A splinter feels like the most minor injury imaginable, right up until it’s the one thing you can’t stop thinking about. Getting it out safely, without turning a small problem into an infected one, comes down to a handful of simple steps most people rush past.

Start with clean hands and a clean wound. Wash both with soap and water before you touch anything, since introducing more bacteria to a puncture wound is the fastest way to turn a splinter into something worse. Sterilise a pair of tweezers and a needle, either with rubbing alcohol or by dipping them in boiling water and letting them cool, before going anywhere near the skin.

If part of the splinter is visible above the surface, tweezers alone should do the job. Grip the protruding end and pull it out at the same angle it went in, rather than straight up, which reduces the chance of it snapping and leaving a fragment behind. For splinters that have gone fully under the skin, a sterilised needle can gently lift the skin covering the tip, exposing enough to grip with tweezers.

Not every splinter needs immediate action, though. Very small, shallow splinters that aren’t causing pain can often be left alone entirely, working their way out naturally as skin sheds over the following days. The key is watching that area in the meantime for early signs of trouble, rather than assuming it’s sorted.

Once it’s out, the job isn’t finished. Wash the area again with soap and water, apply a thin layer of antibiotic ointment if you have it, and cover with a clean bandage. Keep an eye on it over the following days for redness, swelling, warmth, pus or increasing pain, any of which can signal infection setting in, even after what looked like a clean removal.

Some splinters are best left to a doctor rather than tackled at home. That includes anything deeply embedded, lodged under a fingernail, near or in the eye, sitting over a joint, or made from glass or metal rather than wood. If a splinter hasn’t budged after ten to fifteen minutes of careful attempts, or if it’s entered the skin straight up and down rather than at an angle, it’s generally time to stop digging and get it looked at properly instead.

Tetanus is worth a thought too, particularly for splinters from rusty, dirty, or outdoor sources. If your vaccination isn’t current, that’s reason enough on its own to see a healthcare provider rather than handle it yourself. A splinter might be small, but the wound it leaves behind deserves the same basic care as anything else that’s broken the skin.

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