Fishhook Removal: Difference between revisions
From Guide to YKHC Medical Practices
No edit summary |
No edit summary |
||
Line 10: | Line 10: | ||
*# 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]] |
Revision as of 16:22, 7 October 2020
(written by Dr. Travis Nelson)
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:
- 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