- Tiny, Pain-Free Slivers: If superficial slivers are numerous, tiny, and pain-free, they can be left in. Eventually, they will work their way out with normal shedding of the skin or the body will reject them with a minor skin infection.
- Tiny Plant Stickers: Plant stickers (e.g., stinging nettle), cactus spines or fiberglass spicules are difficult to remove because they are fragile. Usually they break when pressure is applied with a tweezers.
- Wax Hair Remover: Apply a layer of wax depilatory (wax hair remover). Let it air dry for 5 minutes or accelerate the process with a hair dryer. Then peel it off with the spicules. Most will be removed. The others will usually work themselves out with normal shedding of the skin.
- Tape: Another option is to lightly touch the area with packaging tape or another very sticky tape.
- Needle and Tweezers: Remove larger slivers or thorns with a needle and tweezers.
- Check the tweezers beforehand to be certain the ends (pickups) meet exactly (if they do not, bend them). Sterilize the tools with rubbing alcohol or a flame.
- Wash the skin surrounding the sliver briefly with soap and water before trying to remove it. Don't soak the area if foreign body (FB) is wood (Reason: can cause swelling of the splinter).
- Use the needle to completely expose the large end of the sliver. Use good lighting. A magnifying glass may help.
- Then grasp the end firmly with the tweezers and pull it out at the same angle that it went in. Getting a good grip the first time is especially important with slivers that go in perpendicular to the skin or those trapped under the fingernail.
- For slivers under a fingernail, sometimes a wedge of the nail must be cut away with fine scissors to expose the end of the sliver.
- Superficial horizontal slivers (where you can see all of it) usually can be removed by pulling on the end. If the end breaks off, open the skin with a sterile needle along the length of the sliver and flick it out.
- Antibiotic Ointment: Wash the area with soap and water before and after removal. Apply an antibiotic ointment to the area once after removal to reduce the risk of infection.
- IF your child becomes worse: Review Should I Call? recommendations.
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