, but pulling straight when using tweezers.
Tick Removal Tools: Some manufacturers instruct users to twist, while others do not.
Given these differences in approach, it’s understandable that learners may feel confused.
What We’re Teaching in Our Courses
To provide clear and practical advice, we align with NHS guidance but also acknowledge the variations. In our Forestry First Aid course, we teach:
✔ Use fine-tipped tweezers or a tick removal tool.
✔ Grasp the tick as close to the skin as possible without squeezing.
✔ If using tweezers, pull upwards slowly and firmly—do not twist.
✔ If using a tick removal tool, follow the manufacturer’s instructions. Some require twisting.
✔ Clean the area with antiseptic or soap and water.
✔ Do not use petroleum jelly, burning, freezing, or fingernails.
✔ Seek medical advice if symptoms like a rash or flu appear.
Changes to Our Course Materials
To ensure consistency, we have made a small update to our course presentation. As we are now using live online presentations, this change is available immediately.
Additionally, minor updates to the Forestry First Aid guide and directive will be included in the next release.
Key Takeaway for Trainers
The main priority is removing the tick as soon as possible using an appropriate tool and method. While there are differences in advice, the key principles remain the same: avoid squeezing the body, don’t delay removal, and seek medical help if needed.
For further reference, trainers can review:
👉 NHS – Lyme Disease Guidance
👉 Lyme Disease Action – Tick Removal
By keeping our advice clear, practical, and aligned with NHS best practice, we ensure that delegates receive consistent and trusted information.
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