Fishhook Removal: Difference between revisions
From Guide to YKHC Medical Practices
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There are multiple strategies for removing fishhooks. | There are multiple strategies for removing fishhooks. | ||
* | *'''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. | ||
[[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, | ||
Latest revision as of 19:36, 9 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.
- 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
- 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.
- 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
- Gammons et al. Fishhook Removal. Am Fam Physician. 2001 Jun 1;63(11):2231-2237
