Fishhook Removal - Revision history

TravisN at 19:36, 9 October 2020

2020-10-09T19:36:05Z

← Older revision		Revision as of 19:36, 9 October 2020
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	There are multiple strategies for removing fishhooks.		There are multiple strategies for removing fishhooks.
	*~~My favorite is the~~ '''push-through method:'''		*'''push-through method:''' This is my preferred method of removal, it is a simple technique that does not require technical proficiency and can be performed by CHAs.
	*# use lidocaine to numb an area adjacent to the fishhook		*# use lidocaine to numb an area adjacent to the fishhook
	*# push the hook through the anesthetized region until the barb is visible		*# push the hook through the anesthetized region until the barb is visible
	*# cut the barb off with nail scissors or bone cutters		*# cut the barb off with nail scissors or bone cutters
	*# back the fishhook through the entrance wound.		*# back the fishhook through the entrance wound.
	**(''This is a simple technique that does not require technical proficiency and can be performed by CHAs.'')
	[[file: Push-through_method.png\|400px]]		[[file: Push-through_method.png\|400px]]
	*'''string-yank technique''', in which a line is attached to the hook to guide removal,		*'''string-yank technique''', in which a line is attached to the hook to guide removal,

JenniferH: /* Resources/References */

2020-10-07T16:23:13Z

Resources/References

← Older revision		Revision as of 16:23, 7 October 2020
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	===Resources/References===		===Resources/References===
	*[https://www.aafp.org/afp/2001/0601/p2231.html]		*Gammons et al. [https://www.aafp.org/afp/2001/0601/p2231.html Fishhook Removal]. Am Fam Physician. 2001 Jun 1;63(11):2231-2237

	[[Common ED Procedures]]		[[Common ED Procedures]]

JenniferH at 16:22, 7 October 2020

2020-10-07T16:22:02Z

← Older revision		Revision as of 16:22, 7 October 2020
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	*# back the fishhook through the entrance wound.		*# back the fishhook through the entrance wound.
	**(''This is a simple technique that does not require technical proficiency and can be performed by CHAs.'')		**(''This is a simple technique that does not require technical proficiency and can be performed by CHAs.'')
			[[file: Push-through_method.png\|400px]]
	*'''string-yank technique''', in which a line is attached to the hook to guide removal,		*'''string-yank technique''', in which a line is attached to the hook to guide removal,
	*'''needle-cover technique''', in which an 18-gauge hypodermic needle is used to cover the barb of the fishhook.		*'''needle-cover technique''', in which an 18-gauge hypodermic needle is used to cover the barb of the fishhook.
	*'''retrograde technique''', in which the fishhook is simply backed out in-plane to its angle of entry		*'''retrograde technique''', in which the fishhook is simply backed out in-plane to its angle of entry
			[[file: Fishhook_removal.png\|400px]]

	===Resources/References===		===Resources/References===
	*[https://www.aafp.org/afp/2001/0601/p2231.html]		*[https://www.aafp.org/afp/2001/0601/p2231.html]

			[[Common ED Procedures]]

JenniferH at 16:17, 7 October 2020

2020-10-07T16:17:14Z

← Older revision		Revision as of 16:17, 7 October 2020
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			(''written by Dr. Travis Nelson'')

	Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT.		Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT.

JenniferH at 16:16, 7 October 2020

2020-10-07T16:16:16Z

← Older revision		Revision as of 16:16, 7 October 2020
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	Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT. There are multiple strategies for removing fishhooks. My favorite is the push-through method: (1) use lidocaine to numb an area adjacent to the fishhook (2) push the hook through the anesthetized region until the barb is visible (3) cut the barb off with nail scissors or bone cutters (4) back the fishhook through the entrance wound. This is a simple technique which does not require technical proficiency and can be performed by CHAs.		Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT.

	~~Other options~~ for ~~removal include~~ the ~~retrograde technique, in which~~ the fishhook is ~~simply backed out in-plane to its angle of entry,~~ the string-yank technique, in which a line is attached to the hook to guide removal, ~~and the~~ needle-cover ~~method~~, in which an 18-gauge hypodermic needle is used to cover the barb of the fishhook.		There are multiple strategies for removing fishhooks.
			*My favorite is the '''push-through method:'''
			*# use lidocaine to numb an area adjacent to the fishhook
			*# push the hook through the anesthetized region until the barb is visible
			*# cut the barb off with nail scissors or bone cutters
			*# back the fishhook through the entrance wound.
			**(''This is a simple technique that does not require technical proficiency and can be performed by CHAs.'')
			*'''string-yank technique''', in which a line is attached to the hook to guide removal,
			*'''needle-cover technique''', in which an 18-gauge hypodermic needle is used to cover the barb of the fishhook.
			*'''retrograde technique''', in which the fishhook is simply backed out in-plane to its angle of entry

	===Resources/References===		===Resources/References===
	*[https://www.aafp.org/afp/2001/0601/p2231.html]		*[https://www.aafp.org/afp/2001/0601/p2231.html]

JenniferH: Created page with "Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT. There are multiple strategies for removing fishhooks. My favorite is the push-through meth..."

2020-10-07T16:11:11Z

Created page with "Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT. There are multiple strategies for removing fishhooks. My favorite is the push-through meth..."

New page

Not surprisingly, this is a common procedure at YKHC and is often addressed via RMT. There are multiple strategies for removing fishhooks. My favorite is the push-through method: (1) use lidocaine to numb an area adjacent to the fishhook (2) push the hook through the anesthetized region until the barb is visible (3) cut the barb off with nail scissors or bone cutters (4) back the fishhook through the entrance wound. This is a simple technique which does not require technical proficiency and can be performed by CHAs.

Other options for removal include the retrograde technique, in which the fishhook is simply backed out in-plane to its angle of entry, the string-yank technique, in which a line is attached to the hook to guide removal, and the needle-cover method, in which an 18-gauge hypodermic needle is used to cover the barb of the fishhook.

===Resources/References===
*[https://www.aafp.org/afp/2001/0601/p2231.html]